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1.
J Clin Pediatr Dent ; 44(6): 429-435, 2020 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-33378467

RESUMEN

OBJECTIVES: To compare the prevalence of parafunctional habits, erosive tooth wear and occurrence of tooth injuries among children being under the care of Social Welfare Centre and children treated in the Department of Children's Dentistry of the Medical University of Warsaw. STUDY DESIGN: The study contains environmental and medical interviews, record-based analysis and clinical examination. Parafunctional habits were rated on the base of dental interviews and clinical examinations. The occlusal surfaces were evaluated by visual examination using modified tooth wear index (TWI). Tooth injuries were reported from a medical interview labeled using Andreasen classification. The consent of the bioethics committee and guardians of children participated in the study was obtained. RESULTS: The study involved 782 patients, including 404 children from dysfunctional families (average age 11,4 ± 3,7) and 378 from ordinary families-control group (8,53 ± 3,92). In the study group we observed higher prevalence of erosive tooth wear (44,66% vs 18,02% p=0,000), dental trauma (9,4% vs 3,44% p=0,001) and a presence of parafunctional habits (67,8% vs 20,4 % p=0,000). CONCLUSION: The occurrence of parafunctional habits, erosive tooth wear and tooth injuries may be an indicator of domestic violence and a component of maltreated child syndrome.


Asunto(s)
Violencia Doméstica , Erosión de los Dientes , Traumatismos de los Dientes , Desgaste de los Dientes , Adolescente , Niño , Hábitos , Humanos , Prevalencia , Erosión de los Dientes/epidemiología , Erosión de los Dientes/etiología , Traumatismos de los Dientes/epidemiología , Desgaste de los Dientes/epidemiología , Desgaste de los Dientes/etiología
2.
PLoS One ; 15(4): e0230809, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32315345

RESUMEN

Riverine populations are typical of the Amazon region that depend on nature for subsistence. These people are considered an intermediate population between the urban and indigenous, the original Amazon habitants. The aim of this cross-sectional study was to evaluate the relationship between tooth wear and age in a remote riverine population from the Amazon, located by the Tucumanduba River (n = 94), and to compare them to previous findings obtained from semi-isolated indigenous (n = 223) and urban populations (n = 40) from the Amazon region, which were examined using the same methodology. Using linear regression, tooth wear explained 54.5% of the variation in the ages of the riverine subjects (p<0.001). This coefficient is mid-way between those obtained in semi-isolated indigenous populations (65-86%) and urban subjects (12%) living in the Amazon. Our findings suggest that tooth wear, a direct evidence of what an individual ate in the past, may be an indicator of the acculturation process in remote populations.


Asunto(s)
Desgaste de los Dientes/epidemiología , Aculturación , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Grupos de Población , Ríos , Población Urbana , Adulto Joven
3.
Clin Oral Investig ; 24(4): 1379-1385, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31656969

RESUMEN

BACKGROUND: To explore the association between obesity and tooth wear among American adults and the role of sugar-sweetened acidic drinks consumption in explaining that association. METHODS: We analyzed data from 3541 adult participants in the National Health and Nutrition Examination Survey. Obesity was determined using the body mass index and tooth wear was assessed using the modified tooth wear index. Daily intake of four categories of drinks was estimated as the average (drinks/day) of two consecutive 24-h dietary recalls. The association between obesity and number of surfaces with moderate-to-severe tooth wear was assessed in hurdle models adjusting for sociodemographic factors, acid reflux medication, and dental insurance. RESULTS: Overweight and obese adults had more surfaces with moderate-to-severe tooth wear than those with normal body size, after adjusting for confounders. The consumption of sugar-sweetened acidic drinks explained part, but not all the above association. More specifically, the estimate for obesity was fully attenuated, whereas the estimate for overweight was slightly attenuated but remained significant. CONCLUSION: Obesity was positively associated with tooth wear in American adults. This association was only partially accounted for by the consumption of sugar-sweetened acidic drinks, a common risk factor for both conditions. PRACTICAL IMPLICATIONS: Dentists must be aware of the health consequences of sugar-sweetened acidic drinks and advocate for reduction in consumption and/or substitution with healthier alternatives.


Asunto(s)
Obesidad/epidemiología , Bebidas Azucaradas/efectos adversos , Desgaste de los Dientes/epidemiología , Ácidos , Adolescente , Adulto , Anciano , Sacarosa en la Dieta , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas Nutricionales , Estados Unidos , Adulto Joven
4.
Oral Health Prev Dent ; 18(1): 1061-1067, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33499559

RESUMEN

Purpose: In a cross-sectional population-based study of 888 5-year-old preschoolers from Teresina, Brazil, to determine the prevalence and factors associated with erosive tooth wear (ETW).
Materials and Methods: In a questionnaire, parents provided information on sociodemographic factors, their children's eating/drinking habits, and oral health. Dental examination was performed at the schools by two calibrated examiners for the diagnosis of ETW, following the criteria of the modified O'Brien Index.
Results: The prevalence of ETW was 3.3%. The maxillary incisors were the most highly affected teeth, followed by the mandibular and maxillary molars. The majority of the lesions reached only the enamel (72.1%) and up to 1/3 of the dental surface (63.1%). The occlusal surface was the most affected (47.8%). Preschoolers who had an acidic food-consumption profile had a 2.74 times (95% CI = 1.03-7.30) higher chance of having ETW than children without this profile.
Conclusion: The prevalence of erosive tooth wear on the deciduous teeth was low and associated with the consumption of acidic beverages.

.


Asunto(s)
Erosión de los Dientes , Desgaste de los Dientes , Bebidas/efectos adversos , Brasil/epidemiología , Causalidad , Preescolar , Estudios Transversales , Humanos , Prevalencia , Erosión de los Dientes/epidemiología , Erosión de los Dientes/etiología , Desgaste de los Dientes/epidemiología , Desgaste de los Dientes/etiología
5.
Pan Afr Med J ; 33: 272, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31692856

RESUMEN

Introduction: Prevalence of dentine hypersensitivity (DH) may be on the increase as a result of changing lifestyles. This study aimed to assess the prevalence of DH and relative importance of associated factors in 18-35 year old Nigerians and compare to findings from a similar European study. Methods: Following ethical approval, 1349 subjects from the six geopolitical zones in Nigeria participated in this cross sectional study. DH was clinically evaluated by cold air tooth stimulation, patient pain rating (yes/no) and investigator rated pain using the Schiff ordinal scale (0-3). Erosive tooth wear using the BEWE index was assessed. A questionnaire regarding the nature of the DH, erosive dietary intakes, tooth brushing habits and other factors was completed by patients. Bivariate analysis was conducted. Results: 32.8% of patients reported pain on tooth stimulation and 32.9% scored ≥1 on Schiff scale for at least one tooth. Questionnaire reported sensitivity was 41.2%. There were statistically significant associations between Schiff score and clinically elicited DH (p < 0.001); and BEWE erosive tooth wear score and clinically elicited DH (p < 0.001). There were significant associations between DH and some oral hygiene practices such as brushing frequency, brush movement and brushing after breakfast. Fresh fruit and fruit/vegetable juice intake also showed significant association. Conclusion: The most important risk factors of DH for this population in Nigeria appear to be the frequency and characteristics of tooth brushing. This should be considered in its prevention and management.


Asunto(s)
Sensibilidad de la Dentina/epidemiología , Higiene Bucal/estadística & datos numéricos , Desgaste de los Dientes/epidemiología , Cepillado Dental/estadística & datos numéricos , Adolescente , Adulto , Estudios Transversales , Conducta Alimentaria , Femenino , Humanos , Masculino , Nigeria/epidemiología , Prevalencia , Factores de Riesgo , Encuestas y Cuestionarios , Adulto Joven
6.
Acta Odontol Latinoam ; 32(2): 75-78, 2019 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-31664297

RESUMEN

The aim of the present study was to identify the characteristics and severity of tooth wear in children aged 2 to 5 years attending a kindergarten in the city of Medellin. The study population comprised 92 children aged 2 to 5 years attending a kindergarten in Medellin; the final sample included 86 children selected using a non-probabilistic sampling method. All assessments were performed using the index devised by Hansson and Nilner (1989). Prevalence of tooth wear in the studied population was 100%. The observed results confirm previous findings showing that the severity of tooth wear is proportionally related with increase in age, and is mainly due to the physiological wear of teeth. No significant differences in tooth wear facets were observed among the different types of teeth (incisors, canines, molars). It is necessary to develop validated, precise, and comparable indices that allow establishing the etiology and orienting treatment of non-physiological tooth wear.


Asunto(s)
Dentición Permanente , Erosión de los Dientes/epidemiología , Desgaste de los Dientes/epidemiología , Diente Primario , Preescolar , Estudios Transversales , Dentina/patología , Femenino , Humanos , Incisivo , Masculino , Diente Molar , Prevalencia , Encuestas y Cuestionarios , Erosión de los Dientes/etiología
7.
Aust Vet J ; 97(11): 473-481, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31631313

RESUMEN

Malocclusions are a misalignment or incorrect positioning of the teeth when the upper and lower jaws close. These are poorly described in the koala and can result in irregular mastication which can have lifelong effects on body condition and oral health. A total of 370 koalas from two populations in Queensland (295) and one in South Australia (75) were examined for malocclusions. The prevalence of malocclusions in South Australian free-ranging koalas, captive Queensland koalas and Queensland free-ranging koalas was 39% (44), 30% (29) and 22% (29) respectively. Four types of malocclusion were identified based on severity of misalignment of the incisor/canine region, types 1, 2, 3 and 4. Maxillary overbite measurements of the molariform teeth were determined and these anisognathic values were then used to describe malocclusions within familial relationships in captive colonies. Captive koalas with a malocclusion had narrower mandibular width that ranged between 0.5 and 1% less than the normal measurements. The specific malocclusions reported in this study affected individuals by leading to tooth rotation, mobility and erosion with inefficient mastication of food and vegetation compaction. These changes increased the oral cavity pathology, by placing animals at risk of periodontal disease. There was evidence of familial links to malocclusion types in captive animals. Therefore captive breeding recommendations should consider known koala malocclusion traits to minimise their effect on future generations.


Asunto(s)
Maloclusión/veterinaria , Phascolarctidae , Desgaste de los Dientes/veterinaria , Animales , Animales Salvajes , Animales de Zoológico , Incisivo , Maloclusión/complicaciones , Maloclusión/epidemiología , Queensland/epidemiología , Australia del Sur/epidemiología , Desgaste de los Dientes/epidemiología , Desgaste de los Dientes/etiología
8.
BMC Oral Health ; 19(1): 192, 2019 08 20.
Artículo en Inglés | MEDLINE | ID: mdl-31429754

RESUMEN

BACKGROUND: This study aimed to evaluate the prevalence of tooth wear among preschool children in Jakarta, Indonesia, and examine the risk factors associated with its occurrence. METHODS: An epidemiological survey was conducted with a cross-sectional study design. The participants were recruited via cluster sampling. Tooth wear was clinically assessed by one examiner using the Basic Erosive Wear Examination (BEWE) criteria. The children's caries experience was also recorded. The parents of the participating children completed a self-administered questionnaire to answer demographic questions about the children and gather information about the children's diet and oral health behaviors as well as the parents' dental health-related knowledge. The data were analyzed using the Chi-square test and binary logistic regression. RESULTS: A total of 752 five-year-old children were invited to participate, with 691 (92%) enrolling in the study. Tooth wear occurred in 23% (161/691, BEWE > 0) of the participants, in which 78% (125/161) had at least one moderate tooth wear status (BEWE = 2). The consumption of citrus drinks, fruit juice, and vitamin C supplement drinks, together with the child's caries experience, the father's education level, and the family's socioeconomic status, were significantly associated with tooth wear. CONCLUSIONS: The five-year-old preschool children in Jakarta had a relatively low prevalence of tooth wear. Those consuming more acidic drinks, those with a higher socioeconomic status, and those with an absence of caries experience had a higher risk of tooth wear.


Asunto(s)
Caries Dental , Atrición Dental , Erosión de los Dientes , Desgaste de los Dientes , Preescolar , Estudios Transversales , Caries Dental/epidemiología , Humanos , Indonesia/epidemiología , Prevalencia , Factores de Riesgo , Encuestas y Cuestionarios , Erosión de los Dientes/epidemiología , Desgaste de los Dientes/epidemiología
9.
J Dent ; 88: 103164, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31276748

RESUMEN

OBJECTIVE: To assess common dietary erosive-tooth-wear (ETW) risk in university students from an exotic-fruit country comparing index teeth vs. full mouth ETW assessment. METHODS: A risk factors' questionnaire was applied on 601 18-25 years old subjects in Bogotá-Colombia. Trained examiners assessed clinically: ETW (BEWE) on all buccal, occlusal and lingual surfaces and ICDAS caries experience (ICDAS-DMFS). Full-arch and index-teeth (buccal of upper-central incisors and occlusal of lower-first molars) maximum-BEWE score categorized patients into: with- (2-3) and without wear (0-1). These were compared in terms of demographic, clinical, dietary and other factors with crude and logistic regression models. RESULTS: Students' mean age was 20.0 ±â€¯1.9 (77.7% females). Most consumed fruits were erosive/extremely erosive (57%). Prevalence of wear was 73% (full-mouth) vs. 19.6% (index-teeth). Full-mouth-BEWE correlated significantly with teeth-index-BEWE score but low (0.31, p < 0.001). Besides anterior-teeth incisal surfaces, occlusal of lower molars (16%) and buccal of upper central incisors (3.3%) showed highest wear frequency. Straw use or 1 -h waiting for toothbrushing didn't show a protective effect. ETW was significantly associated on index teeth with frequent intakes of dietary acids (≥3 daily-acidic drinks and ≥4 daily-fruit portions) (single-variable-logistic regression: OR 4.41, p = 0.22 and OR 1.60, p = 0.035; multivariable-logistic regression: OR 4.47, p = 0.022 and OR 1.63, p = 0.036 respectively). No significant differences were noticed between groups when the full-mouth maximum score was used. CONCLUSION: This young cohort showed dietary ETW associated with frequent dietary acids' intakes and grading ETW on index teeth vs. full mouth was a more sensitive measurement method to assess underlying ETW risk factors. The teeth index has promising usefulness for the clinic and epidemiology. CLINICAL SIGNIFICANCE: Using index teeth (buccal of upper central incisors and occlusal of lower first molars) for ETW (BEWE) assessment allowed to show association in young adults between frequent daily exotic fruits/fruit juices dietary-acid consumption and ETW, representing a less time consuming clinical/epidemiological method of ETW measurement than a full mouth examination.


Asunto(s)
Dieta , Erosión de los Dientes/epidemiología , Desgaste de los Dientes/epidemiología , Adulto , Estudios Transversales , Conducta Alimentaria , Femenino , Humanos , Masculino , Boca , Prevalencia , Factores de Riesgo , Encuestas y Cuestionarios , Adulto Joven
10.
J Intellect Disabil Res ; 63(11): 1324-1333, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31342584

RESUMEN

BACKGROUND: An oral condition that has largely been ignored in the Down syndrome population is pathological tooth wear. This study is aimed to create more awareness of the reasons underlying the tooth wear observed in patients with Down syndrome and to suggest different methods to prevent this condition. This research also potentially serves as a platform for future researchers to perform an in-depth analysis of the factors we identified. The aim of this study was to determine if children with Down syndrome are more prone to tooth wear than children who do not have Down syndrome. METHODS: Our sample consisted of 120 children with Down syndrome who were compared with 120 children with no disabilities. The parents or guardians were asked to complete a questionnaire and a 3-day diet chart, while the wear on each tooth was recorded using the standardised Simplified Smith and Knight Tooth Wear Index. RESULTS: Children with Down syndrome experience tooth wear more frequently than non-Down syndrome children. A history of asthma, mouth breathing and gastro-oesophageal reflux disease as well as the intake of acidic diet and drinks has exerted significant effects on the prevalence of tooth wear. CONCLUSIONS: The early diagnosis and analysis of the underlying aetiology are important for the management of tooth wear in children with Down syndrome who have shown a greater tendency to develop erosive lesions.


Asunto(s)
Síndrome de Down/epidemiología , Desgaste de los Dientes/epidemiología , Adolescente , Distribución por Edad , Niño , Preescolar , Comorbilidad , Estudios Transversales , Femenino , Humanos , Masculino , Prevalencia , Factores de Riesgo , Encuestas y Cuestionarios , Turquia/epidemiología
11.
BMC Oral Health ; 19(1): 129, 2019 06 26.
Artículo en Inglés | MEDLINE | ID: mdl-31242887

RESUMEN

BACKGROUND: The objective of this study was to elucidate the relationship between HIV anti-retroviral therapy and tooth wear. METHODS: Assessment of tooth wear was conducted both with a survey questionnaire and clinical assessment at Russell Street Dental Clinic in Portland, Oregon. The survey questionnaire comprised of questions on study participant's gender, age, HIV status, current medications, awareness of tooth grinding or clenching, jaw soreness, tooth or gum soreness, and frequency of headaches. For the clinical evaluation, a dental provider recorded the degree of wear on each tooth using a scale of 0-3. An individual tooth-wear index was used to rank patients with regard to incisal and occlusal wear. Data analysis included descriptive analysis, tests of association and regression analysis using SPSS V.24. RESULTS: The study sample involved 93 patients (HIV + ve = 60, HIV-ve = 33) with age range of 20-90 yrs. (mean = 49 yrs., s.d = 13.3). 92 and 67% participants of the HIV + ve and HIV-ve groups, respectively, presented with tooth wear. The mean tooth wear index was higher in HIV + ve patients than HIV-ve patients (8.2 vs. 7.8), however, this difference was not statistically significant (p > 0.05). A significant, positive correlation was found between HIV presence and tooth wear index, after accounting for age (B = 0.71, p < 0.05). The number of years on anti-retroviral therapy alone was positively correlated with tooth wear index (R2 = 0.116, p < 0.05). After controlling for age, years of anti-retroviral therapy use was positively correlated with tooth wear index (B = 0.047, p > 0.05). CONCLUSIONS: The findings from this study suggest that HIV + ve patients, who are on anti-retroviral therapy have significant tooth wear, although more studies with larger sample size are needed to confirm this. There is a critical need to initiate a dialogue with medical providers about tooth wear as a possible side effect of antiretroviral therapy and to introduce appropriate preventive measures.


Asunto(s)
Terapia Antirretroviral Altamente Activa/efectos adversos , Infecciones por VIH/tratamiento farmacológico , Atrición Dental/inducido químicamente , Erosión de los Dientes/inducido químicamente , Desgaste de los Dientes/inducido químicamente , Adulto , Anciano , Anciano de 80 o más Años , Bruxismo/epidemiología , Odontología Comunitaria , Estudios Transversales , Esmalte Dental/patología , Infecciones por VIH/complicaciones , Infecciones por VIH/epidemiología , Humanos , Persona de Mediana Edad , Oregon/epidemiología , Prevalencia , Atrición Dental/epidemiología , Erosión de los Dientes/epidemiología , Desgaste de los Dientes/epidemiología , Adulto Joven
12.
BMC Oral Health ; 19(1): 97, 2019 05 29.
Artículo en Inglés | MEDLINE | ID: mdl-31142315

RESUMEN

BACKGROUND: The aim of the study was to evaluate the prevalence and severity of erosive tooth wear (ETW) and its association with dental caries and the use of psychoactive substances among Finnish prisoners. METHODS: One hundred voluntary prisoners (90.9%) from the Pelso Prison participated in this cross-sectional clinical study between September 2014 and February 2015. Fifty prisoners were also interviewed using the one-on-one interviewing technique for their background factors and use of psychoactive substances. Basic Erosive Index (BEWE) (0-18) was used to measure erosive tooth wear. Decayed (D), missing (M), filled (F) and the number of remaining teeth (T) and DMFT were reported. The association between the different variables was tested and analysed by using cross tabulation. To test the association between the variables a logistic regression analysis was conducted. RESULTS: Almost all (90%) of the subjects had need for preventive and operative treatment for ETW. In addition, one in five (19%) suffered from severe erosive tooth wear. The use of psychoactive substances and pharmaceuticals is common, yet no association with ETW was found. Smoking and alcohol consumption were more common among younger prisoners than the older ones. There is an increased risk for ETW among older prisoners and major alcohol consumers. Past caries experience was associated with dental erosion. CONCLUSIONS: Erosive tooth wear is common among Finnish prisoners in their thirties. ETW is associated with dental caries and daily alcohol consumption.


Asunto(s)
Prisioneros , Psicotrópicos , Trastornos Relacionados con Sustancias/epidemiología , Erosión de los Dientes/epidemiología , Estudios Transversales , Caries Dental/epidemiología , Finlandia/epidemiología , Humanos , Prevalencia , Desgaste de los Dientes/epidemiología
13.
BMC Oral Health ; 19(1): 37, 2019 02 28.
Artículo en Inglés | MEDLINE | ID: mdl-30819176

RESUMEN

BACKGROUND: Special Olympics (SO) events represent an opportunity to obtain considerable information regarding intellectual disable (ID) patients. Studies done with SO data have shown an overview of the oral health status of these athletes; however, no information exists regarding the erosive tooth wear (ETW). Therefore, the aim of this study is to determine the presence and severity of ETW in athletes with ID who participated in the SO Belgium 2016. METHODS: The study population consisted in 232 athletes with ID who participated in the SO special smiles program, Belgium 2016. For analysis, the sample was divided in three groups: a) athletes with ID under the age of 25 not diagnosed with Down Syndrome (DS) (n = 174), b) athletes with DS under the age of 25 (n = 39) and c) athletes with DS from 25 and older ages (n = 58). Two calibrated dentists performed dental examinations using the Basic Erosive Wear Examination Index (BEWE). The BEWE sum > 0 was used to determine prevalence of ETW. Severity was determined by two- indicators: 1) By risk levels (low, medium and high risk) proposed by the BEWE index, and 2) by the highest score reached per subject in at least one tooth (BEWE1, 2 or 3). Chi-square test and Mann-Whitney U test were used to detect significant differences among different groups (p < 0.05). RESULTS: The prevalence of ETW for young athletes with ID was 51.14%. Within these athletes, the DS group presented a significant higher mean BEWE sum (4.67, SD 5.64) and prevalence of ETW (69.2%BEWE> 0) when compared to athletes without DS (mean BEWE sum: 1.96, SD 3.47 and 46.3% BEWE> 0; p < 0.05). Furthermore, a significantly higher percentage of athletes with DS were considered at high risk of ETW (p < 0.05). CONCLUSIONS: As a conclusion, half of the young athletes with ID presented at least one affected surface with ETW. The recorded prevalence and severity of ETW for the younger group of athletes with DS was distinctly higher than the athletes with ID not having DS. This shows the need to generate knowledge in order to provide correct management and prevention of erosive tooth wear in populations with ID.


Asunto(s)
Discapacidad Intelectual , Erosión de los Dientes , Desgaste de los Dientes/epidemiología , Anciano , Atletas , Bélgica , Humanos , Persona de Mediana Edad , Prevalencia
14.
J Dent ; 83: 77-86, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30825568

RESUMEN

CLINICAL SIGNIFICANCE: A large consumption of fermentable carbohydrates, for instance the high intake of sweetened beverages, is an important risk factor for overweight and obesity. As lemonades and fruit juices present high sugar content and quite low pH-values, overweight and obese children might also have an increased risk for dental caries and erosive tooth wear. OBJECTIVES: The aim was to analyze the prevalence and severity of erosive tooth wear and caries experience in children and adolescents with overweight, obesity and extreme obesity compared to children with normal weight and to determine a possible association between erosive tooth wear and caries experience. METHODS: 223 children (4-17 years, n = 1476 primary and n = 4110 permanent teeth) were examined using standardized dental indices (BEWE, ICDAS, DMFT). Demographic and socio-economic data, eating habits, oral hygiene, fluoride supply and details of medical history were obtained from a questionnaire. Weight classification was based on age- and gender-specific relative body mass indices (BMI). Statistical analyses were done by Chi2-tests, Kruskal-Wallis tests, logistic and linear regressions. To determine a possible association between erosive tooth wear and caries experience Chi2-tests (prevalence to prevalence) and Spearman correlations (severity to severity) were performed (p < 0.05). RESULTS: Erosive tooth wear and caries experience in primary and permanent teeth were significantly increased in children with obesity and extreme obesity compared to normal weight children (p < 0.05). Higher BMI, age, gender, and the consumption of erosive snacks/beverages were identified as statistically significant risk factors for erosive tooth wear. Higher BMI, age, socio-economic factors, poor toothbrushing habits, and consumption of cariogenic beverages were identified as significant caries risk factors. Erosive tooth wear and caries showed a weak correlation in children with (extreme) obesity (Φ = 0.110 to 0.248). CONCLUSIONS: Higher BMI of children and adolescents is significantly associated with a higher risk for erosive tooth wear and caries.


Asunto(s)
Caries Dental/epidemiología , Obesidad/epidemiología , Erosión de los Dientes , Desgaste de los Dientes/epidemiología , Adolescente , Niño , Estudios Transversales , Conducta Alimentaria , Humanos , Prevalencia , Atrición Dental
15.
J Dent ; 82: 22-29, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30633931

RESUMEN

OBJECTIVES: Explore a new approach to identify phenotypes of tooth wear (TW) patients using an unsupervised cluster analysis model, based on demographic, self-report, clinical, salivary and electromyographic (EMG) findings. METHODS: Data was collected for 34 variables from 125 patients, aged 17-65 years, with a TW index > grade 2. Demographic information and presumed risk factors for chemical and mechanical TW were collected. A 14-item stress scale was completed and salivary flow rates, pH and buffer capacity were measured. Sleep bruxism was assessed with a portable single channel EMG device. RESULTS: The final cluster model comprised 16 variables and 103 patients and indicated two groups of TW patients; 61 participants in cluster A and 42 in cluster B. Cluster assignment was determined by several presumed mechanical risk factors and diseases affecting saliva. Cluster B had the highest percentage of sleep bruxism self-reports (A 1.6%, B 92.9%, p ≤ 0.001), awake bruxism self-reports (A 45.9%, B 85.7%, p ≤ 0.001), heavy sport exercises (A 1.6%, B 21.4%, p = 0.001); and highest percentage of diseases affecting saliva (A 13.1%, B 47.6%, p ≤ 0.001). A notable finding was the lack of significant differences between clusters in many other presumed risk factors for mechanical and chemical TW. CONCLUSION: TW patients can be clustered in at least two groups with different phenotypic characteristics but also with a large degree of overlap. Based on this type of algorithm, tools for clinical application may be developed and underpin TW classification and treatment planning in the future.


Asunto(s)
Análisis por Conglomerados , Atrición Dental , Adolescente , Adulto , Anciano , Bruxismo/epidemiología , Bruxismo/etiología , Humanos , Persona de Mediana Edad , Fenotipo , Factores de Riesgo , Atrición Dental/epidemiología , Atrición Dental/etiología , Desgaste de los Dientes/epidemiología , Adulto Joven
16.
J Dent ; 80: 69-74, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30278219

RESUMEN

OBJECTIVES: The aim of this study was to assess the prevalence and severity of tooth wear and related risk indicators in six Arab countries. METHODS: This multicenter, multinational cross-sectional study was conducted among 2924 participants between the ages of 18-35 years old from six Arab countries. Calibrated dentists assessed tooth wear using the Basic Erosive Wear Examination Index (BEWE). Participants were also asked to complete a questionnaire that assessed their dietary and oral health habits. Each participant was identified by the sextant with the highest BEWE score in the upper and lower jaws. RESULTS: Odds ratios were estimated for correlates of tooth wear anterior and posterior regions. Oman had the highest prevalence of BEWE score 3 (N = 255 (60.2%)). Overall, the highest BEWE score 3 was observed on the incisal edge of the upper anterior teeth (N = 602 (20.6%)) and in the lower left posterior region (sextant 6) on the occlusal surface (N = 466 (15.9%)). Correlates of severe tooth wear in both regions were eating or drinking more than six times per day, age and education. Drinking soft drinks "once a day" was significantly associated with severe tooth wear in the posterior region (OR: 1.3, 95% CI:1.05, 1.6). Brushing teeth more than twice a day was inversely associated with tooth wear in the anterior region (OR:0.75, 95% CI: 0.57,0.97). CONCLUSION: The prevalence of tooth wear in Arab populations is relatively high, specific preventive and therapeutic measures should be developed to target people at higher risk of this condition. CLINICAL SIGNIFICANCE: Tooth wear is now regarded as a significant oral health problems, dentists should advise their patients about dietary and oral health habits that can lead to severe tooth wear.


Asunto(s)
Erosión de los Dientes , Desgaste de los Dientes/epidemiología , Adolescente , Adulto , Árabes , Estudios Transversales , Humanos , Prevalencia , Factores de Riesgo , Adulto Joven
17.
Arch Oral Biol ; 98: 176-181, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30500667

RESUMEN

OBJECTIVE: Increased prevalence of dental caries evidently is correlated with increasing intake of sugar and carbohydrate-rich foods. Preceding and accompanying this dietary alteration might have been a shift from a hunting-and-gathering subsistence strategy to one based on agriculture. We corroborated this conjecture by means of a study on the prevalence of caries, antemortem tooth loss (AMTL) and tooth wear among 16th to 19th century hunter-gatherers and agriculturalists who co-existed in West Siberia. DESIGN: Indigenous skeletons (n = 75) exhumed from Tatar, Selkup, Khant, and Nenet graves along with Russian settler skeletons (n = 79) from Izyuk were examined. The prevalence of caries, AMTL and tooth wear among the indigenous peoples were compared with those among the Russian settlers. The resulting statistical inferences were tested using package R. RESULTS: The agriculturalist Russian settlers showed a significantly higher prevalence of dental caries (11.88%) than did the non-agriculturalist indigenous Siberian people (3.85%). Among the latter, the prevalence was the lowest in the Khanty and the highest in the Tatars, suggesting that caries differently affected each sub-group of indigenous Siberian people. Correspondingly to the case of dental caries, the Russian settlers' AMTL prevalence also was higher than that of the indigenous Siberians, regardless of age. On the other hand, the native Siberians and the Russian settlers did not show statistical differences in tooth wear. CONCLUSION: In the study on 16th to 19th century West Siberian populations, we were able to corroborate our presumption that agriculturalists ingesting a carbohydrate-rich diet would have higher rates of dental caries and AMTL than would hunter-gatherers.


Asunto(s)
Caries Dental/epidemiología , Caries Dental/historia , Pérdida de Diente/epidemiología , Pérdida de Diente/historia , Desgaste de los Dientes/epidemiología , Agricultura , Dieta , Femenino , Mapeo Geográfico , Historia del Siglo XVI , Historia del Siglo XVII , Historia del Siglo XVIII , Historia del Siglo XIX , Humanos , Masculino , Paleodontología , Prevalencia , Federación de Rusia/epidemiología , Siberia/epidemiología , Esqueleto
18.
Cranio ; 37(1): 45-52, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-28876194

RESUMEN

OBJECTIVE: To evaluate the effect of resistance training (RT) regarding potential hazard for dental wear, tooth abfractions, temporomandibular joint disc displacement, limitation in mouth opening, and existence of cervical spine disorders. The initial study hypothesis was that extensive resistance trainees (ExRT) would suffer from the above-mentioned symptoms more often than recreational trainees (RcT). METHODS: A controlled comparative study among male gym members via questionnaires and a clinical examination. RESULTS: ExRT had a higher prevalence of teeth indentations on the tongue (26% vs. 2% p < 0.001) and a higher prevalence of tooth abfractions than RcT (28% vs. 4% p < 0.005). ExRT exhibited a higher prevalence of cervical movement limitations (p < 0.05) and inadequate posture (p < 0.001). CONCLUSION: RT by itself may not be a risk factor for disc displacement. Nevertheless, it may act as a potential risk factor for irreversible hard tooth tissue damage and contribute to neck postural and mobility impairments.


Asunto(s)
Luxaciones Articulares/etiología , Entrenamiento de Resistencia/efectos adversos , Disco de la Articulación Temporomandibular , Fracturas de los Dientes/etiología , Desgaste de los Dientes/etiología , Adolescente , Adulto , Humanos , Luxaciones Articulares/epidemiología , Masculino , Cuello/fisiopatología , Postura/fisiología , Prevalencia , Rango del Movimiento Articular , Factores de Riesgo , Encuestas y Cuestionarios , Fracturas de los Dientes/epidemiología , Desgaste de los Dientes/epidemiología , Adulto Joven
19.
Niger J Clin Pract ; 21(12): 1607-1614, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30560825

RESUMEN

Aim: The aim of this case-control study was to compare the associated risk factors between adults with tooth wear (TW) and age- and sex-matched controls without TW. Methods: Fifty participants with TW and 50 age- and sex-matched controls participated in this study. A questionnaire was prepared to assess oral healthcare and consumption of erosive food and drinks. All participants completed the diet analysis forms. Saliva characteristics were evaluated with GC Saliva-Check BUFFER test. Examiners measured the TW of case patients, using the TW index. Data were statistically analyzed using Chi-square and Mann-Whitney U-tests (P < 0.05). Results: Individuals in the case group brush their teeth more often (P < 0.05). The difference in erosive food consumption between the case and control groups was significant (P < 0.05). There was no erosive effect of acidic food when consumed as a main meal or a snack (P > 0.05). Although there was no difference between stimulated saliva flow rate and buffering capacity between groups, the difference between the resting saliva flow rates and pH values was significant (P < 0.05). Although some wear was seen on buccal/labial surfaces of teeth, cervical and occlusal/incisal surfaces were scored higher. No TW was observed on palatal/lingual surfaces. The cervical surfaces of mandibular premolars and incisal surfaces of anterior teeth were most affected. Conclusion: Of the factors investigated, TW in the case group was correlated with consumption of acidic foods, lower salivary flow rate, and pH.


Asunto(s)
Bebidas Gaseosas/efectos adversos , Dieta , Higiene Bucal , Saliva/metabolismo , Abrasión de los Dientes/etiología , Erosión de los Dientes/etiología , Desgaste de los Dientes/complicaciones , Adolescente , Adulto , Anciano , Estudios de Casos y Controles , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Tasa de Secreción , Estadísticas no Paramétricas , Encuestas y Cuestionarios , Abrasión de los Dientes/epidemiología , Erosión de los Dientes/epidemiología , Desgaste de los Dientes/epidemiología , Adulto Joven
20.
JNMA J Nepal Med Assoc ; 56(212): 719-723, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30387456

RESUMEN

INTRODUCTION: Tooth wear is described as loss of hard tooth tissue with no occurrence of dental caries or trauma. Basic Erosive Wear Examination, a new scoring system, is a partial scoring system recording the most severely affected surface in a sextant and the cumulative score guides the management of the condition for the practitioner. The objectives of this study were to determine the prevalence of tooth wear and its association with its risk factors like gender, oral hygiene, diet, general health and life style. METHODS: A cross-sectional study was done in 364 dental patients of Kathmandu Medical College. A questionnaire was filled by interview and Basic Erosive Wear Examination was done. The data so collected were entered in Statistical Package for Social Sciences. Descriptive statistical analysis and Chi-square tests were done at confidence interval of 95% and statistical significance was set at P=0.05. RESULTS: The prevalence of tooth wear was 218 (60.1%) with no significant gender difference. A significant association was observed between tooth wear and age group (P<0.01), duration of brushing (P=0.05), method of brushing (P<0.01), swishing of soft drinks before swallowing (P<0.01) and tobacco chewing (P=0.02). CONCLUSIONS: The prevalence of tooth wear in the study population was high.


Asunto(s)
Desgaste de los Dientes/epidemiología , Adulto , Factores de Edad , Anciano , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Nepal/epidemiología , Prevalencia , Factores de Riesgo , Encuestas y Cuestionarios , Uso de Tabaco/efectos adversos , Desgaste de los Dientes/etiología , Cepillado Dental/efectos adversos , Adulto Joven
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