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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.
Oral Health Prev Dent ; 18(1): 959-971, 2020 10 29.
Artículo en Inglés | MEDLINE | ID: mdl-33215487

RESUMEN

PURPOSE: This study aimed to estimate the prevalence, distribution, and the associated factors of tooth erosion in Turkish school children. MATERIALS AND METHODS: A cross-sectional analysis was performed on a representative sample of 473 children (aged 7-14 years) from 11 public schools in Turkey. Parents were asked to fill out a questionnaire to collect sociodemographic data. A questionnaire was also given to the children, to collect data pertaining to personal demographic details and habits of consuming acidic foods and drinks. The O'Sullivan index was used to assess affected permanent teeth. The data were analysed using a chi-square test and multivariate logistic regression analysis. RESULTS: Dental erosion was observed in 21.8% of the children. Lesions were most often observed in the enamel with less than half of the buccal surface affected. Erosion was found to be statistically significantly higher in older children and in those with an elevated body mass index (BMI) (p <0.05). The consumption of fruit juices, drinks with cola, orange soft drinks, gaseous, cocoa milk, iced tea, sodas, sports drinks, energy drinks, oranges, lemons, kiwis, grapefruits, apples, peaches, and fruit yogurts was statistically significantly higher in students with erosion (p <0.05). There was no statistically significant relationship between students' sex, systemic disease, premature birth and low birth weight, exercise activity level, socioeconomic status, parental education level, and oral hygiene habits with erosion (p >0.05). CONCLUSION: Although erosive lesions were limited to the enamel, the prevalence of erosion was high. Erosion was statistically significantly associated with older age, elevated BMI, consumption of certain beverages, and fruit.


Asunto(s)
Erosión de los Dientes , Adolescente , Anciano , Bebidas , Bebidas Gaseosas/efectos adversos , Niño , Estudios Transversales , Conducta Alimentaria , Humanos , Prevalencia , Erosión de los Dientes/epidemiología , Erosión de los Dientes/etiología , Turquia/epidemiología
3.
Acta Odontol Scand ; 78(8): 590-598, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32406299

RESUMEN

OBJECTIVES: The objectives of the present study were to assess the consumption of acidic beverages, knowledge and concern about preventing dental erosive wear, and to examine potential associations between these variables, in a sample of high school students. MATERIALS AND METHODS: A survey measuring acidic beverage consumption, knowledge and concern about erosive tooth wear was conducted at 13 high schools in Rogaland county, Norway. RESULTS: Of the 850 students who completed the questionnaire, 26% reported that they drink acidic beverages every day. There were significant gender differences for the consumption of acidic drinks. The survey also demonstrated that a high proportion of students lacks basic knowledge of what erosive tooth wear is, and that this lack of knowledge is associated with a more frequent intake of acidic beverages. However, students who responded that they are concerned about preventing dental erosive wear reported that they drink soft drinks and energy drinks less frequently than students who are not concerned about this. CONCLUSIONS: Results from this study support assumptions about a lack of knowledge about dental erosive wear in youth, and that this lack of knowledge is associated with a more frequent intake of acidic drinks.


Asunto(s)
Erosión de los Dientes , Adolescente , Bebidas , Bebidas Gaseosas/efectos adversos , Conducta Alimentaria , Humanos , Noruega/epidemiología , Estudiantes , Erosión de los Dientes/inducido químicamente , Erosión de los Dientes/epidemiología
4.
Int J Paediatr Dent ; 30(6): 713-733, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32246790

RESUMEN

BACKGROUND: Dental erosion is the dissolution of dental hard tissues caused by acids of a non-bacterial origin. Dietary acids are considered the predominant and most controllable factor. AIM: To synthesise the literature on the effects of dietary acids and habits on dental erosion in the permanent dentition of 10- to 19-year-old adolescents. MATERIALS AND METHODS: An electronic literature search was undertaken in Cochrane, MEDLINE, CINAHL, Dentistry & Oral Sciences Source via EBSCOhost, and Embase with no restriction on the date of publication. RESULTS: The initial search identified 449 articles, and 338 remained after removal of duplicates. Seventy-seven articles remained after screening of titles and abstracts, and 52 were eligible for the full-text review. A considerable variety of beverages, food, and dietary habits were reported as risk factors for dental erosion. The most consistent findings implicated the erosive potential of carbonated beverages and the consumption of acidic drinks at bedtime. CONCLUSIONS: Although results were not consistent between cohort and cross-sectional studies, this review suggests certain dietary risk factors may contribute to dental erosion in adolescents. There is a need for more high-quality cohort studies to establish more conclusive evidence on the role of dietary acids and habits on dental erosion.


Asunto(s)
Erosión de los Dientes , Adolescente , Adulto , Bebidas , Bebidas Gaseosas , Niño , Estudios Transversales , Dieta , Conducta Alimentaria , Hábitos , Humanos , Erosión de los Dientes/epidemiología , Erosión de los Dientes/etiología , Adulto Joven
5.
Braz Oral Res ; 33: e119, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31939499

RESUMEN

The aim of this study was to assess the occurrence of erosive tooth wear (ETW) among 15-19-year-old South Brazilian adolescents, regarding prevalence, extent, severity, intraoral distribution, and sociodemographic risk indicators. A population-based cross-sectional survey was conducted in Santa Maria, southern Brazil, and included a representative sample of 15-19-year-old adolescents. Data collection included the application of a questionnaire and a clinical examination. A questionnaire was sent to the parents/legal guardians of the selected students, containing questions on demographic information, socioeconomic characteristics, and living conditions. After tooth cleaning and drying, all erupted permanent teeth were clinically assessed by two calibrated examiners, and classified according to the Basic Erosive Wear Examination (BEWE). The association between explanatory variables and the outcomes (ETW prevalence and extent) was assessed using Poisson regression models (both unadjusted and adjusted). A total of 1,197 adolescents were included in the study (participation rate of 72.3%). The overall prevalence of ETW was 57%. Severe ETW affected 16% of the sample. Overall, this adolescent population presented 13.3 affected surfaces, and 8.34 affected teeth. In the risk assessment analysis, gender, skin color, socioeconomic status, and family income were significantly associated with ETW. Boys, white adolescents, and those with higher socioeconomic status were more affected by ETW. This population-based cross-sectional study revealed that the prevalence of ETW was high, and that it was associated with sociodemographic variables in this South Brazilian population of adolescents.


Asunto(s)
Erosión de los Dientes/epidemiología , Adolescente , Distribución por Edad , Brasil/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Prevalencia , Análisis de Regresión , Factores de Riesgo , Índice de Severidad de la Enfermedad , Distribución por Sexo , Factores Sexuales , Factores Socioeconómicos , Encuestas y Cuestionarios
6.
Eur Arch Paediatr Dent ; 21(5): 573-579, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31808110

RESUMEN

AIMS: Assessing the influence of socio-economic characteristics, acid drinking patterns and gastric alterations considering erosive tooth experience in children. METHODS: Cross-sectional study to assess 08-10-year-old children enrolled in the primary education in public schools in Florianopolis, Brazil (n = 1085). Caregivers have answered questionnaires comprising independent variables (head of the household education frequency consumption of sports drinks, acid juice/soda, chewing gum, recurrent vomiting, gastric disorders and vomiting after overeating). Four trained dental surgeons have examined the children for the erosive tooth wear-dependent variable (O'Sullivan index), as well as collected dental caries (DMFT) and dental crowding (DAI index) information. A two-stage cluster-sampling plan was conducted. Unadjusted and adjusted logistic regression models were applied (Odds ratio, OR; 95% Confidence interval, CI and 5% significance level). RESULTS: The prevalence of erosive tooth wear was 15.67%. Erosive tooth wear was positively associated with high consumption of sports drinks (OR 3.42; 95% CI: 1.18-9.23). Children whose caregivers' educational level was equal or less than four years of study were less likely to have erosive tooth wear (OR 0.39; 95% CI: 0.17-0.88). CONCLUSION: High consumption of sports drinks is positively associated with erosive tooth wear. Children whose caregivers' educational level is low are less likely to present erosive tooth wear.


Asunto(s)
Caries Dental , Erosión de los Dientes/epidemiología , Erosión de los Dientes/etiología , Desgaste de los Dientes , Brasil/epidemiología , Niño , Estudios Transversales , Humanos , Prevalencia , Factores de Riesgo , Factores Socioeconómicos
7.
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
8.
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
9.
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
10.
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
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.
BMJ Open ; 9(3): e021458, 2019 03 30.
Artículo en Inglés | MEDLINE | ID: mdl-30928919

RESUMEN

OBJECTIVE: Gastro-oesophageal reflux disease (GORD) is a relatively common disorder and manifests with extraoesophageal symptoms, such as dental erosions (DE), cough, laryngitis, asthma, and oral soft- and hard-tissue pathologies. This study aimed (1) to identify oral soft and hard-tissue changes in patients with GORD and (2) to evaluate these oral changes as indices for assessing GORD and its severity. SETTING: This cross-sectional study was conducted at four major tertiary care government hospitals, in two metropolitan cities of Pakistan. PARTICIPANTS: In total, 187 of 700 patients who underwent oesophago-gastro-duodenoscopy and having GORD were included in the study. Patients with GORD were divided according to the presence of DE into group A (with DE, chronic/severe GORD) and group B (without DE, mild GORD). Patients who were unconscious and had extremely limited mouth opening were excluded. PRIMARY AND SECONDARY OUTCOME MEASURES: Abnormal conditions and lesions of the oral mucosa were recorded. The impact of oral hard and soft-tissue changes on the oral health-related quality of life was assessed using the Pakistani (Urdu) version of the validated Oral Health Impact Profile-14 (OHIP-14) instrument. RESULTS: Oral submucous fibrosis (66.3%), ulceration (59.4%) and xerostomia (47.6%) were significantly more common in group A (p<0.05). The prevalence of GORD was 26.7%, within which the prevalence of DE was 35.3%. Unhealthy dietary pattern, nausea/vomiting, oesophagitis, xerostomia, ulceration, gingivitis and angular cheilitis showed a statistically significant association with chronic GORD and DE. All subscales of OHIP-14 were positively correlated (p<0.05) in patients with GORD and DE, with notable impact on psychological discomfort (rs=0.30), physical disability (rs=0.29), psychological disability (rs=0.27) and functional limitation (rs=0.20). CONCLUSION: Patients with GORD and DE presented with more severe oral manifestations than did those with GORD and no DE. We recommend timely dental check-ups to assess the severity of both systemic and oral disease.


Asunto(s)
Reflujo Gastroesofágico , Enfermedades de la Boca , Salud Bucal/estadística & datos numéricos , Calidad de Vida , Erosión de los Dientes , Correlación de Datos , Estudios Transversales , Endoscopía del Sistema Digestivo/métodos , Endoscopía del Sistema Digestivo/estadística & datos numéricos , Femenino , Reflujo Gastroesofágico/diagnóstico , Reflujo Gastroesofágico/epidemiología , Reflujo Gastroesofágico/fisiopatología , Humanos , Masculino , Persona de Mediana Edad , Enfermedades de la Boca/diagnóstico , Enfermedades de la Boca/epidemiología , Enfermedades de la Boca/etiología , Enfermedades de la Boca/psicología , Pakistán/epidemiología , Factores de Riesgo , Índice de Severidad de la Enfermedad , Erosión de los Dientes/diagnóstico , Erosión de los Dientes/epidemiología , Erosión de los Dientes/etiología
14.
Caries Res ; 53(1): 49-59, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-29898447

RESUMEN

Erosive tooth wear is defined as irreversible loss of dental tissues due to intrinsic or extrinsic acids, exacerbated by mechanical forces. Recent studies have suggested a higher prevalence of erosive tooth wear in males, as well as a genetic contribution to susceptibility to erosive tooth wear. Our aim was to examine erosive tooth wear by performing a genome-wide association study (GWAS) in a sample of the Northern Finland Birth Cohort 1966 (n = 1,962). Erosive tooth wear was assessed clinically using the basic erosive wear examination. A GWAS was performed for the whole sample as well as separately for males and females. We identified one genome-wide significant signal (rs11681214) in the GWAS of the whole sample near the genes PXDN and MYT1L. When the sample was stratified by sex, the strongest genome-wide significant signals were observed in or near the genes FGFR1, C8orf86, CDH4, SCD5, F2R, and ING1. Additionally, multiple suggestive association signals were detected in all GWASs performed. Many of the signals were in or near the genes putatively related to oral environment or tooth development, and some were near the regions considered to be associated with dental caries, such as 2p24, 4q21, and 13q33. Replications of these associations in other samples, as well as experimental studies to determine the biological functions of associated genetic variants, are needed.


Asunto(s)
Erosión de los Dientes/epidemiología , Erosión de los Dientes/genética , Adulto , Estudios de Cohortes , Caries Dental/genética , Femenino , Finlandia/epidemiología , Genes , Sitios Genéticos , Estudio de Asociación del Genoma Completo , Humanos , Masculino , Persona de Mediana Edad , Polimorfismo de Nucleótido Simple , Prevalencia , Factores de Riesgo , Factores Sexuales , Atrición Dental
15.
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
16.
J Indian Soc Pedod Prev Dent ; 36(2): 113-119, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29970626

RESUMEN

Context: Throughout life, the teeth are exposed to different types of wear, including dental erosion, which is characterized by the loss of surface-mineralized tissue due to a chemical process without bacterial involvement and strongly influenced by eating habits. Aim: The aim of this study to evaluate the prevalence of dental erosion in schoolchildren and associated factors. Setting and Design: This is a cross-sectional study. Material and Methods: The study was conducted at a public and private school in the city of São Luís (MA), Brazil, involving a sample of 239 children aged 6-10 years. Data were collected through a questionnaire and clinical examination. Dental erosion was evaluated using the Basic Erosive Wear Examination. Statistical Analysis: Data analysis involved descriptive statistics, Pearson's Chi-square test, the linear trend Chi-square test, and Fisher's exact test, with the level of significance set to 5%. Results: The male sex accounted for 50.2% of the sample and the female sex accounted for 49.8%; 62.8% attended the public school and 37.2% attended the private school. The prevalence of dental erosion was 11.7%, with the highest prevalence among 9-year-olds (46.4%). Dental erosion was significantly associated with age (P = 0.009) and type of school (P < 0.001). Conclusion: The present findings underscore the need for strategies to prevent or arrest the erosive process through local actions involving schoolchildren, parents/caregivers, and teachers.


Asunto(s)
Erosión de los Dientes/epidemiología , Factores de Edad , Bebidas , Brasil/epidemiología , Niño , Estudios Transversales , Conducta Alimentaria , Femenino , Humanos , Masculino , Prevalencia , Factores Socioeconómicos
17.
J Indian Soc Pedod Prev Dent ; 36(2): 125-129, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29970628

RESUMEN

Aims: This study aimed to document the prevalence of oral manifestations seen among pediatric gastroesophageal reflux disease (GERD) patients in Chennai, Tamil Nadu, India. Methodology: This study was performed at various children's hospitals in Chennai. Fifty-one GERD patients who were assessed by endoscopy and 24 h pH-metry, 31 (60.78%) males and 20 (39.21%) females, aged 2-12 years (mean age, 7.43 years), comprised the study group. All patients answered a detailed frequency questionnaire related to regurgitation and acidic foods and participated in a clinical dental examination. Statistical Analysis Used: Data were analyzed using the SPSS statistical software package version 19. Results: Among the GERD patients, 42 (82.35%) had dental erosion. A total of 668 (57.98%) deciduous teeth and 484 (42.02%) permanent teeth were examined, of which dental erosion was detected in 248 (21.52%) and 171 (14.84%) teeth, respectively. The most commonly affected primary tooth was the occlusal surface of the maxillary posteriors and commonly affected permanent tooth was occlusal surface of the mandibular molars. Conclusions: There may be a positive correlation between GERD and dental erosion. According to this study, presence of erosion, especially in posterior teeth, could be a key to diagnose GERD and refer the child to the gastroenterologist.


Asunto(s)
Reflujo Gastroesofágico/epidemiología , Erosión de los Dientes/epidemiología , Niño , Preescolar , Comorbilidad , Caries Dental/epidemiología , Eritema/epidemiología , Femenino , Reflujo Gastroesofágico/diagnóstico , Humanos , India/epidemiología , Masculino , Paladar Blando , Prevalencia , Úvula
18.
J Dent ; 73: 70-75, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29660487

RESUMEN

OBJECTIVE: To determine if the Basic erosive tooth wear index (BEWE index) is able to assess and monitor ETW changes in two consecutive cast models, and detect methodological differences when using the corresponding 3D image replicas. METHODS: A total of 480 pre-treatment and 2-year post-treatment orthodontic models (n = 240 cast models and n = 240 3D image replicas) from 120 adolescents treated between 2002 and 2013 at the Gent Dental Clinic, Belgium, were scored using the BEWE index. For data analysis only posterior sextants were considered, and inter-method differences were evaluated using Wilcoxon Signed Rank test, Kappa values and Mc Nemar tests (p < 0.05). Correlations between methods were determined using Kendall tau correlation test. RESULTS: Significant changes of ETW were detected between two consecutive models when BEWE index was used to score cast models or their 3D image replicas (p < 0.001). A strong significant correlation (τb: 0.74; p < 0.001) was shown between both methods However, 3D image-BEWE index combination showed a higher probability for detecting initial surface changes, and scored significantly higher than casts (p < 0.001). Incidence and progression of ETW using 3D images was 13.3% (n = 16) and 60.9% (n = 56) respectively, with two subjects developing BEWE = 3 in at least one tooth surface. CONCLUSIONS: BEWE index is a suitable tool for the scoring of ETW lesions in 3D images and cast. The combination of both digital 3D records and index, can be used for the monitoring of ETW in a longitudinal approach. The higher sensibility of BEWE index when scoring 3D images might improve the early diagnosis of ETW lesions. CLINICAL SIGNIFICANCE: The BEWE index combined with digital 3D records of oral conditions might improve the practitioner performance with respect to early diagnosis, monitoring and managing ETW.


Asunto(s)
Diagnóstico Bucal/métodos , Progresión de la Enfermedad , Imagenología Tridimensional/métodos , Desgaste de los Dientes/diagnóstico por imagen , Desgaste de los Dientes/epidemiología , Adolescente , Bélgica/epidemiología , Niño , Diseño Asistido por Computadora , Dentición , Femenino , Humanos , Estudios Longitudinales , Masculino , Tercer Molar , Prevalencia , Probabilidad , Reproducibilidad de los Resultados , Estudios Retrospectivos , Erosión de los Dientes/diagnóstico por imagen , Erosión de los Dientes/epidemiología
19.
Br Dent J ; 224(5): 364-370, 2018 03 09.
Artículo en Inglés | MEDLINE | ID: mdl-29495027

RESUMEN

Erosion is a common phenomenon in the general population of developed countries. However, due to variations in indices, sample sizes and general study designs, it is difficult to compare the various studies and to estimate actual global prevalence. Therefore, the aim of this present paper is to give a narrative overview on the data available on the global prevalence of erosion. Information on prevalence is not available from each country; in particular, data from Asia, Africa, South America, North America and large parts of South-Eastern Europe are unavailable. There is a large variation in global prevalence ranging between 0 and 100%. Calculating a rough mean from the data available, a mean prevalence in deciduous teeth between 30% and 50% and in permanent teeth between 20% and 45% can be estimated. There seems to be a gender difference and an increase in prevalence with age. Prevalence studies on erosion risk groups show comparable variation. Only in patients with gastro-oesophageal reflux disease (GORD) and eating disorders associated with vomiting can a clear impact on erosion prevalence be found. In people who consume acidic foods and drinks, a higher risk can be found for some specific comestibles. However, there is a lack of controlled epidemiological studies, making it difficult to generalise. There is a clear need for well-designed studies on this issue.


Asunto(s)
Erosión de los Dientes/epidemiología , Desgaste de los Dientes/epidemiología , Trastornos de Alimentación y de la Ingestión de Alimentos/complicaciones , Reflujo Gastroesofágico/complicaciones , Salud Global/estadística & datos numéricos , Humanos , Prevalencia , Factores de Riesgo , Erosión de los Dientes/etiología , Desgaste de los Dientes/etiología
20.
Ann Agric Environ Med ; 25(1): 66-70, 2018 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-29575873

RESUMEN

INTRODUCTION AND OBJECTIVE: Recent epidemiological studies have shown an association between dental erosion occurrence and changes in lifestyle and dietary habits in both developed and developing countries, and now affects different regions of the world. Furthermore, in current literature, studies have shown that the prevalence of erosive tooth wear has increased particularly among the younger population. The aim of the study was to assess the prevalence and severity of erosive tooth wear among 18-year-old adolescents in the districts of Lviv (Ukraine) and Lublin (Poland). MATERIAL AND METHODS: College students (254 subjects) aged 18, living in the Lviv and Lublin districts were examined. Erosive lesions presented in the teeth were assessed on the basis of the BEWE (Basic Erosive Wear Examination) index. RESULTS: Among the 137 patients living in the Lublin district, 70 were females and 67 were males, while in the Lviv district, 60 women and 57 men were examined. In both districts, the following numbers of rural patients were examined: 66 in Lublin district and 56 in Lviv district; for urban inhabitants, the numbers were 71 in Lublin and 61 in Lviv. Analysing the BEWE values, it was noted that higher BEWE values, and resulting from them significant differences were observed in both male and female groups living in Lublin, compared with Lviv inhabitants. Based on clinical examination and statistical analysis, the occurrence of lesions of an erosive character in at least one sextant were observed in 59.85% of patients from Lublin district, and in 42.74% of patients from Lviv district. CONCLUSIONS: On the basis of the conducted study in the Polish and Ukrainian groups of 18-year-old adolescents living on the borderland, it can be stated that dental erosion is a problem noticeable in both groups of cohorts, but with higher prevalence in the Lublin district.


Asunto(s)
Erosión de los Dientes/epidemiología , Adolescente , Salud del Adolescente , Femenino , Humanos , Masculino , Polonia/epidemiología , Estudiantes/estadística & datos numéricos , Erosión de los Dientes/diagnóstico , Ucrania/epidemiología , Adulto Joven
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