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1.
Braz Oral Res ; 33: e119, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31939499

RESUMO

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.


Assuntos
Erosão Dentária/epidemiologia , Adolescente , Distribuição por Idade , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência , Análise de Regressão , Fatores de Risco , Índice de Gravidade de Doença , Distribuição por Sexo , Fatores Sexuais , Fatores Socioeconômicos , Inquéritos e Questionários
2.
Acta Odontol Latinoam ; 32(2): 75-78, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31664297

RESUMO

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.


Assuntos
Dentição Permanente , Erosão Dentária/epidemiologia , Desgaste dos Dentes/epidemiologia , Dente Decíduo , Pré-Escolar , Estudos Transversais , Dentina/patologia , Feminino , Humanos , Incisivo , Masculino , Dente Molar , Prevalência , Inquéritos e Questionários , Erosão Dentária/etiologia
3.
BMC Oral Health ; 19(1): 192, 2019 08 20.
Artigo em Inglês | MEDLINE | ID: mdl-31429754

RESUMO

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.


Assuntos
Cárie Dentária , Atrito Dentário , Erosão Dentária , Desgaste dos Dentes , Pré-Escolar , Estudos Transversais , Cárie Dentária/epidemiologia , Humanos , Indonésia/epidemiologia , Prevalência , Fatores de Risco , Inquéritos e Questionários , Erosão Dentária/epidemiologia , Desgaste dos Dentes/epidemiologia
4.
BMC Oral Health ; 19(1): 129, 2019 06 26.
Artigo em Inglês | MEDLINE | ID: mdl-31242887

RESUMO

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.


Assuntos
Terapia Antirretroviral de Alta Atividade/efeitos adversos , Infecções por HIV/tratamento farmacológico , Atrito Dentário/induzido quimicamente , Erosão Dentária/induzido quimicamente , Desgaste dos Dentes/induzido quimicamente , Adulto , Idoso , Idoso de 80 Anos ou mais , Bruxismo/epidemiologia , Odontologia Comunitária , Estudos Transversais , Esmalte Dentário/patologia , Infecções por HIV/complicações , Infecções por HIV/epidemiologia , Humanos , Pessoa de Meia-Idade , Oregon/epidemiologia , Prevalência , Atrito Dentário/epidemiologia , Erosão Dentária/epidemiologia , Desgaste dos Dentes/epidemiologia , Adulto Jovem
5.
BMC Oral Health ; 19(1): 97, 2019 05 29.
Artigo em Inglês | MEDLINE | ID: mdl-31142315

RESUMO

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.


Assuntos
Prisioneiros , Psicotrópicos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Erosão Dentária/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Finlândia/epidemiologia , Humanos , Prevalência , Desgaste dos Dentes/epidemiologia
6.
Caries Res ; 53(1): 49-59, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29898447

RESUMO

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.


Assuntos
Erosão Dentária/epidemiologia , Erosão Dentária/genética , Adulto , Estudos de Coortes , Cárie Dentária/genética , Feminino , Finlândia/epidemiologia , Genes , Loci Gênicos , Estudo de Associação Genômica Ampla , Humanos , Masculino , Pessoa de Meia-Idade , Polimorfismo de Nucleotídeo Único , Prevalência , Fatores de Risco , Fatores Sexuais , Atrito Dentário
7.
Niger J Clin Pract ; 21(12): 1607-1614, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30560825

RESUMO

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.


Assuntos
Bebidas Gaseificadas/efeitos adversos , Dieta , Higiene Bucal , Saliva/metabolismo , Abrasão Dentária/etiologia , Erosão Dentária/etiologia , Desgaste dos Dentes/complicações , Adolescente , Adulto , Idoso , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Taxa Secretória , Estatísticas não Paramétricas , Inquéritos e Questionários , Abrasão Dentária/epidemiologia , Erosão Dentária/epidemiologia , Desgaste dos Dentes/epidemiologia , Adulto Jovem
8.
J Indian Soc Pedod Prev Dent ; 36(2): 113-119, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29970626

RESUMO

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.


Assuntos
Erosão Dentária/epidemiologia , Fatores Etários , Bebidas , Brasil/epidemiologia , Criança , Estudos Transversais , Comportamento Alimentar , Feminino , Humanos , Masculino , Prevalência , Fatores Socioeconômicos
9.
J Indian Soc Pedod Prev Dent ; 36(2): 125-129, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29970628

RESUMO

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.


Assuntos
Refluxo Gastroesofágico/epidemiologia , Erosão Dentária/epidemiologia , Criança , Pré-Escolar , Comorbidade , Cárie Dentária/epidemiologia , Eritema/epidemiologia , Feminino , Refluxo Gastroesofágico/diagnóstico , Humanos , Índia/epidemiologia , Masculino , Palato Mole , Prevalência , Úvula
10.
J Dent ; 73: 70-75, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29660487

RESUMO

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.


Assuntos
Diagnóstico Bucal/métodos , Progressão da Doença , Imagem Tridimensional/métodos , Desgaste dos Dentes/diagnóstico por imagem , Desgaste dos Dentes/epidemiologia , Adolescente , Bélgica/epidemiologia , Criança , Projeto Auxiliado por Computador , Dentição , Feminino , Humanos , Estudos Longitudinais , Masculino , Dente Serotino , Prevalência , Probabilidade , Reprodutibilidade dos Testes , Estudos Retrospectivos , Erosão Dentária/diagnóstico por imagem , Erosão Dentária/epidemiologia
11.
Br Dent J ; 224(5): 364-370, 2018 03 09.
Artigo em Inglês | MEDLINE | ID: mdl-29495027

RESUMO

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.


Assuntos
Erosão Dentária/epidemiologia , Desgaste dos Dentes/epidemiologia , Transtornos da Alimentação e da Ingestão de Alimentos/complicações , Refluxo Gastroesofágico/complicações , Saúde Global/estatística & dados numéricos , Humanos , Prevalência , Fatores de Risco , Erosão Dentária/etiologia , Desgaste dos Dentes/etiologia
12.
Ann Agric Environ Med ; 25(1): 66-70, 2018 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-29575873

RESUMO

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.


Assuntos
Erosão Dentária/epidemiologia , Adolescente , Saúde do Adolescente , Feminino , Humanos , Masculino , Polônia/epidemiologia , Estudantes/estatística & dados numéricos , Erosão Dentária/diagnóstico , Ucrânia/epidemiologia , Adulto Jovem
13.
Eur Arch Paediatr Dent ; 19(1): 23-31, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29327216

RESUMO

AIMS: To investigate the prevalence and risk factors of dental erosion (DE) among a group of adolescents in Stockholm County. MATERIALS AND METHODS: This cross sectional cohort study was conducted at three clinics of the Public Dental Service in Stockholm County. Fifteen and 17 year old adolescents (1335) who scheduled their regular dental health examination were asked to participate. After drop-outs a sample of 1071 individuals, 547 males and 524 females were enrolled in the study. Presence of erosive wear was diagnosed (yes/no) on marker teeth by trained dentists/dental hygienists and photographs were taken. The adolescents answered a questionnaire regarding oral symptoms, dietary and behavioural factors. Two calibrated specialist dentists performed evaluation of the photographs for severity of DE using a modified version of the Simplified Erosion Partial Recording System (SEPRS). RESULTS: DE was clinically diagnosed in 28.3% of 15 years old and 34.3% of 17 years old. Severe erosive wear (grade 3 and 4 according to SEPRS) was found in 18.3% of the adolescents based upon the intra-oral photographs. DE was more prevalent and severe among males than females. Clinically diagnosed erosive lesions correlated significantly with soft drink consumption (p < 0.001), the use of juice or sport drinks as a thirst quencher after exercise (p = 0.006) and tooth hypersensitivity when eating and drinking (p = 0.012). Furthermore, self-assessed gastric reflux was a factor strongly associated with DE (p < 0.001). CONCLUSION: The study indicated that DE was common among adolescents in Stockholm County and associated with both internal and external risk factors.


Assuntos
Erosão Dentária/epidemiologia , Adolescente , Estudos Transversais , Feminino , Humanos , Masculino , Fotografação , Prevalência , Fatores de Risco , Inquéritos e Questionários , Suécia/epidemiologia
14.
BMC Oral Health ; 18(1): 11, 2018 01 12.
Artigo em Inglês | MEDLINE | ID: mdl-29329566

RESUMO

BACKGROUND: The objective of this study was to determine the prevalence and severity of general tooth wear (GTW), i.e. tooth wear irrespective of etiology and erosive tooth wear (ETW), i.e. tooth wear predominantly due to erosion; and also to investigate the relationship between ETW and dental caries experience in 16-year-old adolescents in Kuantan, Malaysia. METHODS: A multi-staged cluster sampling method was employed. A total of 598 16-year-old adolescents participated in this study. Participants' demographic profile was assessed through a self-administered questionnaire. Clinical examinations were carried out under standardized conditions by a single examiner. The level of GTW was recorded using the modified Smith and Knight's Tooth Wear Index (TWI) whilst ETW were recorded using the Basic Erosive Wear Examination (BEWE) index. This index was developed to record clinical findings and assist in the decision-making process for the management of erosive tooth wear. Dental caries was recorded using the D3MFT index whereby D3 denotes obvious dental decay into dentine detected visually. RESULTS: The prevalence of GTW, ETW and dental caries, i.e. percentage of individuals found to have at least one lesion, was 99.8%, 45.0% and 27.8% respectively. Two thirds of affected teeth with GTW were observed to have a TWI score of 1 whereas almost all of the affected teeth with ETW had a BEWE score of 2. The mean D3MFT was 0.62 (95% CI 0.50, 0.73) with Decayed (D) teeth being the largest component, mean D3T was 0.36 (95% CI 0.30, 0.43). There was no significant association between socio-demographic factors and prevalence of ETW. Logistic regression analysis also showed no significant relationship between the prevalence of ETW and D3MFT (p > 0.05). CONCLUSIONS: Almost all adolescents examined had GTW but they were mainly early lesions. However, nearly half were found to have ETW of moderate severity (BEWE score 2). No significant relationship between the occurrence of erosive tooth wear and caries was observed in this population.


Assuntos
Cárie Dentária/epidemiologia , Erosão Dentária/epidemiologia , Desgaste dos Dentes/epidemiologia , Adolescente , Cárie Dentária/etiologia , Feminino , Humanos , Malásia/epidemiologia , Masculino , Prevalência , Amostragem , Fatores Socioeconômicos , Erosão Dentária/complicações , Desgaste dos Dentes/complicações
15.
Caries Res ; 52(1-2): 119-128, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29298442

RESUMO

Although Belgium has recently been ranked as the second highest consumer of soft drinks in Europe, no data on erosive tooth wear (ETW) are currently available. Therefore, the aim of this cross-sectional study was to determine the prevalence and associated risk indicators of ETW in adolescents residing in the region of Flanders, Belgium. Convenience sampling was used to recruit participants from different types of Belgian schools: general and vocational/technical education. Three calibrated dentists performed the dental examinations and a self-reported questionnaire was applied to evaluate risk indicators related with ETW. ETW was classified using the Basic Erosive Wear Examination (BEWE) index, and the overall prevalence was calculated using BEWE sum >0. The Kruskal-Wallis test, the Mann-Whitney U test, and logistic regression analysis were performed to evaluate frequencies and risk associations. From a total of 613 recruited adolescents (mean age: 15.1 years, SD: 0.8), 48.6% presented at least one affected tooth surface by ETW (BEWE sum >0), 14.4% (n = 88) scored BEWE sum >2, and the highest score obtained was BEWE sum = 8. Two predictive variables were found to have an association with ETW: vocational/technical type of education (OR: 1.49; 95% CI: 1.03-2.13) and frequent consumption of soft drinks (OR: 2.08; 95% CI: 1.38-3.14). In conclusion, ETW is a common condition presented with low severity among Flemish adolescents. Additionally, the frequent consumption of soft drinks and being part of a vocational/technical education appear to be risk indicators for ETW in this population. The latter indicates the need for specific orientated oral health promotion programmes for the prevention of ETW in Flemish adolescents.


Assuntos
Erosão Dentária/etiologia , Desgaste dos Dentes/etiologia , Adolescente , Bélgica/epidemiologia , Bebidas Gaseificadas/efeitos adversos , Estudos Transversais , Escolaridade , Feminino , Humanos , Masculino , Prevalência , Fatores de Risco , Fatores Socioeconômicos , Inquéritos e Questionários , Erosão Dentária/epidemiologia , Desgaste dos Dentes/epidemiologia
16.
Community Dent Oral Epidemiol ; 46(1): 17-23, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28727163

RESUMO

OBJECTIVES: This population-based longitudinal study investigated the incidence, progression and risk factors for dental erosion among South Brazilian adolescents. METHODS: Eight hundred and one schoolchildren attending 42 public and private schools were clinically examined at 12 years of age; clinical examinations were repeated after 2.5 years (SD=0.3). After tooth cleaning and drying, permanent incisors and first molars were classified using the Basic Erosive Wear Examination (BEWE) scoring criteria. Questionnaires were used to collect data on socio-demographic characteristics, dietary habits, toothbrushing frequency and general health. Poisson regression analysis was used to assess the association between dental erosion incidence and explanatory variables, with adjusted incidence risk ratios (IRR) and 95% CI estimated. RESULTS: Among those who did not have dental erosion at baseline, 49 of 680 schoolchildren (7.1%; 95% CI=5.2-9.1) developed erosive lesions over the follow-up period. Among schoolchildren who had dental erosion at baseline, 31 of 121 (25.4%; 95% CI=17.6-33.3) had new or more severe lesions. Boys were more likely to develop dental erosion than girls (IRR=1.88; 95% CI=1.06-3.32). CONCLUSIONS: A moderate incidence of dental erosion was observed among South Brazilian adolescents, with boys being at higher risk. The high progression rate of 25% observed here is very concerning, and it should be taken in consideration when designing preventive strategies for dental erosion.


Assuntos
Erosão Dentária/epidemiologia , Adolescente , Brasil/epidemiologia , Dieta/efeitos adversos , Feminino , Humanos , Incidência , Estudos Longitudinais , Masculino , Distribuição de Poisson , Fatores de Risco , Fatores Socioeconômicos , Erosão Dentária/etiologia , Escovação Dentária/estatística & dados numéricos
17.
Nutr J ; 16(1): 80, 2017 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-29228963

RESUMO

BACKGROUND: To determine the prevalence of dental erosion and its association to commonly used beverages and snacks among 3 to 5 year old preschool children in Riyadh, Saudi Arabia. METHODS: Three hundred eighty-eight preschool children between 3 and 5 years old were selected from 10 different schools using a cluster random sample selection; there were 184 (47%) boys and 204 (53%) girls. The surfaces of each tooth were examined for erosion, and the level of tooth wear was recorded. Data on the frequently used beverages and snacks were obtained by questionnaires completed by the parents of the preschool children. RESULTS: Among the 388 children examined, 47% exhibited low erosion, 10% exhibited moderate erosion and 4% exhibited severe erosion. There was no statistically significant difference between boys and girls in terms of the prevalence of erosion. Sixty percent of the children regularly consumed juice drinks. Among daily consumers, 84% of children showed erosion prevalence with strongly significant association (p < 0.005). Holding the drink in the mouth also showed a significant association with erosion (p < 0.02). CONCLUSION: It was concluded that an association was found between the prevalence of dental erosion and the frequency of citrus and carbonated juice consumed by the preschool children in Saudi Arabia.


Assuntos
Bebidas/efeitos adversos , Lanches , Erosão Dentária/epidemiologia , Animais , Pré-Escolar , Citrus , Feminino , Aromatizantes , Frutas , Humanos , Masculino , Leite , Arábia Saudita/epidemiologia , Inquéritos e Questionários , Erosão Dentária/diagnóstico , Erosão Dentária/etiologia
19.
J Dent ; 67: 84-87, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29017845

RESUMO

OBJECTIVES: To assess the interplay between dietary acid intake, toothbrushing and erosive tooth wear as aetiological factors in self-reported DH MATERIALS AND METHODS: This is a secondary analysis on previously collected data from 600 participants with (n=300) and without (n=300) severe erosive tooth wear. Participants recruited from restorative clinics of King's College London Dental Institute (REC Ref 14/EM/1171) were questioned on their self-reported DH, frequency and timing of dietary acid intake, habits associated with consumption of dietary acids and tooth brushing habits. Erosive tooth wear was assessed using Basic Erosive Wear Examination (BEWE). Differences in diet and brushing habits between those with self-reported DH and those without were analysed using descriptives and logistic regression in SPSS vers. 24. RESULTS: Of those reporting with DH (n=272), a greater number spent ≥10min eating fruit per sitting, (n=46) and had a drinking habit such as sipping, swishing or holding drinks in the mouth (n=72) compared to those without DH (n=26 OR 2.72, 95%CI [1.32-5.61], p=0.007 and n=38 OR2.33, 95%CI [1.40-3.88], p=0.001, respectively). More DH participants used a soft toothbrush (n=36) compared to those without DH (n=18 OR 2.35, 95%CI [1.20-4.59], p=0.013). No association was observed with frequency of daily toothbrushing or dietary acid intake. CONCLUSION: Contact time between the tooth and the acid may be a more important risk factor for DH compared to frequency of dietary acid intake or frequency of toothbrushing. Other possible aetiological factors should be considered. CLINICALTRIALS. GOV NUMBER: NCT02449434 CLINICAL SIGNIFICANCE: Increased contact time with dietary acids and sipping swishing or holding drinks in the mouth prior to swallowing should be addressed as an aetiological factor in DH. Toothpaste abrasivity and toothbrush filament stiffness may play a greater role in DH compared to frequency of toothbrushing.


Assuntos
Ácidos/efeitos adversos , Sensibilidade da Dentina/etiologia , Dieta/efeitos adversos , Comportamento Alimentar , Desgaste dos Dentes/etiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Bebidas/efeitos adversos , Bebidas/estatística & dados numéricos , Sensibilidade da Dentina/epidemiologia , Dieta/estatística & dados numéricos , Comportamento de Ingestão de Líquido , Ingestão de Alimentos , Feminino , Frutas/efeitos adversos , Sucos de Frutas e Vegetais/efeitos adversos , Humanos , Concentração de Íons de Hidrogênio , Modelos Logísticos , Londres , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Autorrelato , Inquéritos e Questionários , Fatores de Tempo , Abrasão Dentária/etiologia , Erosão Dentária/epidemiologia , Erosão Dentária/etiologia , Desgaste dos Dentes/epidemiologia , Escovação Dentária/efeitos adversos , Cremes Dentais , Adulto Jovem
20.
Ned Tijdschr Tandheelkd ; 124(9): 443-449, 2017 Sep.
Artigo em Holandês | MEDLINE | ID: mdl-28920971

RESUMO

Dental erosion occurs often among adolescents and young adults in the Netherlands. This problem requires attention because its consequences are irreversible. In this study (part of the 'Dental Research and Practice in the North Netherlands' project) a questionnaire was distributed to 331 young adults (age 20 to 25) from 25 dental practices. The goal of the study was to find out how much young adults know about dental erosion and how they wish to receive dental information. The results show that much is still unknown about dental erosion among young adults and that the extent of knowledge depended of the level of education and on information on dental erosion that had already been received. Participants preferred to receive information in a conversation with an oral healthcare professional, with the support of printed matter.


Assuntos
Pesquisa em Odontologia , Educação de Pacientes como Assunto , Erosão Dentária/epidemiologia , Adulto , Cárie Dentária , Feminino , Humanos , Masculino , Países Baixos/epidemiologia , Adulto Jovem
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