Influence of Intrinsic Factors on Erosive Tooth Wear in a Large-Scale Epidemiological Study

2016 ◽  
Vol 50 (5) ◽  
pp. 508-516 ◽  
Author(s):  
Viivi Alaraudanjoki ◽  
Marja-Liisa Laitala ◽  
Leo Tjäderhane ◽  
Paula Pesonen ◽  
Adrian Lussi ◽  
...  
Keyword(s):  
Large Scale ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Risk Indicators ◽  
Health Examination ◽  
Convenience Sample ◽  
Erosive Tooth Wear ◽  
Intrinsic Factors ◽  
The Difference

Objective: To assess the influence of self-reported intrinsic factors [gastroesophageal reflux disease (GERD), long-term alcoholism, long-term heavy use of alcohol and multiple pregnancies] on erosive tooth wear in a middle-aged cohort sample. Materials and Methods: Of the total Northern Finland Birth Cohort (NFBC 1966), a convenience sample (n = 3,181) was invited for an oral health examination in 2012-2013, of which 1,962 participated, comprising the final study group. Erosive tooth wear was assessed by sextants using the Basic Erosive Wear Examination Index (BEWE, 0-18). Clinical data were supplemented by questionnaires conducted in 1997/1998 and 2012/2013. The participants were divided into severe (BEWE sum ≥9) and no-to-moderate (BEWE sum 0-8) erosive wear groups, and the logistic regression model was applied. Results: Selected intrinsic factors were quite rare in this cohort sample and explained only 5.9% of the difference in the prevalence and severity of erosive wear. Daily symptoms of GERD [odds ratio (OR) 3.8, confidence interval (CI) 1.2-12.0] and hyposalivation (OR 3.8, CI 1.2-11.8) were the strongest risk indicators for severe erosive wear. Additionally, variables associated with an elevated risk for severe erosive wear were diagnosed alcoholism at any point (OR 2.5, CI 0.7-9.7) and self-reported heavy use of alcohol in both questionnaires (OR 2.0, CI 0.6-6.2). Even low-dose long-term consumption of alcohol was associated with erosive wear. Conclusions: In this cohort sample, intrinsic factors such as GERD or alcoholism alone are relatively uncommon causes of erosive tooth wear. The role of long-term use of alcohol in the erosion process may be bigger than presumed.

scholarly journals Different Risk Factors for Erosive Tooth Wear in Rural and Urban Nepal: A National Study

2021 ◽  
Vol 18 (15) ◽  
pp. 7766
Author(s):  
Saujanya Karki ◽  
Viivi Alaraudanjoki ◽  
Jari Päkkilä ◽  
Marja-Liisa Laitala ◽  
Vuokko Anttonen
Keyword(s):  
Private School ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Risk Indicators ◽  
National Study ◽  
Risk Indicator ◽  
Erosive Tooth Wear ◽  
Restorative Treatment ◽  
Tooth Cleaning ◽  
Nepalese Children

Background: Erosive tooth wear (ETW) is of growing concern, but data on ETW among Nepalese children are scarce. The main aim of the study was to investigate the prevalence and severity of ETW among Nepalese schoolchildren. We also aimed to analyse the risk indicators for ETW according to location (rural/urban) and the role of obesity in the risk for ETW. Methods: This national study was conducted among 5–15-year-old Nepalese schoolchildren from different regions. Altogether, 1137 out of 1151 schoolchildren participated in both a clinical examination and a survey. ETW was recorded using the Basic Erosive Wear Examination. Results: The prevalence of ETW was 65%. One-fifth of the examined subjects were in need of preventive or restorative treatment. Living in an urban area and studying in a private school were protective factors for ETW, whereas consuming fruits frequently and using charcoal for tooth cleaning increased the odds for ETW. Central obesity was the strongest risk indicator for ETW among urban residents. Conclusions: ETW of low severity is common among Nepalese children and adolescents. Socio-demographic factors influence the prevalence of ETW in Nepal and there seems to be different factors that play a role in the ETW process according to location of residence.

scholarly journals Study on the Distribution Characteristics and Influencing Factors of Homocysteine in the Physical Examination Population

2021 ◽  
Author(s):  
Fang Bao ◽  
Ming Cui ◽  
Xiuying Shi ◽  
Shaoqing Ju ◽  
Hui Cong
Keyword(s):  
Blood Pressure ◽  
Physical Examination ◽  
Large Scale ◽  
Kidney Injury ◽  
Scientific Basis ◽  
Cerebrovascular Diseases ◽  
Health Examination ◽  
Significant Difference ◽  
The Difference

Abstract Background: Homocysteine (Hcy) is considered to be an independent risk factor for cardiovascular and cerebrovascular diseases. No study has evaluated the distribution of Hcy on a large-scale health examination. Accordingly, this study aimed to investigate the level and distribution of Hcy in the healthy physical examination population and the correlation with other biomarkers, and analyzed for cardiovascular and other diseases. The prevention provides an important scientific basis.Methods: From February 2017 to April 2020, 8063 medical examination populations were selected for analysis. Determination of serum Hcy, TC, TG, LDL-c, HDL-c, ALT, ALP, γ-GT, TBIL, GLU, urea, Cr, UA and related metabolic risk factors. According to the multivariate regression model of age, gender, smoking, drinking, body mass index (BMI), systolic blood pressure (SBP) and diastolic blood pressure (DBP), the relationship between Hcy and other biochemical indicators was evaluated. Results: Among 8063 cases, the age, BMI, SBP and DBP of the high-Hcy group were higher than those of the low-Hcy group, the difference was statistically significant (P<0.05), and the proportion of males, smoking and drinking were higher than the low In the Hcy group, the difference was statistically significant (P<0.05); the ALT, ALP, γ-GT, TBIL, Urea, Cr, UA, and TG in the high Hcy group were higher than those in the low Hcy group, and the difference was statistically significant (P<0.05 ); HDL-c in the high-Hcy group was lower than that in the low-Hcy group, and the difference was statistically significant (P<0.05). There was no statistically significant difference in TC, LDL-c, and GLU between the high- and low-Hcy groups (P>0.05). In multivariate analysis, lnHDL-C was negatively correlated with lnHcy (β=-0.038, SE=0.016, P<0.05), lnCr was positively correlated with lnHcy (β=0.055, SE=0.016, P<0.05), lnUA and lnHcy were positive correlation (β=0.043, SE=0.019, P<0.05). Conclusion: Hcy is closely related to HDL-c, Cr and UA, which indicates that Hcy may affect the metabolism of HDL-c and UA, and can also be used as an auxiliary diagnostic index for kidney injury.

scholarly journals Is a Basic Erosive Wear Examination (BEWE) reliable for recording erosive tooth wear on 3D models?

2017 ◽  
Vol 59 ◽  
pp. 26-32 ◽  
Author(s):  
Viivi Alaraudanjoki ◽  
Henna Saarela ◽  
Reetta Pesonen ◽  
Marja-Liisa Laitala ◽  
Heikki Kiviahde ◽  
...  
Keyword(s):  
Erosive Wear ◽  
Tooth Wear ◽  
3D Models ◽  
Erosive Tooth Wear

scholarly journals Variability of seasonal and annual rainfall in the River Nile riparian countries and possible linkages to ocean–atmosphere interactions

2015 ◽  
Vol 47 (1) ◽  
pp. 171-184 ◽  
Author(s):  
Charles Onyutha
Keyword(s):  
Large Scale ◽  
Equatorial Region ◽  
Annual Rainfall ◽  
River Nile ◽  
Short Term ◽  
Ocean Atmosphere ◽  
Data Points ◽  
The Difference ◽  
Term Data

Variability analyses for the rainfall over the Nile Basin have been confined mostly to sub-basins and the annual mean of the hydroclimatic variable based on observed short-term data from a few meteorological stations. In this paper, long-term country-wide rainfall over the period 1901–2011 was used to assess variability in the seasonal and annual rainfall volumes in all the River Nile countries in Africa. Temporal variability was determined through temporal aggregation of series rescaled nonparametrically in terms of the difference between the exceedance and non-exceedance counts of data points such that the long-term average (taken as the reference) was zero. The co-occurrence of the variability of rainfall with those of the large-scale ocean–atmosphere interactions was analyzed. Between 2000 and 2012, while the rainfall in the equatorial region was increasing, that for the countries in the northern part of the River Nile was below the reference. Generally, the variability in the rainfall of the countries in the equatorial (northern) part of the River Nile was found to be significantly linked to occurrences in the Indian and Atlantic (Pacific and Atlantic) Oceans. Significant linkages to Niño 4 regarding the variability of both the seasonal and annual rainfall of some countries were also evident.

scholarly journals Dental Caries and the Erosive Tooth Wear Status of 12-Year-Old Children in Jakarta, Indonesia

2019 ◽  
Vol 16 (16) ◽  
pp. 2994 ◽  
Author(s):  
Diah Ayu Maharani ◽  
Shinan Zhang ◽  
Shiqian Sherry Gao ◽  
Chun-Hung Chu ◽  
Anton Rahardjo
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Educational Level ◽  
Health Knowledge ◽  
Dietary Habits ◽  
Soft Drink ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Cluster Sampling ◽  
Erosive Tooth Wear

Background: Indonesia has the largest population of all countries in southeast Asia. However, little information is available on the oral health status of Indonesian children. The aims of this study were to assess dental caries and erosive tooth wear in 12-year-old children in Jakarta, Indonesia and to investigate the associated risk factors. Methods: Samples were selected using cluster sampling. Parents were asked to complete a self-administered questionnaire regarding their oral health knowledge, demographic information, their child’s dietary habits, and oral health-related behaviors. Experience of caries and erosive tooth wear were recorded using the Decayed, Missing (due to caries), and Filled Teeth (DMFT) index and the Basic Erosive Wear Examination (BEWE) index, respectively. Results: Of 779 children invited, 696 participated in the survey. Of these, 61% had experienced caries, and the mean DMFT score was 1.58. Almost all decay was untreated. Children who were female, who had a high frequency of soft drink intake, and whose father’s educational level was low were more likely to have dental caries. Most children had at least one lesion of erosive tooth wear. Children whose mother’s educational level was low were more likely to have erosive tooth wear. Conclusions: The prevalence of dental caries and erosive tooth wear was high in 12-year-old children in Jakarta. Their dietary habits and parental level of education were associated with the presence of these dental conditions.

Risk Indicators for Erosive Tooth Wear in Brazilian Preschool Children

2011 ◽  
Vol 45 (2) ◽  
pp. 121-129 ◽  
Author(s):  
Christiana Murakami ◽  
Luciana Butini Oliveira ◽  
Aubrey Sheiham ◽  
Maria Salete Nahás Pires Corrêa ◽  
Ana Estela Haddad ◽  
...  
Keyword(s):  
Preschool Children ◽  
Tooth Wear ◽  
Risk Indicators ◽  
Erosive Tooth Wear

scholarly journals Variability of the Indian Monsoon in the ECHAM3 Model: Sensitivity to Sea Surface Temperature, Soil Moisture, and the Stratospheric Quasi-Biennial Oscillation

1998 ◽  
Vol 11 (8) ◽  
pp. 1837-1858 ◽  
Author(s):  
K. Arpe ◽  
L. Dümenil ◽  
M. A. Giorgetta
Keyword(s):  
Soil Moisture ◽  
Arabian Sea ◽  
Large Scale ◽  
Monsoon Season ◽  
Sea Surface ◽  
Northern Indian Ocean ◽  
Quasi Biennial Oscillation ◽  
The Difference ◽  
Biennial Oscillation

Abstract The variability of the monsoon is investigated using a set of 90-day forecasts [MONEG (Tropical Ocean Global Atmosphere Monsoon Numerical Experimentation Group) experiments] and a set of AMIP-type (Atmospheric Model Intercomparison Project) long-term simulations of the atmospheric circulation with the ECHAM3 model. The large-scale aspects of the summer monsoon circulation as represented by differences of dynamical quantities between the two extreme years 1987 and 1988 were reproduced well by the model in both kinds of experiments forced with observed sea surface temperature (SST). At the regional scale the difference of precipitation over India during summer 1987 and 1988 was well reproduced by the model in the 90-day forecasts using interannually varying SSTs; however, similarly good results were achieved in forecasts using climatological SSTs. The long-term simulations forced with interannually varying SST at the lower boundary of the atmosphere over a period of 14 years, on the other hand, only partly reproduce the observed differences of precipitation over India between 1987 and 1988. For the ensemble mean of five simulations averaged from June to September and for the whole of India an increase from 1987 to 1988 is simulated by the model as observed but with smaller values. The difference in observed precipitation between 1987 and 1988 is of opposite sign for May to that for September. The simulations and observations agree in the manifestation of this sense of opposing variability within a monsoon season for these two years and also for other years. The simulations and observations differ most during July. The paper concentrates on the question why the interannual variability in the long-term simulations on one hand and the 90-day forecasts and in the observations of precipitation on the other hand differ so strongly during the peak of the monsoon in July. Large-scale dynamics over India are mainly forced by the anomalies of Pacific SST. For the variability of precipitation over India other forcings than the Pacific SST are important as well. Due to enhanced evaporation, warmer SSTs over the northern Indian Ocean lead to increased precipitation over India. Changes in the SST there within the range of uncertainty (0.5 K) can lead to clear impacts. As a further boundary forcing, the impact of soil moisture is investigated. The use of realistic soil moisture differences between 1987 and 1988 in the MONEG forecasts resulted in improved skill of precipitation forecasts over India. Also the two individual AMIP simulations with realistic precipitation differences over India had more realistic soil moisture differences over east Asia in the beginning of the monsoon season between the two years than those experiments that failed to produce the correct precipitation differences. The years 1987 and 1988 were quite different with respect to the phase of the stratospheric quasi-biennial oscillation (QBO). As atmospheric circulation models cannot yet reproduce stratospheric QBOs realistically, their impact was tested by nudging observed QBOs into AMIP simulations for July 1987 and 1988. Seven out of eight experiments showed an impact toward a more realistic simulation of precipitation over India; however, during the west phase of the QBO (1987) impacts are very small. None of these forcings gave a dominant effect. If this finding is confirmed by further experimentation, improvements of practical long-range forecasts may be very difficult as two of these quantities are hardly known with the required accuracy (northern Indian Ocean SSTs and the Eurasian soil moisture) and because models are not yet able to simulate the stratospheric QBO realistically. This study confirms that El Niño has two direct effects: it reduces the precipitation over India and reduces the surface winds over the Arabian Sea. Due to the latter, the SST of the Arabian Sea can increase as there is less mixing and upwelling in the ocean. Here it is suggested that because of this increased SST there would be more precipitation over India, thus counteracting the expected decrease from the direct El Niño effect. Sensitivity experiments were carried out with the ECHAM3 model to substantiate this hypothesis. The results may be model-dependent and model deficiencies might influence sensitivities from boundary forcings adversely. Therefore observational data have been investigated as far as possible to seek independent confirmation of the findings obtained through the model simulations.

Erosive Tooth Wear among 12-Year-Old Schoolchildren: A Population-Based Cross-Sectional Study in Montevideo, Uruguay

2015 ◽  
Vol 49 (3) ◽  
pp. 216-225 ◽  
Author(s):  
Licet Alvarez Loureiro ◽  
Anunzziatta Fabruccini Fager ◽  
Luana Severo Alves ◽  
Ramón Alvarez Vaz ◽  
Marisa Maltz
Keyword(s):  
Socioeconomic Status ◽  
Logistic Regression ◽  
Public Health Problem ◽  
Tooth Wear ◽  
Population Based ◽  
Risk Indicators ◽  
Permanent Teeth ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Erosive Tooth Wear

The aim of this study was to assess the prevalence, extent, severity, intraoral distribution and risk indicators for erosive tooth wear (ETW) among 12-year-old schoolchildren from Montevideo, Uruguay. A population-based, cross-sectional survey was conducted using a representative sample of 1,136 12-year-old schoolchildren attending public and private schools. Parents answered questions on socioeconomic status and general health. Schoolchildren answered questions on dietary and oral hygiene habits. Two calibrated examiners recorded ETW on permanent teeth according to the Basic Erosive Wear Examination (BEWE) score system. Logistic regression models were performed to assess the association between the predictor variables and the prevalence of ETW (overall and severe ETW). Odds ratios (OR) and the respective 95% confidence intervals (CI) were estimated. The prevalence of ETW was 52.9%, being mild erosion (BEWE = 1) in the vast majority of cases (48.5%). Severe erosion (BEWE ≥2) was detected in 4.4% of schoolchildren. The overall prevalence of ETW differed significantly between categories of gender and socioeconomic status, but only between gender in the severe ETW analysis. The overall extent of ETW was significantly different between categories of gender, socioeconomic status, and swish before swallow. The extent of severe ETW differed between categories of swish before swallow and brushing frequency. In the logistic regression analysis, no association was found between the studied variables and the overall prevalence of ETW. Males were more likely to have severe ETW than females (OR = 3.22, 95% CI = 1.50-6.89). ETW may be considered a public health problem among 12-year-old-Uruguayan schoolchildren.

scholarly journals Spatiotemporal Evolution of Evapotranspiration in China after 1998

Water ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3250
Author(s):  
Qi Guo ◽  
Jiening Liang ◽  
Xianjie Cao ◽  
Zhida Zhang ◽  
Lei Zhang
Keyword(s):  
Control Region ◽  
Large Scale ◽  
Water Cycle ◽  
East Asian Monsoon ◽  
Water Control ◽  
Energy Control ◽  
The Difference ◽  
Local Weather

Changes in water circulation and uneven distributions of water resources caused by global warming are prominent problems facing the world at present. It is important to understand the influencing factors, and evapotranspiration (ET) is a key parameter for measuring the water cycle. However, understanding of spatiotemporal changes in actual evapotranspiration and its mechanism is still limited by a lack of long-term and large-scale in situ datasets. Here, the evolution of evapotranspiration in typical East Asian monsoon areas in China from 1989 to 2005 was analyzed with global land ET synthesis products. Evapotranspiration in China showed evident interdecadal variations around 1998; it decreased before 1998 and subsequently increased, which is inversely related to global ET changes. We further divided China into water-control and energy-control regions to discuss the factors influencing ET changes in each region. The interdecadal variations in increasing ET after 1998 in China were dominated by increasing potential evaporation in the energy-control region. An analysis using the empirical orthogonal function (EOF) method found that this occurred because ET is mainly manifested as decadal changes controlled by climate warming in the energy-control region and as interannual variations in the water-control region. The different feedbacks of ET on climate change in the two regions were also reflected in the difference in energy partition. The change in the Bowen rate (BR) did not increase climatic differences between energy- and water-control zones, but increases in the BR in arid summers significantly affected local weather and climate.

Erosive Tooth Wear and Erosive Esophagitis in Children: An Observational Study in Porto Alegre, Brazil

2020 ◽  
Vol 54 (3) ◽  
pp. 266-273
Author(s):  
Amanda Rodrigues Sari Quoos ◽  
Fernanda Coradini Noal ◽  
Cristiane Meira Assunção ◽  
Jonas A. Rodrigues ◽  
Carolina Soares da Silva ◽  
...  
Keyword(s):  
Los Angeles ◽  
Erosive Esophagitis ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Risk Level ◽  
Digestive Endoscopy ◽  
Porto Alegre ◽  
Erosive Tooth Wear ◽  
Los Angeles Classification ◽  
Upper Digestive Endoscopy

The aim of this study was to establish and compare the prevalence and severity of erosive tooth wear (ETW) in children with and without erosive esophagitis. Children aged 5–12 years, scheduled for upper digestive endoscopy at the Pediatric Gastroenterology Service of the Children’s Hospital Santo Antonio, Porto Alegre, Brazil, were eligible to participate in this study. Patients who presented erosive esophagitis at endoscopy were defined as gastroesophageal reflux disease (GERD) carriers, and the severity was described according to the Los Angeles classification. The oral cavity examination was performed by a trained and calibrated dentist and ETW was classified using the Basic Erosive Wear Examination (BEWE) index. Parents/guardians answered a questionnaire about the patients’ diets and frequency of consumption of acidic foods and beverages. A total of 110 children were included in the study. Erosive esophagitis was observed in 24 patients (21.8%) and all of them (100%) presented ETW, showing a statistically significant association between these 2 conditions (p < 0.05). Among children who did not present with erosive esophagitis (n = 86), 54 (64.3%) had an ETW risk level of none according to their BEWE scores (0–2). The results of this study showed a statistically significant association between erosive esophagitis and ETW, thus it can be concluded that it is important to recognize groups at risk of ETW and act together with medical professionals to ensure adequate oral health for these patients.

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