The Influence of Behavioural and Sociodemographic Risk Indicators on Erosive Tooth Wear in Flemish Adolescents, Belgium

2018 ◽  
Vol 52 (1-2) ◽  
pp. 119-128 ◽  
Author(s):  
Francisca Marro ◽  
Wolfgang Jacquet ◽  
Peter Bottenberg ◽  
Luc Martens

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.

2015 ◽  
Vol 49 (3) ◽  
pp. 216-225 ◽  
Author(s):  
Licet Alvarez Loureiro ◽  
Anunzziatta Fabruccini Fager ◽  
Luana Severo Alves ◽  
Ramón Alvarez Vaz ◽  
Marisa Maltz

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.


2021 ◽  
Author(s):  
Débora Nunes de Oliveira Racki ◽  
Letícia Donato Comim ◽  
Ângela Dalla Nora ◽  
Julio Eduardo do Amaral Zenkner ◽  
Luana Severo Alves

2016 ◽  
Vol 50 (5) ◽  
pp. 508-516 ◽  
Author(s):  
Viivi Alaraudanjoki ◽  
Marja-Liisa Laitala ◽  
Leo Tjäderhane ◽  
Paula Pesonen ◽  
Adrian Lussi ◽  
...  

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.


2020 ◽  
Author(s):  
Ohoud Mohamad ◽  
Haleama Al Sabbah ◽  
Linda Smail ◽  
Ehab W Hermena ◽  
Rola Al Ghali

Abstract Background This study assessed whether perceived stress and depressive symptoms were associated with the frequency of consumption of specific food groups among female university students. Methods A cross-sectional study was conducted among female university students using a simple random sampling method. The response rate was 97% yielded a total number of 385 participants. The associations between stress levels and the most/least consumed food groups, and between depressive symptoms levels and the most/least consumed food groups were assessed. The questionnaire included a 12-item self-administered food frequency questionnaire, Cohen’s Perceived Stress Scale, and Beck Depression Inventory-II. The study was approved by the University Ethical Committee before data collection. One-way Analysis of Variance (ANOVA) and the independent-sample t-test were carried out to test the equality of population means across the categories of each independent variable depending on the number of categories of the independent variable. Results Overall, this group of female university students fell under the mild mood disturbance category (depressive symptoms) (BDI-II) and had moderate perceived stress (PSS). Perceived stress was associated with more frequent consumption of salad/raw vegetables and cooked vegetables, and less frequent consumption of cake/cookies and meat/sausage products (p < .05). Additionally, depressive symptoms were associated with less frequent consumption of fresh fruits and more consumption of fast food/canned food and soft drinks (p < .05). Conclusions The data showed that stress and depression were associated with different dietary preferences consistent with distinctions between stress and depression on human behavior. Specifically, the results revealed associations between soft drinks consumption and higher depressive symptoms, and between frequent consumption of salad/raw vegetables and cooked vegetables and higher perceived stress among this group of female university students.


2021 ◽  
Vol 15 (8) ◽  
pp. 2067-2069
Author(s):  
Fareed Ahmad ◽  
Ali Anwaar ◽  
Bilal Abdul Qayum Mirza ◽  
Mustafa Qadeer ◽  
Muhammad Afzal ◽  
...  

Background: The fluoride drug is mentioned as a double-edged weapon due to its positive and negative outcomes. Reducing dental caries in large population, cost effective and excess fluoride in teeth or body may lead to systemic diseases and even death. Dental erosion affects the hard tissues of the teeth rendering them vulnerable to decay. Methods & Materials: A school based descriptive cross-sectional survey. Purposive sampling was performed. All examiners were calibrated and trained for the criteria to identify dental fluorosis and dental erosion. The World Health Organisation Oral Health Assessment form 2013 was used to fill and measure dental fluorosis and erosive tooth wear. For Univariate analysis, mean, frequencies of both genders (dental erosion and Fluorosis) while Chi square was calculated and for bivariate analysis. Results: 22.7 % students were found to have fluorosis (ranging from questionable level to severe). Male students (primarily teenagers) had more enamel erosion as compared to the female’s ones. Conclusion: The higher levels of fluoride in water may make children and adults more susceptible to erosive tooth wear. Consuming excess fluoridated water may turn the mild fluorosis cases into moderate or severe ones. Keywords: Fluorosis, Erosive Tooth Wear, Gender, Fluoride


2016 ◽  
Vol 50 (4) ◽  
pp. 349-362 ◽  
Author(s):  
Efthymia Provatenou ◽  
Eleftherios G. Kaklamanos ◽  
Aikaterini Kevrekidou ◽  
Ismini Kosma ◽  
Nikolaos Kotsanos

The aim of the present study was to investigate the erosive tooth wear of primary and permanent teeth and its association with related risk factors. Two groups of Greek children aged 8 (n = 329) and 14 years (n = 263) were examined in the classroom using the Basic Erosive Wear Examination (BEWE) index. Data concerning risk factors were collected using questionnaires. Dental caries (DMFS/dmfs) was also recorded. The data were analyzed using the t test, one-way ANOVA, multiple regression analysis, Fisher's exact test, and the χ2 test. In the 8-year-olds, the primary teeth showed a predominantly medium level of wear and the permanent teeth no wear. A majority of the 14-year-olds exhibited low risk levels of wear. The most frequently affected dental surface in both age groups was the occlusal surface of the mandibular posterior teeth. In the 8-year-olds, BEWE scores and the prevalence of wear in the primary teeth was influenced by gender (p = 0.020). In their permanent teeth, soft drink consumption (p < 0.0001) and preference for lemon/vinegar (p = 0.041) significantly affected wear prevalence and BEWE scores, while habitually retaining soft drinks in the mouth influenced wear prevalence (p = 0.008), risk (p = 0.004), and BEWE scores (p = 0.022). In the 14-year-olds, wear prevalence was significantly affected by the consumption of lemon-flavored candies (p = 0.016) and soft drinks (p = 0.050). BEWE scores were significantly affected by gender (p = 0.022) and soft drink consumption (p = 0.030). Gender influenced tooth wear risk in both age groups (p = 0.010 and p = 0.021, respectively). The results of this study indicate that erosive tooth wear differed between primary and permanent teeth and was influenced by gender and dietary factors.


2019 ◽  
Vol 88 ◽  
pp. 103164 ◽  
Author(s):  
Stefania Martignon ◽  
Adriana M. López-Macías ◽  
David Bartlett ◽  
Nigel Pitts ◽  
Margarita Usuga-Vacca ◽  
...  

2011 ◽  
Vol 45 (2) ◽  
pp. 121-129 ◽  
Author(s):  
Christiana Murakami ◽  
Luciana Butini Oliveira ◽  
Aubrey Sheiham ◽  
Maria Salete Nahás Pires Corrêa ◽  
Ana Estela Haddad ◽  
...  

2021 ◽  
Vol 15 (12) ◽  
pp. 3448-3449
Author(s):  
Umar Nasir ◽  
Ariffullah Khan ◽  
Haseeb Ahmad ◽  
Maryum Bibi ◽  
Maheen Anis ◽  
...  

Objective: To conclude the frequency of tooth wear in permanent dentition of adults suffering from diabetes mellitus. Study Design: Cross-Sectional study Place and Duration of Study: Dental OPD of Bacha Khan College of Dentistry from 1st January 2021 to 30th June 2021. Methodology: Three hundred known diabetic patients who gave positive history of diabetes mellitus were randomly selected. Knowledgeable consent was attained from all subjects. Patients were clinically examined for tooth wear: erosion, attrition, abfraction and abrasion. Results: There were 166 (55%) males and 134 (45%) female patients respectively. The prevalence of tooth wear among diabetic individuals was as high as 62%. Conclusion: Diabetes mellitus is common disease in adult population and it cruelly impacts the oral health of an individual. Tooth wear is common finding in diabetic patients due to xerostomia. When patient is diagnosed as diabetic, the dentist should instruct the patient about the importance of hygiene care and risk of tooth wear and should carry out screening for tooth surface loss as a part of their routine dental examination in diabetic patients. Key Words: Tooth wear, Diabetes mellitus, Xerostomia, Attrition, Abrasion, Abfraction, Erosion


2019 ◽  
Vol 46 (6) ◽  
pp. 493-502 ◽  
Author(s):  
Jianbo Li ◽  
Weihua Fan ◽  
Yu Lu ◽  
Dongying Xuan ◽  
Ziqiang Liu ◽  
...  

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