scholarly journals Dental aspects of purging bulimia

2020 ◽  
Vol 77 (3) ◽  
pp. 300-307
Author(s):  
Jovana Manevski ◽  
Ivana Stojsin ◽  
Karolina Vukoje ◽  
Ognjenka Jankovic
Keyword(s):  
Clinical Examination ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Dental Erosion ◽  
Dental Tissue ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Dmft Index ◽  
Carious Process

vomiting, which in long term can result in irreversible loss of dental tissue, most commonly manifested as dental erosion. Frequent purging, xerostomia, lack of oral hygiene and acidic environment are also suitable for caries development. The aim of the research was to determine the presence, localization and degree of dental erosion using Basic Erosive Wear Examination (BEWE) index system, as well as to determine the Decayed, Missing and Filled Teeth (DMFT) index in purging bulimic patients. Methods. The study involved 30 purging bulimic patients and 30 healthy subjects. Used methods were survey (questionnaire) and clinical examination. The clinical examination included intraoral inspection and assessment of dental status using BEWE and DMFT index. Results. On the bases of conducted research, it has been found that dental erosion are significantly more often present in purging bulimics compared to the controls (?2 = 5.963, p < 0.05), that eroded lesions are more severe in the bulimic group (t = 3.925, p < 0.05) and predominantly located on oral surfaces of the teeth (?2 = 10.561, p < 0.05). DMFT index values showed no significant difference between bulimic patients and controls (t = 0.741, p = 0.461). Conclusion. Dental erosion are often encountered in patients suffering purging bulimia, especially on oral surfaces of anterior teeth that come into direct contact with gastric acid, so many bulimics exhibit high values of erosive tooth wear on mentioned surfaces. DMFT index score did not show significant differences compared to healthy participants, but due to complexity of carious process further investigation is necessary.

scholarly journals Root grooves on two adjacent anterior teeth of Australopithecus africanus

2017 ◽  
Author(s):  
Ian Towle ◽  
Joel D. Irish ◽  
Marina Elliott ◽  
Isabelle De Groote
Keyword(s):  
South African ◽  
Root Surface ◽  
Dental Erosion ◽  
Tissue Loss ◽  
Cervical Lesions ◽  
Dental Tissue ◽  
Australopithecus Africanus ◽  
Food Items ◽  
Anterior Teeth ◽  
Fossil Hominin

AbstractTooth root grooves and other ante-mortem dental tissue loss not associated with caries found on or near the cementoenamel junction (CEJ) are commonly termed non-carious cervical lesions. Three main processes are implicated in forming these lesions: abrasion, dental erosion, and abfraction. As yet, these lesions have not been described in non-Homo hominins. In this study South African fossil hominin collections were examined for evidence of any type of non-carious cervical lesion. Only one individual shows ante-mortem root grooves consistent with non-carious cervical lesions. Two teeth, a mandibular right permanent lateral incisor (STW 270) and canine (STW 213), belonging to the same Australopithecus africanus individual, show clear ante-mortem grooves on the labial root surface. These lesions start below the CEJ, extend over a third of the way toward the apex, and taper to a point towards the lingual side. Microscopic examination revealed no clear directional striations. The shape of these grooves is extremely similar to clinical examples of dental erosion, with the lack of striations supporting this diagnosis. These are the oldest hominin examples of non-carious cervical lesions and first described in a genus other than Homo; further, the lesions suggest that this individual regularly consumed or processed acidic food items.

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 Opinions and Treatment Decisions for Dental Erosive Wear: A Questionnaire Survey among Icelandic Dentists

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Aida Mulic ◽  
Inga B. Árnadòttir ◽  
Torbjòrg Jensdottir ◽  
Simen E. Kopperud
Keyword(s):  
Erosive Wear ◽  
Treatment Decision ◽  
Treatment Decisions ◽  
Dental Erosion ◽  
Invasive Approach ◽  
Dietary History ◽  
Anterior Teeth ◽  
Dental Practitioners ◽  
Occlusal Surfaces ◽  
High Fluoride

Dental erosive wear (DEW) is common among children and adolescents, and a survey of Icelandic children showed that 30.7% of 15-year-olds were diagnosed with the condition. Objective. To gain knowledge about dental practitioners’ experiences, opinions, and treatment decisions. Materials and Methods. A precoded questionnaire, previously used among Norwegian dentists, was sent electronically to all dentists in Iceland (n = 341). Results. The response rate was 64.2%, and 58% of dentists were male. More than half of the clinicians (54%) thought that prevalence had increased the last 10–15 years, and 67% reported it to be more common in male. Most (96%) recorded presence of DEW, but only 4% used a detailed scoring system. Lesions were mostly on occlusal surfaces of first mandibular molars (73%), on palatal in upper anterior teeth (61%), and on occlusal of maxillary first molars (36%). Most dentists (74%) reported a probable cause, e.g., high consumption of carbonated beverages (98%), acidic juices (68%), sport drinks (58%), reflux (54%), and eating disorders (20%). Dietary history was often recorded by 38%, and 65% never measured saliva. Most of the dentists (88%) treated patients themselves, and half of them preferred prevention with high fluoride and resin sealants. While some dentists wanted to restore teeth more invasively, most considered to restore with a filling. Conclusion. Icelandic dentists seem to be well educated for diagnosis and treatment of dental erosion, and dentists are aware of a minimally invasive approach. Clinical Significance. It is challenging for dentists to make the best treatment decision for patients with DEW, both in a short perspective and long perspective. At present, little is known about their knowledge and treatment approach, and there is no standard treatment which can be recommended. Therefore, the present study investigated dental practitioners’ treatment decisions, as well as knowledge, experiences, and awareness of DEW.

Analysis of oral health and salivary biochemical parameters of women with anorexia and bulimia nervosa

2021 ◽  
Vol 10 (3) ◽  
pp. e8710312971
Author(s):  
Naiana de Melo Belila ◽  
Ronald Jefferson Martins ◽  
Artênio José Isper Garbin ◽  
Suzely Adas Saliba Moimaz ◽  
Antônio Hernandes Chaves Neto ◽  
...  
Keyword(s):  
Salivary Flow ◽  
Dental Erosion ◽  
Health Clinic ◽  
Control Group ◽  
Case Group ◽  
Acid And Alkaline Phosphatase ◽  
Group Methods ◽  
Significant Difference ◽  
Erosion Index ◽  
Dmft Index

Análisis de parámetros bioquímicos de salud bucal y salival de mujeres con anorexia y bulimia nerviosa Objective: The aim of this study was to analyze the association between caries, dental erosion and salivary biochemical profile of women with anorexia and bulimia, comparing them with a control group. Methods: The participants were women from the Eating Disorders Program of the Mental Health Clinic. We evaluated caries and dental erosion and collected stimulated saliva samples for the analyses of salivary flow, phosphor, calcium, acid and alkaline phosphatase, amylase, FRAP and uric acid. Data were expressed as means and standard deviations and were analysed using Mann-Whitney test with p<0.05 regarded as significant. Results: 13 women with anorexia and bulimia participated in the study, with an mean age of 28.9 years, and 15 comprised the control group. The DMFT index was 15.5 for the case group and 4.0 for the control group. Erosion was found mostly on the palatal/lingual surface and on incisor teeth of case group. Most biochemical analyzes showed a significant difference between the two groups. Conclusion: We concluded that, in patients with anorexia and bulimia, due to a decreased salivary flow and self-induced vomiting habits, there is an increase in the caries and dental erosion index, as well as salivary changes.

Reabilitação total com porcelanas em paciente acometido por amelogênese imperfeita

2021 ◽  
Vol 10 (38) ◽  
pp. 21-27
Author(s):  
Weider de Oliveira Silva ◽  
Gabriela Barbosa de Sá ◽  
Tarcísio Pinto ◽  
Gil Montenegro ◽  
Ismael Lucas Pinto
Keyword(s):  
Tooth Enamel ◽  
Tooth Wear ◽  
Dental Tissue ◽  
Posterior Teeth ◽  
Developmental Abnormalities ◽  
Anterior Teeth ◽  
Complex Development ◽  
And Function ◽  
Clinical Problems

Amelogenesis imperfecta (AI) is a disorder of genetic origin, linked to the amelogenin gene, which presents developmental abnormalities in the quantity and quality of tooth enamel. The main clinical problems are the extensive loss of dental tissue, occlusal problems, impaired aesthetics, tooth sensitivity and gingival inflammation. This study described a clinical case and the approach in the treatment of a patient with AI, with gingival plastic surgery, porcelain crowns on the posterior teeth, porcelain veneers on the anterior teeth and application of botulinum toxin to correct the gingival smile. AI is an anomaly with complex development and early diagnosis is essential for the conduct and success of the case, to improve aesthetics and function, preserving the characteristic tooth wear.

scholarly journals Evaluation of oral health status and salivary flow rate in obese patients after bariatric surgery

2012 ◽  
Vol 06 (02) ◽  
pp. 191-197 ◽  
Author(s):  
Juliane A Marsicano ◽  
Arsenio Sales-Peres ◽  
Reginaldo Ceneviva ◽  
Silvia H de C Sales-Peres
Keyword(s):  
Bariatric Surgery ◽  
Tooth Wear ◽  
Control Group ◽  
Obese Patients ◽  
Dental Wear ◽  
Significant Difference ◽  
Severely Obese ◽  
Dmft Index ◽  
The Mean ◽  
Saliva Flow

ABSTRACTObjectives: The aim of this study was to identify the prevalence of dental caries, periodontal diseases and tooth wear in bariatric patients, and relate the oral health conditions to saliva flow.Methods: Fifty-two patients who had undergone bariatric surgery (Roux-en-Y gastric bypass) and 50 severely obese patients indicated for bariatric surgery were submitted to clinical examinations with regard to dental caries (DMFT index), periodontal condition (CPI index), dental wear (DWI index – Dental wear index) and saliva flow. The data were statistically analyzed by the Student’s-t , Mann- Whitney, Spearman Correlation and Chi-square (χ2) tests at 5% significance level.Results: The DMFT index was 16.11±5.19 in the surgical group and 16.06±6.29 in the control group (P>.05). The mean CPI was 3.05±0.84 for the operated group and 2.66±1.25 for the obese patients with no significant difference between them (P>.05). There was statistically significant difference between the groups for the presence of periodontal pockets (P=.021). All the patients presented some degree of tooth wear, however, with no significant difference between the two groups (P=.82). The mean saliva flow values of the surgical group and control group were 0.64±0.46 mL/min and 0.66±0.49 mL/min, respectively. There was no significant difference in saliva flow and all oral conditions analyzed (P>.05).Conclusion: The prevalence of oral diseases was similar in severely obese patients who were candidates for bariatric surgery and in patients who had been submitted to bariatric surgery. Nevertheless, there was higher prevalence of periodontal pockets in the operated group. (Eur J Dent 2012;6:191-197)

Enamel Formation Genes Associated with Dental Erosive Wear

2015 ◽  
Vol 49 (3) ◽  
pp. 236-242 ◽  
Author(s):  
Jenny B. Søvik ◽  
Alexandre R. Vieira ◽  
A.B. Tveit ◽  
Aida Mulic
Keyword(s):  
Erosive Wear ◽  
Dental Erosion ◽  
Protective Role ◽  
Recessive Model ◽  
Enamel Formation ◽  
Interacting Protein ◽  
Genotype Frequencies ◽  
Significant Difference ◽  
Severe Erosion ◽  
Patient Groups

Dental erosive wear is a multifactorial condition that is greatly affected by environmental factors. So far, no study has investigated how dental erosive wear is influenced by variations in enamel formation genes. The aim of the present study was to investigate polymorphisms in genes involved in enamel formation and their influence on enamel susceptibility to dental erosion. DNA samples were collected from 795 Norwegian adolescents aged 16-18 years. Five single-nucleotide polymorphism markers were genotyped in selected candidate genes (ameloblastin, amelogenin, enamelin, tuftelin 1 and tuftelin interacting protein 11), reported to influence enamel formation. Allele and genotype frequencies were compared within two patient groups with dental erosions; all participants with dental erosion and only those with severe dental erosion (erosion extending into dentine). Overrepresentation of the G allele of the enamelin marker was seen in the erosion group compared to the unaffected group (p = 0.047). When erosion severity was considered, statistical significant difference in allele frequency was observed for amelogenin, with the C allele suggesting a protective role (p = 0.02). A suggestive overrepresentation of the TT genotype of the amelogenin marker was also seen in cases with severe erosion (p = 0.049) when compared to cases with no dentine erosion. Amelogenin was also associated with severe erosion in the recessive model; the TT genotype was significantly more frequent in the affected group than in the unaffected group (p = 0.01). The present study suggests that polymorphisms in enamel formation genes are statistically associated with an individual's susceptibility to dental erosive wear.

scholarly journals Long-term evaluation of factors affecting removal torque of microimplants

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ho-Jin Kim ◽  
Hyo-Sang Park
Keyword(s):  
Pearson Correlation ◽  
Posterior Teeth ◽  
Removal Torque ◽  
Factors Affecting ◽  
Clinical Variables ◽  
Placement Method ◽  
Anterior Teeth ◽  
Screw Length ◽  
Significant Difference

Abstract Background The current study aimed to evaluate factors affecting the long-term stability of microimplants using removal torque and the correlation between removal torque and clinical variables. Materials and methods This research evaluated 703 microimplants placed in 354 patients (mean age: 30.4 ± 12.1 years). The removal torque was evaluated according to various clinical variables including sex, age, placement site, microimplant size, and placement method (self-drilling versus pre-drilling). Pearson correlation and stepwise multiple linear regression analyses were performed to investigate different variables and their association with removal torque. Results The mean removal torque was significantly higher in the mandible (4.46 N cm) than in the maxilla (3.73 N cm). The values in the posterior teeth/retromolar areas were significantly higher than those in the anterior teeth area. There were no significant difference in terms of sex. Teenagers had a lower removal torque than older adults in the mandible, but not in the maxilla. Microimplants with a greater length and diameter, except for those with a greater diameter in the maxilla, was associated with a higher removal torque. Regardless of placement torque, the removal torque convergently reached approximately 4 N cm in both placement methods. The removal torque was significantly correlated with screw length in the self-drilling group and with diameter in the pre-drilling group. Conclusions Removal torque was related with placement site, age, placement method, and length and diameter of microimplants.

Adapted Three-step Restorative Technique: Recovering Dental Substrate Compromised by Complex Erosive Wear in a Young Patient

2020 ◽  
Vol 45 (5) ◽  
pp. 457b-466
Author(s):  
CA Villavicencio-Espinoza ◽  
MC Giacomini ◽  
MH Narimatsu ◽  
AC Magalhães ◽  
MT Atta ◽  
...  
Keyword(s):  
Young Patients ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Young Female ◽  
Dental Restoration ◽  
Medical Monitoring ◽  
Posterior Teeth ◽  
Wear Process ◽  
Anterior Teeth ◽  
Occlusal Vertical Dimension

Clinical Relevance This article presents the dental restoration of a young female patient complaining of erosive dental wear using a three-step restorative technique, an alternative approach with some novel adjustments. SUMMARY For successful tooth wear treatment, determining the etiological systemic and local factors is the main priority before deciding on effective and long-term preventive and/or therapeutic restorative approaches. In addition to professional intervention, achieving optimal outcomes requires patients to control their diet and/or gastric issues, thus minimizing the wear process. However, continuous wear constitutes the most challenging scenario, mainly when it affects young patients’ dentitions. This article describes the dental restoration of posterior teeth with reestablishment of occlusal vertical dimension before treating the anterior teeth, while educating the patient and providing medical monitoring. The three-step restorative technique seems to be properly applicable in cases of significant dental compromise due mainly to erosive wear and is based on direct procedures, which can assure a reliable and feasible approach.

scholarly journals CLINICAL MANIFESTATION AND INCIDENCE OF DENTAL ENAMEL EROSION IN PATIENTS UNDER ANTIHYPERTENSIVE THERAPY

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Nataša Trtić ◽  
Radmila Arbutina ◽  
Ognjenka Janković ◽  
Vladan Mirjanić ◽  
Valentina Veselinović
Keyword(s):  
Antihypertensive Therapy ◽  
Statistical Significance ◽  
Dental Enamel ◽  
Erosive Wear ◽  
Dental Erosion ◽  
Control Group ◽  
Dental Tissue ◽  
Antihypertensive Medications ◽  
Average Value ◽  
Experimental Group

Dental erosions are defined as an irreversible loss of hard dental tissue caused by long-lasting and repetitive acid action, which dissolves the surface layer of hydroxyapatite crystal structure and fluorapatite, and the aggressive noxis not being created by the bacteria. Dental erosions can also be classified as occupational diseases. People who taste wine or carbonated drinks on a daily basis, as well as the people who are professionally engaged in swimming can spot this type of defect on their own teeth. Evaporation of industrial acids in battery factories, sanitary materials, or crystalline glass can also lead to dental erosions. Aim: The purpose of this study was to determine the frequency of dental erosion in patients under antihypertensive therapy and compare them with the frequency of dental erosion in patients who did not take the same therapy. Material and method: This research involved 62 respondents, aged from 20 to 70. Patients were classified into two groups, the experimental group with 31 patients being on a therapy with antihypertensive medications for more than 5 years, and the other one, control group, with 31 patients not being on the mentioned therapy. The subjective dental anamnesis obtained from the patients was noted along with tooth status, soft tissue intraoral examination and the degree of erosive changes according to BEWE index (Basic Erosive Wear Examination). Results: Comparing the statistical significance in difference between erosive index value of all teeth, there is obvious statistical difference of the average value. In the experimental group (p0.05), higher values of tooth erosion index were noted in comparison with the control group. The average value in the experimental group is 2.25, while in the control group it is 1.37. Conclusion: Erosive lesions are present in both experimental and control group respondents, with dental erosion being more explicit with patients who use antihypertensive medications.

Sign in / Sign up

Export Citation Format

Share Document