Relationship between intrinsic and extrinsic factors with Erosive Tooth Wear in adults: a cross-sectional study

Abstract

The objective of this study was to explore the relationship between intrinsic and extrinsic factors and a high cumulative score of the Basic Erosive Wear Examination (BEWE) in a Chilean adult group. A cross-sectional study was performed with the Ethics Committee's approval from the Universidad de los Andes. A consecutive adult (18 to 46 years old) sampling (n = 553) from the Health Center in San Bernardo-Chile, was selected from September 2016 to January 2017. Dental exams were performed by two trained and calibrated examiners, according to the BEWE index. In order to search for potentially related factors, a hetero-applied questionnaire previously developed and evaluated was applied. Our interest was individuals with severe erosion tooth wear (BEWE ≥ 14). Logistic regression models reporting crude odds ratio (OR) and adjusted OR by age, 95% confidence interval (95%CI), and p-values were estimated. Variables, odds ratios and 95% CI related with BEWE ≥ 14 were: age (OR 1.1 [1.07-1.14]); currently drinking alcohol (OR 1.59 [1.06-2.39]); esophagitis ); difficulty to swallow ); chest pain ); anorexia ); vitamin C intake ). Age, alcohol consumption, self-reported esophagitis, history of gastric symptoms, anorexia, and vitamin C intake were related as risk factors to high BEWE scores in this sample of Chilean adults in San Bernardo, Chile.

Risk factors of tooth wear in permanent dentition: A scoping review

“…Among all factors associated with TW, the sociodemographic factors were the most frequently studied in this scoping review (68.9% of included studies, n = 188) 2–5,20–197 . Sex and age represented 58.6% and 46.9% of studies in this category (Table 1).…”

“…Dietary habits were also found in the literature, and in 51.7% of articles included 2,4,24–27,30,32,34,37–39,43,44,47–51,53,54,57,60,61,68–72,74,83–85,87,89,91,92,94–97,101,104,106–114,116,118–120,122,124,127,129,130,132,136,141,143,144,147,148,155,160,161,163,165,169,173–175,177,179,180,185,187–190,192–197,199,200,203–206,211,215–217,221,223–225,228,234,239,243,244,257–260,263,267,271–273 …”

“…Medical history was the second most frequently studied factor (67% of included studies; n = 183), 2,3,5,22–24,26–35,38,40,42–44,47,49–51,53,56–58,60–64,68–70,74,75,77,78,80,81,83,85,87,90–92,94–96,98,101,102,104–108,110,111,113,114,119–130,132,136–138,140–144,147,148,151,153–157,159,161,162,166,167,169,172,173,176–178, 180,181,185,188–190,194,196,197,199–256 and 27 studies were exclusively dedicated to this topic. The influence of the presence of GORD, stomach upset or heartburn was the most studied factor from this category, with 35.2% of studies included in this scoping review (96 out of 273).…”

“…Studies on drinking habits were more in the literature, with 56.4% of articles included in this review (Table 1, Appendix ) 2–5,22,24–27,29–34,37,38,40,43,44,47–49,51,53,54,57,60,61,66,68,70–75,77–80,83–85,87,90,91,94–98,100,101,104,106–114,118–127,129,130,132,136,138,139,142–144,147,148,151,153–155,159,160,162,165–167,169,173–175,177–180,182,183,185,187,188,190,195–197,199,200,203–206,211,213,216,217,221,223,228–231,234,239,243,244,249,257–268 …”

“…Similarly, vitamin C intake was correlated with TW in 7 of the 28 studies ( Appendix B ). 2-5,22,24-27,29-34,37,38,40,43,44,47-49,51,53,54,57,60,61,66,68,70-75, 77- 185,187,188,190,[195][196][197]199,200,[203][204][205][206]211,213,216,217,221,223,[228][229][230][231]234,239,243,244,249,[257][258][259][260][261][262][263][264][265][266][267][268] The influence of acidic beverages like soft or carbonated drinks on TW was found in 42.1% of studies; a statistically significant association was found in 32.2% of studies related to this topic (Table 1). 22,269 In a study of 3586 American adults, the daily frequency of soft drinks consumption was the only factor associated with moderate-to-severe tooth wear compared to sociodemographic factors, acid reflux medication, fruits, fruit juices and alcoholic drink consumption.…”