Dental Erosion and Dentin Hypersensitivity among Adult Asthmatics and Non-asthmatics Hospital-based: A Preliminary Study

Farag, Zahra Hassan Abdelaziz; Awooda, Elhadi Mohieldin

doi:10.2174/1874210601610010587

Cited by 9 publications

(8 citation statements)

References 19 publications

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“…Not all studies included all the confounding factors mentioned above. Two studies [ 12 , 22 ] however did not clearly mention the confounders they considered in their patients. Two studies demonstrated that 100% of the participants in the asthmatic and non-asthmatic groups had dental erosion[ 14 , 19 ].…”

Section: Resultsmentioning

confidence: 99%

The association between erosive toothwear and asthma – is it significant? A meta-analysis

2023

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Background The association of asthma with oral conditions such as dental caries, dental erosion, periodontal diseases and oral mucosal changes has been the subject of debate among dental practitioners. Existing evidence indicates that an inhaler is the most common and effective way of delivering the asthma medications directly into the lungs. Few studies in the past attributed this association to the changes in salivary flow caused due to these medications. Considering this unclear association, the aim of the present meta-analyses is to identify the association between erosive toothwear and asthma from individual studies conducted until date. Methodology Electronic databases were systematically searched until 30th September 2022. Articles identified using the search strategy were imported to RAYYAN systematic review software. Data was extracted relating to study design, geographic location, year of publication, sample size, the assessment method for erosive toothwear and asthma. The Newcastle Ottawa scale was utilized to assess the quality of evidence reported from the included studies. RevMan Version 5.3 was used to perform a random-effects meta-analysis to produce pooled estimates from OR and 95% CI of included studies. The I² statistic was used to determine the extent of heterogeneity. A funnel plot was generated to visually assess the potential for publication bias. Sensitivity analyses were performed by excluding individual studies one at a time. GRADE approach was used for grading the evidence for key comparisons. Results Twelve articles were included in the final meta-analysis. A total of 1027 asthmatics and 5617 non-asthmatics were included. All studies demonstrated moderate to low risk of bias. The overall pooled estimate (OR: 2.03; 95% CI: 0.96, 4.29) and subgroup analyses in children (OR: 1.67; 95% CI: 0.63, 4.42) did not show statistically significant difference in the occurrence of dental erosion between the asthmatic and non-asthmatic group. However, asthmatic adults had significantly greater dental erosion in comparison to the control adults (OR: 2.76; 95% CI: 1.24, 6.16). Sensitivity analyses also provided inconclusive evidence. Funnel plot asymmetry indicated significant heterogeneity, changes in effect size and selective publication. Conclusion The association between inhalational asthmatic medication and tooth wear is inconclusive. There are a number of confounding factors that play a greater role in causing dental erosion in these patients. Dentist must pay particular attention to these factors while treating asthmatic patients. The authors produce a comprehensive checklist in order to ensure complete assessment before providing advice on their medications alone.

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Section: Resultsmentioning

confidence: 99%

The association between erosive toothwear and asthma – is it significant? A meta-analysis

2023

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“…68 In another study conducted by Farag and Awooda, 40 asthmatic patients who presented to an emergency department and were diagnosed with an acute asthmatic attack were monitored for DH and dental erosions. 69 The authors found significantly more DH in the asthmatic patients compared to the non-asthmatic patients. Studies have shown that the use of inhalers in asthmatic patients decreases salivary flow and salivary composition, which in turn reduces the buffering effect of saliva that protects tooth structures from erosion.…”

Section: Identifying Factors That Contribute To Dentin Hypersensitivitymentioning

confidence: 91%

Successful management of dentin hypersensitivity: A narrative review

Ramli¹,

Ghani²,

Taib³

et al. 2022

Dent. Med. Probl.

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The prevalence of dentin hypersensitivity (DH) is increasing around the world. At least one in 10 individuals in the general population has been diagnosed with DH. It is a diagnosis that has significant negative effects on a person's oral health-related quality of life. This condition, which is characterized by sharp, short tooth pain in response to thermal, chemical, tactile, and evaporative stimuli, is more commonly seen in adults. DH has a tremendous impact on the social and financial aspects of patients and society at large. It is essential to recognize the factors that can contribute to a successful treatment outcome to guarantee the overall well-being of DH patients.The aim of this narrative review was to highlight strategies that can lead to successful DH treatment outcomes, along with current updates on DH mechanisms, treatment options, and the latest management approaches. A positive treatment outcome for DH requires a concerted effort from both the patient and the dental practitioner. Highly motivated patients and dental practitioners with sound knowledge of DH diagnosis and available treatment options will ensure successful long-term improvement of DH symptoms.

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“…There is no clear difference, however, in the degree of tooth erosion noticed using the two different way of drug administration. This could demonstrate the importance of GOR and other concomitant factors including lifestyle and oral hygiene in determining dental erosion [ 30 ].…”

Section: Asthma and Dental Erosionsmentioning

confidence: 99%

“…A statistically significant relationship (p = 0.05) between the intake of carbonated beverages, isotonic drinks and fruit juices and a higher BEWE was detected. Furthermore, regarding the use of drugs that could be potentially erosive, a statistically significant correlation (p = 0.006) was shown with the BEWE index in patients using inhalers (5.3% of the total) [ 30 ].…”

Section: Asthma and Dental Erosionsmentioning

confidence: 99%

“…These results, however, were not confirmed in another study where no difference was found between the two groups. This was probably due to differences between using toothpastes with desensitizing agents or not and other types of tooth wear with protective effects against dentin hypersensitivity [ 30 ].…”

Section: Asthma and Periodontal Disease (Gingivitis And Dentin Sensitmentioning

confidence: 99%

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Oral health in asthmatic patients: a review

et al. 2020

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Different drugs used to treat asthma, such as beta 2 agonists and inhaled steroids, may promote a higher risk of caries, dental erosion, periodontal disease and oral candidiasis. This article reviews the evidences of mechanisms involved in oral diseases in patients affected by asthma. The main mechanism involved is the reduction of salivary flow. Other mechanisms include: acid pH in oral cavity induced by inhaled drugs (particularly dry powder inhaled), lifestyle (bad oral hygiene and higher consumption of sweet and acidic drinks), gastroesophageal reflux, and the impairment of local immunity. In conclusion asthma is involved in the genesis of oral pathologies both directly and indirectly due to the effect of the drugs used to treat them. Other cofactors such as poor oral hygiene increase the risk of developing oral diseases in these patients. Preventive oral measures, therefore, should be part of a global care for patients suffering from asthma.

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Dental Erosion and Dentin Hypersensitivity among Adult Asthmatics and Non-asthmatics Hospital-based: A Preliminary Study

Cited by 9 publications

References 19 publications

The association between erosive toothwear and asthma – is it significant? A meta-analysis

The association between erosive toothwear and asthma – is it significant? A meta-analysis

Successful management of dentin hypersensitivity: A narrative review

Oral health in asthmatic patients: a review

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