Dental erosion in a group of British 14-year-old, school children. Part I: Prevalence and influence of differing socioeconomic backgrounds.

Al-Dlaigan, Yousef H; Shaw, Linda; Smith, Anthony J.

doi:10.1038/sj.bdj.4800908

Cited by 142 publications

(182 citation statements)

References 27 publications

(22 reference statements)

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“…[17][18][19] The effects of gastric acid cannot be discounted 20,21 but there is evidence to suggest that the consumption of fruit drinks, squashes and carbonated beverages play a major role. 19,22 Not all children with TSL have a high consumption of acidic beverages 19 so the prevention of this problem needs to be broader based than diet advice alone.…”

Section: Tooth Surface Lossmentioning

confidence: 99%

Non-carious tooth conditions in children in the UK, 2003

et al. 2006

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Section: Tooth Surface Lossmentioning

confidence: 99%

Non-carious tooth conditions in children in the UK, 2003

et al. 2006

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“…6 Interestingly, this was found to be more prevalent in lower socio-economic groups. 6 Retail sales of soft drinks indicate a rise in consumption of 2-3% each year from 1986 to date and future projections suggest this trend will continue. 7 The volume of soft drinks imbibed does correlate to some degree with the level of erosion observed.…”

mentioning

confidence: 99%

Modification of soft drinks with xanthan gum to minimise erosion: a study in situ

et al. 2004

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Objective: To compare the erosive effect of a new blackcurrant/calcium drink with xanthan gum, on enamel in situ, with a low erosive product, a conventional fruit beverage and water. Design: The study was single centre, randomised, single blind, 4 treatment crossover design. Setting: This study, conducted in 2000, employed volunteers working at the Bristol Dental Hospital, UK. Subjects, materials and methods: 16 subjects (≥18 years) wore two enamel samples in a removable acrylic appliance. The drinks tested were (A) New blackcurrant/calcium/gum drink (test product), (B) Original blackcurrant/calcium drink, (C) Conventional blackcurrant drink (positive control) and (D) Water (negative control), for 15 day study periods. Drinking was supervised, with 250 ml imbibed four times/day between 9.00am-5.00pm. Profile measurements of specimens were made at baseline, 5, 10 and 15 days. Main outcome measures: Paired t-tests compared erosion by surfometry with selected pairs of formulations. Results: Of 16 screened subjects (3 male, 13 female), mean age 34.2 years, 1 subject failed to complete the study. A caused significantly less enamel loss than C, with no statistically significant differences from B at any time points measured. Of 43 treatment emergent adverse events, none were considered related to the study formulations. Conclusions: A retained low erosive properties similar to B, with additional benefits of taste flexibility and beverage stability. A number of peer reviewed epidemiological studies in the dental literature 1-5 highlight the presence of erosion in our population, particularly in the younger generations. However, as yet no longitudinal data are available to support these clinical observations. A recent paper corroborated these findings, showing that approximately half of 14-year-olds have appreciable tooth wear and significant erosion. 6 Interestingly, this was found to be more prevalent in lower socio-economic groups. 6 Retail sales of soft drinks indicate a rise in consumption of 2-3% each year from 1986 to date and future projections suggest this trend will continue. 7 The volume of soft drinks imbibed does correlate to some degree with the level of erosion observed. 8 However, controlled studies have shown that susceptibility to erosion under similar exposure varies considerably. 9,[12][13][14] Other factors, mainly physical, including abrasion and erosion, will also modify the level of toothwear that occurs although the interaction of chemical and physical wear processes have received limited attention using in vitro methods and none in vivo. For those individuals who are susceptible to erosion, tooth loss can be rapid. Ideally, and hopefully in the not too distant future, such susceptible individuals will be identifiable before excessive hard tissue loss occurs and allow for the provision of appropriate dietary advice or medical intervention. In the meantime the development of low erosive beverages, that appeal to our organoleptic senses, will undoubtedly be extremely useful for these vulnerable pe...

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“…4,16 Progression of tooth loss develops more rapidly in boys than in girls 6 and the consumption of soft drinks is more popular among boys. Moreover, they have a higher average intake than girls.…”

Section: Taste Preference and Consumption Patternsmentioning

confidence: 99%

“…2, 3 The prevalence of erosive tooth wear is still increasing, especially in the younger age groups. [4][5][6] The main explanation for this phenomenon is a change in nutritional habits and lifestyle; 7,8 but what about factors that may have influenced these nutritional habits and lifestyle, like changes in taste preference, increased prosperity and the confectionary industry adding acids to their products?…”

Section: Introductionmentioning

confidence: 99%