Dental erosion in French adolescents

Abstract

BackgroundSince the 2000s, different epidemiological studies focusing on the prevalence or the aetiology of DE in adolescents recognised them as an at-risk population due to their eating behaviours. None was carried out in French adolescents.The primary objective of this study was to assess the prevalence of dental erosion (DE) using the total BEWE score among adolescents in the department of Alpes Maritimes, France. The secondary objectives were to observe changes in prevalence estimates depending on both the cutoffvalue of total BEWE score with different teeth/dental surfaces examined, and to identify the related risk factors.MethodsA cross-sectional study in a multistage random sample of 339 14-yr-old schoolchildren was carried out in 2014. The children completed a self-administered questionnaire concerning diet and oral habits. Caries was assessed with ICDAS-II (International Caries Detection and Assessment System-II) criteria and erosion with BEWE (Basic Erosive Wear Examination) index. The total BEWE score was calculated to assess the DE prevalence with two cutoff values (3 and 1). Data were analysed using descriptive statistics and logistic regression models.ResultsThe 331 children were aged 14.4 ± 0.5 years. The DE prevalence was 39 % using a total BEWE score ≥ 3. With a cutoff total BEWE score of 1 (at least one affected tooth), the prevalence varied from 3.9 to 56.8 % depending on the teeth/surfaces that were used for the analysis. The DE prevalence, assessed with only first molars and maxillary incisors, was about 54 %. The risk factors for DE (total BEWE score ≥ 3) were daily consumption of acidic beverages (OR: 4.0; 95 % CI: 2.1–7.6) and acidic sweets (OR: 3.2; 95 % CI: 1.2–8.0), low socio economic category (OR: 2.4; 95 % CI: 1.1–5.0) and visible dental biofilm (OR: 2.0; 95 % CI: 1.2–3.4).ConclusionDepending on the method chosen, the prevalence varied from 3.9 to 56.8 % among these adolescents. Thus, a consensus on choice of index, teeth to examine and age at assessment is necessary to standardise measurement of DE prevalence.

Erosive Tooth Wear and Related Risk Factors in 8- and 14-Year-Old Greek Children

“…Some reports have observed that it was significantly associated with acidic drinks and foods [Gatou and Mamai-Homata, 2012;Luo et al, 2005;Muller-Bolla et al, 2015;Tao et al, 2015;González-Aragón Pineda et al, 2016], conflicting with the results of other investigations [Dugmore and Rock, 2004;Ratnayake and Ekanayake, 2010]. Moreover, the evaluation of socioeconomic status, something considered to affect eating and drinking habits, has also produced conflicting results.…”

“…The BEWE index has been previously employed in erosive wear studies in children and adolescents with either primary or permanent dentitions [Bartlett et al, 2008;Mantonanaki et al, 2013;Zhang et al, 2014;Alvarez et al, 2015;Alves et al, 2015;Muller-Bolla et al, 2015] but not Values in parentheses are 95% CI. Significant differences are indicated in italics.…”

“…The indices used in epidemiological studies on tooth wear in children include the Tooth Wear Index (TWI) by Smith and Knight [1984] and its modifications [Rios et al, 2007;Ratnayake and Ekanayake, 2010], the O'Sullivan Index [O'Sullivan, 2000;Peres et al, 2005;Mangueira et al, 2009], the O'Brien index [O'Brien, 1994;Gurgel et al, 2011;Murakami et al, 2011], the index of the National Survey of Child Dental Health [Walker et al, 2000;Dugmore and Rock, 2004;Huew et al, 2011], the criteria suggested by Lussi [Lussi, 1996;El Aidi et al, 2011], the Visual Erosion Dental Examination (VEDE) [Mulic et al, 2010], and the more recent Basic Erosive Wear Examination (BEWE) [Bartlett et al, 2008;Mantonanaki et al, 2013;Zhang et al, 2014;Alvarez et al, 2015;Alves et al, 2015;Muller-Bolla et al, 2015]. These indices vary in the method of assessment and choice of teeth and surfaces, making the comparison of prevalence among studies sometimes difficult.…”

Prevalência de erosão dentária e fatores associados em uma população de escolares

“…O aumento do consumo e da disponibilidade de alimentação ácida tem sido apontado como um fator de risco significante para erosão dentária 6,13,[16][17][18][19] . Nossa avaliação identificou que 55,4% da amostra relatou dieta intermediária em relação à acidez, o que não indica associação significativa com a presença de erosão dentária (p= 0,520), corroborando com os estudos de Gurgel et al 20 , Oliveira et al 21 e Salas et al…”

Alteração Da Microdureza Superficial Do Esmalte Dentário Expostos a Chás Industrializados

“…Em casos mais graves, pode haver exposição da dentina e/ou do tecido pulpar (MESSIAS et al, 2011). Além disso, a mesma pode também apresentar uma aparência clínica com envolvimento de um componente de fricção, tais como abrasão ou desgaste, principalmente em indivíduos com idades avançadas (MULLER-BOLLA et al, 2015). É importante ressaltar que o diagnóstico seja feito precocemente, pois a prevenção é a forma mais eficaz de evitar essa patologia (GONÇALVES et al, 2012).…”