Factors Associated with Noncarious Cervical Lesions in Different Age Ranges: A Cross-sectional Study

Abstract

Objectives Understanding the possible risk factors of noncarious cervical lesion (NCCL) is important for prevention and clinical management of the condition. The aim of this study was to investigate the factors associated with the prevalence of NCCL among adolescents, adults, and elderly people. Materials and Methods A cross-sectional study involving 501 participants aged 15 years or older was conducted. Participants were examined to assess the number of natural teeth and the prevalence and severity of NCCL by calibrated examiners. Data on age, gender, harmful toothbrushing habits, and acidogenic diet were collected through individual interviews. Multivariate Poisson’s regression models were used to evaluate the association between the independent variables and the prevalence of NCCL according to the three age groups: 15 to 39, 40 to 64, and 65 years or older. Results The prevalence of NCCL among participants was 62.5% (95% confidence interval: 58.2–66.7). Among 15- to 39-year-old participants, the mean of NCCL was higher in males, those with lower number of teeth and acidogenic diet intake. Males aged 40 to 64 years and those with harmful brushing habits were more likely to present higher mean of NCCL. Elderly people with harmful toothbrushing habits had a greater mean of NCCL. Conclusion Demographic (age and gender), clinical (number of teeth), and behavioral characteristics (harmful brushing habits and acidogenic diet) were meaningful factors associated with NCCL severity. The above-mentioned relationships varied between age groups.

Noncarious cervical lesions: Morphology and progression, prevalence, etiology, pathophysiology, and clinical guidelines for restoration

“…Numerous causes for NCCLs have been proposed in the literature but it is generally recognized they have a multifactorial etiology 37 . Contributing factors include excessive horizontal toothbrushing, 4 consumption of acidic foods and drinks, 1,9,25,38 gastroesophageal reflux disease, 9,38,39 being asthmatic, 40 and medications that inhibit salivary flow 38 . There is a preference for acidic beverages in the western diet because they are refreshing, particularly after physical exertion and they “clear the palate” for better appreciation of food.…”

“…Prevalence percentages have varied substantially from lower percentages such as 13.1, 12 16.6, 23 and 17.1 24 to higher percentages of 61.7%, 6 62.5%, 25 and 63%. 8 A range between 9.1 and 93% was reported in one study.…”

“…Demineralization is the most prevalent chronic disease in the world, resulting in osteoporosis (OP) with a worldwide prevalence >10%, 74 NCCLs with a higher prevalence than osteoporosis, 6,8,25 and dental caries being one of the most prevalent chronic diseases worldwide. 75 In fact, the prevalence of untreated dental caries in children aged 5 to 19 years has been reported as 13.2% and in adults aged 20 to 44 years, it is 25.9%.…”

Síndrome de Sjögren primária: impacto do tratamento odontológico de atenção primária e estudo dos anticorpos anti-DNase I

“…Uma observação interessante do presente estudo é que os LCNCs, as quais são definidas clinicamente como perda de tecido dentário ao redor do cementoesmalte não associados à cárie dentária (Penoni et al, 2021), também foram mais frequentes e numerosas nos pacientes com SSp do que nos indivíduos controle. Até onde sabemos, tal achado não havia sido relatado anteriormente na SSp.…”

“…Até onde sabemos, tal achado não havia sido relatado anteriormente na SSp. As LCNCs são consideradas de etiologia multifatorial, sendo alguns fatores importantes a idade, dieta acidificada, estado de saúde bucal e hábitos de higiene (Tomasik, 2006;Penoni et al, 2021). De fato, a etiologia dessas lesões ainda não foi totalmente esclarecida e sua possível associação com a diminuição das taxas de fluxo salivar não-estimulado e estimulado é controversa (Kolak et al, 2018).…”