Prevalence and risk factors for non-carious cervical lesions in children attending special needs schools in India

Kumar, Sandeep; Kumar, Ajay; Debnath, Nitai; Kumar, Amit; Badiyani, Bhumika Kamal; Basak, Debashish; Ali, Mohamed; Ismail, Mohammed B.

doi:10.2334/josnusd.57.37

Cited by 11 publications

(23 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Univariate analysis showed significant association between horizonal toothbrushing and NCCLs; however, multivariate regression analysis failed to identify horizontal brushing as an independent predictor. Horizontal brushing with commercial toothpaste and use of abrasive toothpaste increased the frequency of NCCLs in two studies but in recent studies, the hypothesis that the type of toothpaste is significantly associated with the presence or frequency of NCCLs was not confirmed. In contrast to previous research and dentists’ common beliefs that hard‐bristled brushes and excessive pressure during toothbrushing have an impact on development of NCCLs, an association between the two was not found in the current study.…”

Section: Discussioncontrasting

confidence: 99%

“…Horizontal brushing with commercial toothpaste and use of abrasive toothpaste increased the frequency of NCCLs in two studies but in recent studies, the hypothesis that the type of toothpaste is significantly associated with the presence or frequency of NCCLs was not confirmed. In contrast to previous research and dentists’ common beliefs that hard‐bristled brushes and excessive pressure during toothbrushing have an impact on development of NCCLs, an association between the two was not found in the current study. Toothbrush hardness does not affect enamel but could have significant impact on the roughness of the dentin surface.…”

Section: Discussioncontrasting

confidence: 99%

“…Donachie and Walls found that mandibular incisors demonstrate a higher degree of abrasion than maxillary incisors; however, the maxillary canines are more frequently affected by this type of lesion than the mandibular canines. The results of the current study are also in agreement with previous research on prevalence of NCCLs, indicating that the first mandibular premolars have been identified as the teeth most frequently affected by TWI levels (score) of 2 and 3.…”

Section: Discussionsupporting

confidence: 92%

“…Several studies explored the association between NCCLs and risk factors 2,16,30,34 . The main risk factors related to NCCLs in the current study were frequent consumption of acidic food, frequent consumption of acidic drinks, retention of drink in the mouth, consumption of alcoholic drinks, bruxism and GER.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence of non-carious cervical lesions among the general population of the Republic of Srpska, Bosnia and Herzegovina

Zuza

Račić

Ivković³

et al. 2019

International Dental Journal

View full text Add to dashboard Cite

Introduction As non‐carious cervical lesions (NCCLs) may compromise aesthetics and function, knowledge of their aetiological covariables enhances management of clinical complaints and success of restorative treatments. Aims The primary aim of this study was to assess the presence of NCCLs among the general population of the Republic of Srpska, Bosnia and Herzegovina and the potential association with patient‐related risk factors. Methods A prevalence study of NCCLs included 738 respondents from eight towns/municipalities. Two dental practitioners examined all respondents. NCCLs were diagnosed according to the Smith and Knight tooth wear index, measured using a Williams periodontal probe. Data regarding risk factors were obtained through a structured questionnaire. Multivariate logistic regression was used to analyse the association of risk factors and the occurrence of NCCLs. Results Non‐carious cervical lesions were diagnosed in 384 (52%) respondents. Multivariate regression analysis showed that several variables were independently associated with the risk of developing NCCLs, including frequent consumption of acid food (P = 0.001), frequent consumption of acid drinks (P = 0.001), retaining drink in the mouth (P = 0.001), alcohol consumption (P = 0.030), bruxism (P = 0.018) and gastro‐oesophageal reflux (P = 0.023). First mandibular premolars were the most affected teeth (left: 46.0%; right: 44.0%), followed by the second right maxillary premolars (37.3%), second left maxillary premolars (33.6%) and finally by the first right maxillary premolars (34.0%). Conclusion The results of the current study suggest that NCCLs occur frequently and have a multifactorial aetiology. The lowest prevalence was recorded among individuals younger than 20 years of age. As the majority of risk factors are modifiable, regular dental care could lead to the early detection of NCCLs.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of non-carious cervical lesions among the general population of the Republic of Srpska, Bosnia and Herzegovina

Zuza

Račić

Ivković³

et al. 2019

International Dental Journal

View full text Add to dashboard Cite

show abstract

“…In addition to the occlusal factors, the influence of the factors related to brushing the teeth has been extensively investigated, an association having been reported with one or more factors such as frequency, technique, force, bristle hardness, use of paste or starting point . In the model obtained, only vigorous brushing is a risk factor, as found in previous studies focused on this and other toothbrushing variables .…”

Section: Discussionmentioning

confidence: 92%

Non‐carious cervical lesions and risk factors: A case‐control study

Álvarez-Arenal

Alvarez-Menendez

González-González

et al. 2018

J of Oral Rehabilitation

View full text Add to dashboard Cite

Summary Objectives To evaluate whether the presence of non‐carious cervical lesions (NCCLs) was related to the considered risk factors and to show the corresponding odds ratio in a predictive model. Methods The sample was 280 dentistry students. In an initial clinical examination, 140 cases were selected that presented one or more teeth with non‐carious cervical wear. For each case, a similar sex and age control without any tooth with non‐carious cervical lesions was selected. An occlusal examination and periodontal probing were performed in all cases and controls by skilled dentists. All the subjects answered a questionnaire referring to factors of brushing, bruxism, preferred chewing side, consumption of extrinsic acids and the presence of intrinsic acids. Data were analysed by means of univariate and multivariate logistic regression. Results Of all the study variables, only the protrusion interferences, interferences on the non‐working side, the brushing force, CPITN value and the consumption of salads increase the risk of NCCLs in the univariate regression. The best predictive model was formed by the combination of CPITN variables >1, the consumption of acidic salads, self‐reported bruxism, brushing force and attrition. However, it only correctly classifies 68.75% of subjects. Conclusions This study supports the multifactorial aetiology of NCCLs, the combination of several factors being necessary to explain their presence. The risk factors that make up the predictive model are not sufficient to explain the appearance of NCCLs. Dentists should take into account all these risk factors in prevention, diagnosis and treatment.

show abstract

Effect of the toothbrush tuft arrangement and bristle stiffness on the abrasive dentin wear

Hamza

Niedzwiecki

Körner

et al. 2022

Sci Rep

View full text Add to dashboard Cite

The geometrical properties of toothbrushes play a role in developing abrasive tooth wear and non-carious cervical lesions. This study investigated the interplay between the toothbrush tuft arrangement (crossed vs. parallel) and bristle stiffness (soft vs. medium) on the abrasive dentin wear using three slurries with different levels of abrasivity (RDA: 67, 121 and 174). Twelve groups of bovine dentin samples (n = 20) were brushed with a combination of the aforementioned variables. Abrasive dentin wear was recorded with a profilometer and the resulting abrasive wear of each group was calculated and compared with each other using two-way ANOVA and pairwise tests. Toothbrushes with parallel tuft arrangement caused statistically significantly higher dentin wear compared to crossed tuft arrangement, regardless of the abrasivity level of the used slurry and the bristle stiffness. Soft crossed tuft toothbrushes caused statistically significantly higher abrasive dentin wear than medium crossed tuft toothbrushes, while soft and medium parallel tuft toothbrushes caused the same amounts of dentin wear, regardless of the RDA value of the used slurry. These results could be helpful for dentists and dental hygienists when advising patients. Crossed tuft toothbrushes could be a less-abrasive choice in comparison to parallel tuft toothbrushes.

show abstract

Prevalence and risk factors for non-carious cervical lesions in children attending special needs schools in India

Cited by 11 publications

References 26 publications

Prevalence of non-carious cervical lesions among the general population of the Republic of Srpska, Bosnia and Herzegovina

Prevalence of non-carious cervical lesions among the general population of the Republic of Srpska, Bosnia and Herzegovina

Non‐carious cervical lesions and risk factors: A case‐control study

Effect of the toothbrush tuft arrangement and bristle stiffness on the abrasive dentin wear

Contact Info

Product

Resources

About