EuropEan Journal of paEdiatric dEntistry (original) (raw)
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Tooth wear in the deciduous dentition of 5–7-year-old children: risk factors
Clinical Oral Investigations, 2012
This study was conducted to investigate the distribution and severity of tooth wear in deciduous dentition and its relationship with possible risk factors. A stratified cluster sample of 243 5-7-year-old children was examined using the tooth wear index of Smith and Knight, and their exposure to intrinsic and extrinsic risk factors was retrospectively investigated through a structured questionnaire. The severity of wear was quantitatively estimated by the number of surfaces with affected dentine and by the cumulative score of the sextants, based on the Basic Erosive Wear Examination scoring system. Only 1.6% of the children were tooth wear free, whereas 45.6% had moderate to severe wear involving dentine. Maxillary canines were the most affected teeth (83.2%), and occlusal/incisal the most affected surfaces (52.7%). The likelihood of tooth wear involving dentine was greater in boys than girls (OR=1.72), in immigrants than in Greeks (OR=1.93), and in 6-and 7-year olds than in 5-year olds (OR=2.78 to 2.93). After adjustment for age, gender, and nationality, exposure to several dietary factors and especially to soft drinks was found to significantly affect the prevalence (OR=1.27) and the severity of tooth wear. Every additional serving/week of consumption of soft drinks increases the number of surfaces with dentine affected by 0.03 per year (p<0.05) and the cumulative score of sextants by 0.04 (p<0.05). The cluster of children with the higher prevalence and severity of tooth wear had an average exposure to soft drinks of 10 servings/week for a duration of 4 years. The cumulative score of sextants was better predicted by the assessed risk factors, in comparison with the number of surfaces with affected dentine. Tooth wear is a common condition in children, related both to the physiological process of aging of dentition and to the erosive effect of dietary factors. Strategies to reduce the intake of soft drinks in children are expected to have multiple benefits preventing tooth
Tooth Wear in Children - Prevalence, Clinical Features and Risk Factors
Journal of IMAB - Annual Proceeding (Scientific Papers), 2021
Introduction: Pathological tooth wear in children with primary dentition can be a result of various harmful habits, risk factors and nocturnal bruxism. It is difficult to be distinguished from physiological tooth wear. Aim:To study caries prevalence, tooth wear prevalence, its clinical characteristics and its relationship with bruxism in children aged 3 - 7 years. Materials and methods: The object of the study are 222 children, divided into 5 age groups - from 3 to 7 years. The examined children underwent a clinical examination, during which the following were registered: dental status, caries prevalence, the type, degree and prevalence of tooth wear. Information on the presence and characteristics of nocturnal bruxism in the examined children was obtained from the parents. The results were statistically processed with SPSS-19. Results: Tooth wear is found in more than 2/3 of the examined children (P<0.05). The highest average number of abraded teeth is present in 6- and 7-year-o...
Systematic Review of the Prevalence of Tooth Wear in Children and Adolescents
Caries Research, 2010
showed low dentin exposure, a few reported high prevalence (range 0-54%); age and wear were not related (regression analysis). The results of this systematic review indicate that the prevalence of tooth wear leading to dentin exposure in deciduous teeth increases with age. Increase in wear of permanent teeth with age in adolescents up to 18 years old was not substantiated.
Dental Erosion in Primary Dentition- a Review
Journal of Evidence Based Medicine and Healthcare, 2017
BACKGROUND The pattern of oral diseases has been influenced by ever changing human lifestyle. Tooth wear especially dental erosion has drawn increasing attention as risk factor for tooth damage or loss in recent years. It is a common condition in primary dentition compared to permanent dentition due to thinner and less mineralised enamel. However, it is more worrying, when this condition is being found in an alarming proportion among children. The presence of dental erosion in children is likely to be associated with a number of general health and dietary factors, but it is also aggravated by the relatively more rapid progression of erosion in the deciduous teeth. An understanding of the aetiologies and risk factors for erosion is important for early recognition of dental erosion to prevent serious irreversible damage to the dentition. This paper discusses the erosion in children with regard to its epidemiology, prevalence, clinical features, measurement and prevention.
Erosive wear of the primary dentition: who is aware of it?
European archives of paediatric dentistry, 2018
Aim To determine the influence of erosive tooth wear in the primary dentition on parental perceptions of oral health. Methods This cross-sectional study involved a standardised clinical examination of 775 preschool aged children and a parent-administered questionnaire. Erosive tooth wear was measured using the Basic Erosive Wear Examination Index. Results 71% and 81% of 3 (n = 256) and 5 year-old children (n = 337) respectively exhibited signs of erosive tooth wear. Prevalence was influenced by region (p = 0.049) (p = 0.007) in both age cohorts (χ 2 , p < 0.05) respectively and by parental level of education (p = 0.012) in the 5-year-old cohort. Parental perception of oral health was significantly associated (χ 2 , p < 0.05) with parental level of education in the 5-year-old cohort and with the presence of dental caries, reports of pain and dental appearance of the child in both age cohorts. Parental perceptions were unaffected by the degree of erosive tooth wear their child exhibited (p = 0.0564), (p = 0.739) in both age cohorts respectively. Conclusions Erosive dental tooth wear is increasingly observed in the primary dentition however is not perceived as an oral health issue by parents. Its diagnosis and management therefore, fall heavily within the remit of the dental practitioner.
Dynamics of tooth erosion in adolescents: A 3-year longitudinal study
Journal of Dentistry, 2010
Incidence Progression a b s t r a c t Objectives: The aim of the present study was to estimate the prevalence, incidence and progression of tooth erosion on both mouth and tooth level over a 3-year period in a sample of adolescents. The study also aimed to investigate age, gender and socio-economic influences.
Monographs in Oral Science, 2006
Bibliographic Indices. This publication is listed in bibliographic services, including Current Contents ® and Index Medicus.
Dental erosion and its growing importance in clinical practice: from past to present
Since the mid-1990s, the focus of studies on tooth wear has steadily shifted from the general condition towards the more specific area of dental erosion; equally, a shift has occurred from studies in adults to those in children and adolescents. During this time, understanding of the condition has increased greatly. This paper attempts to provide a critical overview of the development of this body of knowledge, from earlier perceptions to the present. It is accepted that dental erosion has a multifactorial background, in which individual and lifestyle factors have great significance. Notwithstanding methodological differences across studies, data from many countries confirm that dental erosion is common in children and young people, and that, when present, it progresses rapidly. That the condition, and its ramifications, warrants serious consideration in clinical dentistry, is clear. It is important for the oral healthcare team to be able to recognize its early signs and symptoms and to understand its pathogenesis. Preventive strategies are essential ingredients in the management of patients with dental erosion. When necessary, treatment aimed at correcting or improving its effects might best be of a minimally invasive nature. Still, there remains a need for further research to forge better understanding of the subject.
Understanding tooth wear: aetiology, diagnosis, and management
2015
Introduction Tooth wear, or Tooth Surface Loss, are interchangeable terms used to describe the pathological loss of tooth tissue by a disease process other than dental caries 1, 2. A systematic review, investigating the prevalence of tooth wear in adults demonstrated that severe tooth wear affects a significant cohort of the population and increases with age, from 3% at the age of 20 to 17% at the age of 70 3. The review also identified molars as the most severely affected teeth, while incisors as the most commonly affected ones. Furthermore, in children up to 7 years of age, the prevalence of deciduous tooth wear extending into dentine was found to be present in upto 82% of children 4.