scholarly journals Erosive Tooth Wear among Adults in Lithuania: A Cross-Sectional National Oral Health Study

2020 ◽  
Vol 54 (3) ◽  
pp. 283-291
Author(s):  
Lina Stangvaltaite-Mouhat ◽  
Alina Pūrienė ◽  
Indre Stankeviciene ◽  
Jolanta Aleksejūnienė
Keyword(s):  
Drinking Water ◽  
Oral Health ◽  
Tooth Wear ◽  
Male Gender ◽  
Older Age ◽  
Health Study ◽  
Caries Experience ◽  
National Study ◽  
Fluoride Level ◽  
Erosive Tooth Wear

Introduction: Erosive tooth wear has a multifactorial origin, where multiple risks contribute to its initiation and subsequent progression. The prevalence of tooth wear varies among countries; therefore, national studies are needed to examine the prevalence of this condition and its associated determinants. Materials and Methods: A sample of this national study included a total of 1,397 adults (response rate of 52%). Severity and number of teeth with erosive tooth wear, caries experience (D3MFS), and fluorosis were assessed clinically. A self-reported questionnaire inquired about sociodemographics, oral health behavior, diet, and general health. Fluoride levels in drinking water at the recruitment areas were also recorded. Data were analyzed by bivariate and multivariate methods. Results: The prevalence of erosive tooth wear in enamel and dentin combined was 59% among 35- to 44-year-old, 75% among 45- to 54-year-old, 70% among 55- to 64-year-old, and 66% among 65- to 74-year-old males. The prevalence among females in the respective age groups was 44, 60, 63, and 59%. Erosive tooth wear in enamel was associated with a lower fluoride level (≤1 ppm) in the drinking water (OR 2.1, 95% CI 1.1–4.2). Erosive tooth wear in dentin was positively associated with male gender (OR 1.7, 95% CI 1.1–2.5), periurban/rural residency (OR 1.6, 95% CI 1.1–2.4), older age (OR 1.6, 95% CI 1.3–1.9), presence of reflux (OR 3.3, 95% CI 1.0–10.9), and negatively with higher D3MFS scores (OR 0.7, 95% CI 0.5–0.9). Conclusions: The prevalence of erosive tooth wear in enamel and dentin was relatively high in Lithuania; the erosive tooth wear in enamel and dentin combined was 52% among 35- to 44-year-olds, 68% among 45- to 54-year-olds, 67% among 55- to 64-year-olds, and 63% among 65- to 74-year-olds. Lower fluoride level in drinking water was associated with erosive tooth wear in enamel. Male gender, residency in periurban/rural areas, older age, and presence of acid reflux were associated with higher odds, while higher D3MFS scores were associated with lower odds for erosive tooth wear in dentin. These results can be used to plan dental public health prevention.

scholarly journals Does erosive tooth wear affect the oral health-related quality of life of preschool children?

2017 ◽  
Vol 65 (4) ◽  
pp. 326-334
Author(s):  
Gustavo TELLO ◽  
Luciana Butini OLIVEIRA ◽  
Christiana MURAKAMI ◽  
Gabriela Cunha BONINI ◽  
Jenny ABANTO ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Preschool Children ◽  
Oral Health ◽  
Negative Impact ◽  
Tooth Wear ◽  
Health Related Quality ◽  
Erosive Tooth Wear ◽  
Related Quality ◽  
Health Related

ABSTRACT Objective: The aim of this study was to investigate the impact of erosive tooth wear on the Oral Health-Related Quality of life (OHRQoL) of preschool children. Methods: Dental examinations were conducted on 815 children aged 3-4 years during the Children’s Vaccination National Day when their parents were also invited to answer the Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS). ETW prevalence and severity were measured using a modified version of the O’Brien index (1994). Data collected included socioeconomic factors and child's variables. OHRQoL was measured through B-ECOHIS domains and total score. Poisson regression was used to associate ETW to the outcome and this association was adjusted for dental caries and dental trauma. Results: The proportion of children who had at least 1 ETW tooth was 51.2%. Most erosive lesions were confined to enamel (42.7%). The multivariate adjusted model showed that child's age (children aged 4year-old) was associated to a negative impact on the symptom domain (RR=1.70; p=0.010), functional limitation domain (RR=1.85; p=0.005) and total B-ECOHIS score (RR= 1.63; p=0.006). Families with 2 or more children in the house have a negative impact on the self-image/social interaction domain (RR=5.41; p=0.043). ETW was not associated to total B-ECOHIS scores (RR= 0.79; p=0.163) and individual domains. Conclusion: Erosive tooth wear does not affect the OHRQoL in this sample of preschool children.

scholarly journals Dental Caries and the Erosive Tooth Wear Status of 12-Year-Old Children in Jakarta, Indonesia

2019 ◽  
Vol 16 (16) ◽  
pp. 2994 ◽  
Author(s):  
Diah Ayu Maharani ◽  
Shinan Zhang ◽  
Shiqian Sherry Gao ◽  
Chun-Hung Chu ◽  
Anton Rahardjo
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Educational Level ◽  
Health Knowledge ◽  
Dietary Habits ◽  
Soft Drink ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Cluster Sampling ◽  
Erosive Tooth Wear

Background: Indonesia has the largest population of all countries in southeast Asia. However, little information is available on the oral health status of Indonesian children. The aims of this study were to assess dental caries and erosive tooth wear in 12-year-old children in Jakarta, Indonesia and to investigate the associated risk factors. Methods: Samples were selected using cluster sampling. Parents were asked to complete a self-administered questionnaire regarding their oral health knowledge, demographic information, their child’s dietary habits, and oral health-related behaviors. Experience of caries and erosive tooth wear were recorded using the Decayed, Missing (due to caries), and Filled Teeth (DMFT) index and the Basic Erosive Wear Examination (BEWE) index, respectively. Results: Of 779 children invited, 696 participated in the survey. Of these, 61% had experienced caries, and the mean DMFT score was 1.58. Almost all decay was untreated. Children who were female, who had a high frequency of soft drink intake, and whose father’s educational level was low were more likely to have dental caries. Most children had at least one lesion of erosive tooth wear. Children whose mother’s educational level was low were more likely to have erosive tooth wear. Conclusions: The prevalence of dental caries and erosive tooth wear was high in 12-year-old children in Jakarta. Their dietary habits and parental level of education were associated with the presence of these dental conditions.

scholarly journals Fluoride in the drinking water and dental caries experience by tooth surface susceptibility among adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lina Stangvaltaite-Mouhat ◽  
Alina Puriene ◽  
Indre Stankeviciene ◽  
Jolanta Aleksejuniene
Keyword(s):  
Drinking Water ◽  
Oral Health ◽  
Dental Caries ◽  
Tooth Surface ◽  
Caries Experience ◽  
Group 4 ◽  
Occlusal Surfaces ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Abstract Background Dental caries is the most prevalent non-communicable health condition globally. The surface-based susceptibility hierarchy indicates that surfaces in the same group have similar susceptibility to caries, where the most susceptible group consists of occlusal surfaces of first molars and buccal surfaces of lower first molars, and the least susceptible surfaces are smooth and proximal surfaces of first premolars, canines and incisors. Therefore, fluoride in the drinking water could impact one group more than the other group. The present study examined the association between fluoride levels in the drinking water and dental caries experience in adults in the context of varying tooth surface susceptibility. Methods Data from the cross-sectional National Lithuanian Oral Health Survey conducted in 2017–2019 included a stratified random sample of 1398 35–74-year-olds (52% response rate). Dental caries experience in dentine was measured at a surface level. The surfaces were grouped according to their caries susceptibility (group 1 being the most and group 4 the least susceptible), and dental caries experience was calculated separately for each susceptibility group, creating four outcomes. Information about explanatory variable, fluoride levels in the drinking water, was provided by the water suppliers. The questionnaire inquired about potential determinants: sociodemographic characteristics and oral health-related behaviors. Chi-square, Mann–Whitney U and Kruskal Wallis tests were used for descriptive statistics, and linear regression analyses to examine the association between fluoride levels and four outcomes. Results The proportions of median decayed, missing, filled surfaces decreased following the surface-based susceptibility hierarchy (group 1–33%, group 2–28%, group 3–24%, group 4–15%). When adjusted for potential determinants, higher-level fluoride (≥ 0.7 ppm vs < 0.7 ppm) in the drinking water associated with lower dental caries experience in all surface-based susceptibility hierarchy groups; Group 1: β = − 0.23 (95 %CI − 0.44; − 0.001), Group 2: β = − 0.44 (95 %CI − 0.82; − 0.07), Group 3: β = − 1.14 (95 %CI − 1.88; − 0.41) and Group 4: β = − 6.28 (95 %CI − 9.29; − 3.30). Conclusions The higher-level fluoride in the drinking water associated with lower dental caries experience in adults and this was observed in all surface-based susceptibility groups. However, there is a need to validate the surface-based susceptibility hierarchy in longitudinal adult studies.

Erosive tooth wear and caries experience in children and adolescents with obesity

2019 ◽  
Vol 83 ◽  
pp. 77-86 ◽  
Author(s):  
Claudia Tschammler ◽  
Alexandra Simon ◽  
Knut Brockmann ◽  
Markus Röbl ◽  
Annette Wiegand
Keyword(s):  
Children And Adolescents ◽  
Tooth Wear ◽  
Caries Experience ◽  
Erosive Tooth Wear

scholarly journals Dental caries and its association with increasing water fluoride concentration in district Rudraprayag, Uttarakhand

2021 ◽  
Vol 8 (8) ◽  
pp. 4005
Author(s):  
Nidhi Sharma ◽  
Vartika Saxena ◽  
Manisha Naithani
Keyword(s):  
Drinking Water ◽  
Dental Caries ◽  
Dental Fluorosis ◽  
Fluoride Concentration ◽  
World Health ◽  
Therapeutic Window ◽  
Caries Experience ◽  
Fluoride Level ◽  
Cross Sectional ◽  
Water Fluoride

Background: Evidence from scientific literature confirms both beneficial and detrimental effects of fluoride on human health with only a narrow range between intakes associated with these effects. The limits of this range have been controversial among researchers since the 1930s. Considering this, the World Health Organization (WHO) permissible limit of fluoride in India has been reduced from 1.5 to 1.0 mg/l in 1998. This study aimed to evaluate the association between increasing water fluoride levels and dental caries prevention on permanent teeth.Methods: This cross-sectional study involved 1400 children (aged 6–19 years). Caries experience and dental fluorosis were recorded using DMFT/deft and Dean's index respectively. Also, fluoride concentration in drinking water was analyzed. Around 14.4% of children had dental caries with maximum frequency among 9-10 years of age. A significant negative correlation between caries experience and water fluoride level was found (p<0.05), with the lowest DMFT scores at the fluoride level of 0.61–2 mg/l and the highest at 0.0–0.3 mg/l. Whereas, high prevalence of dental fluorosis was observed above 0.7 mg/l.Results: The study revealed that the presence of 0.3-0.7 mg/l fluoride in drinking water reduces dental caries, without an objectionable rise in dental fluorosis.Conclusions: It can be suggested that fluoride has anticaries property but due to a ‘narrow therapeutic window’ of 0.3-0.7 mg/l, in a country like India where endemic fluorosis is prevalent, its topical application should be encouraged which is almost equally effective with less systemic adverse effects.

scholarly journals Different Risk Factors for Erosive Tooth Wear in Rural and Urban Nepal: A National Study

2021 ◽  
Vol 18 (15) ◽  
pp. 7766
Author(s):  
Saujanya Karki ◽  
Viivi Alaraudanjoki ◽  
Jari Päkkilä ◽  
Marja-Liisa Laitala ◽  
Vuokko Anttonen
Keyword(s):  
Private School ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Risk Indicators ◽  
National Study ◽  
Risk Indicator ◽  
Erosive Tooth Wear ◽  
Restorative Treatment ◽  
Tooth Cleaning ◽  
Nepalese Children

Background: Erosive tooth wear (ETW) is of growing concern, but data on ETW among Nepalese children are scarce. The main aim of the study was to investigate the prevalence and severity of ETW among Nepalese schoolchildren. We also aimed to analyse the risk indicators for ETW according to location (rural/urban) and the role of obesity in the risk for ETW. Methods: This national study was conducted among 5–15-year-old Nepalese schoolchildren from different regions. Altogether, 1137 out of 1151 schoolchildren participated in both a clinical examination and a survey. ETW was recorded using the Basic Erosive Wear Examination. Results: The prevalence of ETW was 65%. One-fifth of the examined subjects were in need of preventive or restorative treatment. Living in an urban area and studying in a private school were protective factors for ETW, whereas consuming fruits frequently and using charcoal for tooth cleaning increased the odds for ETW. Central obesity was the strongest risk indicator for ETW among urban residents. Conclusions: ETW of low severity is common among Nepalese children and adolescents. Socio-demographic factors influence the prevalence of ETW in Nepal and there seems to be different factors that play a role in the ETW process according to location of residence.

scholarly journals Oral Health of Australian Adults: Distribution and Time Trends of Dental Caries, Periodontal Disease and Tooth Loss

2021 ◽  
Vol 18 (21) ◽  
pp. 11539
Author(s):  
Najith Amarasena ◽  
Sergio Chrisopoulos ◽  
Lisa M. Jamieson ◽  
Liana Luzzi
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Periodontal Disease ◽  
Time Trends ◽  
Tooth Loss ◽  
Online Survey ◽  
Tooth Surface ◽  
Caries Experience ◽  
National Study ◽  
Dental Practitioners

This study was conducted to describe the distribution and trends in dental caries, periodontal disease and tooth loss in Australian adults based on the findings of the National Study of Adult Oral Health 2017–18. A cross-sectional study of a random sample of Australians aged 15+ years was carried out, employing a three-stage stratified probability sampling design. Data were collected via online survey/telephone interviews using a questionnaire to elicit self-reported information about oral health and related characteristics. Participants were then invited to have an oral examination, conducted by calibrated dental practitioners following a standardised protocol in public dental clinics. A total of 15,731 Australians aged 15+ years were interviewed, of which 5022 dentate participants were orally examined. Results showed that nearly one third of Australian adults had at least one tooth surface with untreated dental caries and, on average, 29.7 decayed, missing or filled tooth surfaces per person. Almost 29% of adults presented with gingivitis while the overall prevalence of periodontitis was 30.1%. Overall, 4% of adults were edentulous while, on average, 4.4 teeth were lost due to pathology. Poorer oral health was evident in Australians from lower socioeconomic backgrounds, indicating socioeconomic inequalities in oral health. Time trends revealed that dental caries experience and tooth retention of Australian adults has improved over 30 years, while periodontal health has deteriorated between 2004–06 and 2017–18. These findings can be used to assist policy makers in planning and implementing future oral healthcare programs.

scholarly journals Dental caries prevalence and its association with fluoride level in drinking water in Sana’a, Yemen

2018 ◽  
Vol 12 (01) ◽  
pp. 015-020 ◽  
Author(s):  
Ameen Abdullah Al-Akwa ◽  
Sadeq Ali Al-Maweri
Keyword(s):  
Drinking Water ◽  
Dental Caries ◽  
Rural Areas ◽  
Fluoride Concentration ◽  
Significant Negative Correlation ◽  
Caries Experience ◽  
Water Age ◽  
Fluoride Level ◽  
Rural Districts ◽  
High Prevalence

ABSTRACT Objectives Dental caries is the most prevalent chronic condition affecting schoolchildren worldwide. This study is aimed to assess the prevalence of dental caries among schoolchildren in urban and rural districts of Sana’a governorate, Yemen, and to investigate the correlation between caries experience and level of fluoride in drinking water, age, gender, and residence. Materials and Methods This school-based survey involved 17,599 schoolchildren (aged 6-12 years), of whom 9623 were boys and 7976 were girls. We used decay-missing-filled teeth/decay-filled teeth (DMFT/dft) indices to evaluate dental caries experience. In addition, fluoride concentration in drinking water was investigated. Results Around 67.6% of children had dental caries. Children residing in urban districts had significantly higher mean scores of DMFT/dft than those in rural areas (P < 0.05). A significant negative correlation between caries experience and fluoride level was found (P < 0.05), with the lowest dft/DMFT scores at the optimum fluoride level of 0.61-2 ppm and the highest at two extremes, 0.0–0.4 ppm and >2 ppm. Conclusion: This survey found a very high prevalence of caries among schoolchildren in Yemen. There was also an inverse relation between dental caries experience and fluoride levels.

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