Prevalence and Distribution of Tooth Wear in an Elderly Cohort in Port Harcourt, Nigeria

Braimoh, Omoigberai Bashiru; Alade, Grace Onyenashia

doi:10.4103/jdrr.jdrr_37_18

Cited by 5 publications

(4 citation statements)

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“…Although any tooth can be affected by tooth wear in as much as it is in contact with acidic substanbces, our study showed that the lower posterior teeth the most frequent tooth affected by tooth wear, this findings is in agreement with the findings of Braimoh et al [14]. The acidic content of regurgitated gastric juice and saliva tends to settle in the floor of the mouth and occlusal surfaces of teeth and since lower most proximal to the pharynx they are mostly to be the first to be affected having also aided by gravity [7].…”

Section: Discussionsupporting

confidence: 93%

Distribution and Clinical Implications of Tooth Wear Lesions among Chronic Kidney Disease Patients Attending a Tertiary Hospital in South Western Nigeria

2020

J Oral Biol

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Background: Often times, the oral health care of chronic renal failure patients are often neglected, leaving such patients with serious complaints. Tooth wear lesion is one of such problems which are often complicated with dentinal and pulpal exposure. Little is known about its distribution and clinical implications in renal patients. Methodology:This cross-sectional study was conducted among chronic kidney patients being managed with medication and hemodialysis attending at the renal Unit of the Obafemi Awolowo University, Ile-Ife. The participants were selected using simple random methods from among the pool of patients receiving treatment in the Renal clinic. Biodata of each patient was recorded. They were also interviewed for presence of oral complaints and other systemic problems. Oral examination was then conducted on each participant, each tooth was examined for tooth wear lesion and other oral problems. Blood sample was also taken for blood creatinine and urea. Data was analyzed using STATA 14.Results: A total of 130 (99 male and 31 female) renal patients participated in the study out of which 120 (92.3%) had form of tooth wear lesions. Majority of those with oral lesion were above 60 years old. Tooth wear lesion see were dental tooth wear lesion see were dental erosion (95), attrition and abrasion. More than half (63, 52.5%) of the tooth wear lesions were seen in the lower posterior teeth, followed by lower anterior teeth and upper anterior teeth. Higher concentration of creatinine and urea was associated with presence of tooth wear lesion. Lesions seen with renal patients with oral lesion are dentine hypersensitivity, gingival recession. Others are tooth ache, halitosis and tooth mobility. Conclusion:Prevalence of tooth wear lesion in renal patients was 92.3%. The most frequent tooth wear lesion seen was dental erosion. The teeth in the lower posterior segment of the mouth was the most frequently affected. The blood urea and creatinine concentration were significantly higher in patients with tooth wear lesion.

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Section: Discussionsupporting

confidence: 93%

Distribution and Clinical Implications of Tooth Wear Lesions among Chronic Kidney Disease Patients Attending a Tertiary Hospital in South Western Nigeria

2020

J Oral Biol

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“…Sareah et al in 2006(Saerah, 2006 reported that tooth wear lesions are higher in males compared to females when considered in communities with similar sociodemographic factors. Previous research by Braimoh, Alade et al 2018 (Braimoh andAlade, 2018) also reports similar results. This can thus imply that males are more affected when considering full mouth rehabilitation cases, as there are no studies directly reporting the details of full mouth rehabilitation and any gender, age, predilection among the patients with full mouth rehabilitation.…”

Section: Figure 1: the Bar Graph Shows The Frequency Of Males And Femsupporting

confidence: 84%

An assessment of various factors in patients who underwent full mouth rehabilitation in a university hospital set up

Ilankizhai¹,

Duraisamy²,

M³

2020

ijrps

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The best treatment option available for treating any generalised tooth structure loss is to undergo full mouth rehabilitation. Full mouth rehabilitation aims at restoration of form and function of masticatory apparatus to nearly as normal condition as possible. The aim of the study was to report on the gender distribution and most common cause for full mouth rehabilitation among patients with FMR in a private dental college over six months of period. A retrospective study was done using the case records of patients visiting University hospital from June 2019 - March 2020. Case sheets with information on full mouth rehabilitation were retrieved and analysed using SPSS 20.0 software. Descriptive statistics and chi-square tests were performed. The results reported that there were no particular differences in gender distribution. Both females and males had equal predilection(50 % - males, 50 % - Females).Majority of the males who are diagnosed with FMR were in the age group 59 to 68 years whereas females diagnosed with FMR were in the age group 49 to 58 years which was found to be statistically significant as determined by chi-square tests(p value< 0.05).The most common reason in males for full mouth rehabilitation was attrition whereas in females multiple missing teeth, however, there was no significant association between the genders and cause of full mouth rehabilitation as determined by Pearson's chi-square test (p value> 0.05). Within the limits of the study, it can be concluded that Full mouth rehabilitation was done in both genders equally and females underwent FMR at a much younger age than males.

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“…This explanation would imply that the origin of the proband has no influence on the WAG since natural tooth wear occurs in every population. However, this has not yet been addressed in the literature; although, it is assumed that geographic areas and cultures may influence tooth wear lesions [27].…”

Section: Discussionmentioning

confidence: 99%

Gender- and age-related differences in the width of attached gingiva and clinical crown length in anterior teeth

et al. 2021

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Background The anatomical features of the gingiva and the clinical crowns and their interrelation, especially in aesthetically and functionally demanding areas, are important in complex dental or implant-retained prosthetic rehabilitations. This observational cross-sectional study was designed to evaluate gender- and age-related differences in the width of attached gingiva (WAG), the clinical crown length (CCL), and their interrelation in the anterior teeth to determine the relationship between the pink and white aesthetics. Methods Eighty (54 females, 26 males) fully dentate Caucasian participants between the ages of 20 and 25 years and 36 probands (23 females, 13 males) between the ages of 45 and 55 years were included in the present study. The CCL of the maxillary and mandibular canines, as well as the central incisors of the maxilla and mandible, were determined with a dental sliding caliper measuring from the middle margin of the gingiva at its deepest point to the incisal edge. The clinical investigation of the WAG was performed by inserting a periodontal probe into the gingival sulcus in the middle of the buccal surface to firstly measure the probing pocket depth. The distance between the gingival margin and mucogingival junction (MGJ) was then measured with a Beerendonk sliding caliper in the middle of the labial curvature, and the clinical WAG was determined by subtraction of the measured probing depth. For the statistical analysis, the Mann–Whitney U test, the Wilcoxon-Test, the Spearman’s rank correlation, and a two-factorial non-parametric analysis were used. Results There was no correlation between the CCL and the WAG in a healthy periodontium. Gender influenced the CCL, with men having significantly longer teeth than women in both maxilla (P ≤ 0.01) and mandible (P ≤ 0.05). Age did not influence the CCL significantly neither in the upper (P = 0.06) nor in the lower jaw (P = 0.33). Gender did not show to have a significant influence on the WAG of maxilla (P = 0.69) and mandible (P = 0.26). But differences in the WAG between young and old participants were observed in both upper (P ≤ 0.01) and lower jaw (P ≤ 0.05). Conclusion The present observational study demonstrated that the mean values of cohorts with mixed age groups and genders should not be considered when attempting to determine the ideal relationships between the pink and white aesthetics since the statistical analyses showed significant differences between different age groups and genders.

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Prevalence and Distribution of Tooth Wear in an Elderly Cohort in Port Harcourt, Nigeria

Cited by 5 publications

References 0 publications

Distribution and Clinical Implications of Tooth Wear Lesions among Chronic Kidney Disease Patients Attending a Tertiary Hospital in South Western Nigeria

Distribution and Clinical Implications of Tooth Wear Lesions among Chronic Kidney Disease Patients Attending a Tertiary Hospital in South Western Nigeria

An assessment of various factors in patients who underwent full mouth rehabilitation in a university hospital set up

Gender- and age-related differences in the width of attached gingiva and clinical crown length in anterior teeth

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