Risk indicators for dental erosive wear among 18‐yr‐old subjects in Oslo, Norway

Abstract

The aim was to investigate risk indicators associated with dental erosive wear among 18-yr-old subjects in Oslo, Norway. Of 3,206 adolescents invited to participate in a screening examination for erosive wear, 1,456 were examined (giving a response rate of 45%). As part of the examination all participants completed a self-administered questionnaire. Associations between the presence of erosive lesions and the possible risk indicators were assessed by logistic regression analyses, taking into account the hierarchical relationships between the independent variables. Of all 18-yr-old subjects examined, 38% had at least one tooth with erosive lesions. Multivariate analyses showed significant associations between the presence of erosive wear and being male, brushing teeth once per day or less, episodes of vomiting, daily/weekly episodes of gastro-oesophageal reflux, consumption of fruit juice and sugary soft drinks several times per day, as well as consumption of sugary soft drinks daily to once per week. In conclusion, in addition to gender, dietary habits such as frequent consumption of fruit juice and sugary soft drinks, and the occurrence of reflux and vomiting, appear to be risk indicators for erosive wear. When counselling adolescents at risk, the gender-specific risk indicators should be taken into account.

Sour Sweets and Acidic Beverage Consumption Are Risk Indicators for Dental Erosion

“…An increased risk of dental erosion related to gender has been demonstrated [Bardolia et al, 2010;Hasselkvist et al, 2010;Mulic et al, 2012;Søvik et al, 2014], while other studies have not documented any differences [Bartlett et al, 2013;Jensdottir et al, 2004]. Moreover, tooth-brushing frequency has been associated with dental erosion in some studies [Bardolia et al, 2010;Mulic et al, 2012;Zero and Lussi, 2006], while other reports have not corroborated this conclusion [Bartlett et al, 2013;El Aidi et al, 2011;Millward et al, 1994].…”

“…The aetiology is considered to be multifactorial, and the consumption of acidic food and beverages is assumed to be an important contributor to its development [Bartlett et al, 2013;Jarvinen et al, 1991;Lussi, 2006;Lussi et al, 2004]. Even though the prevalence of dental erosion and its association with acidic drinks have been extensively investigated [Dugmore and Rock, 2004;El Aidi et al, 2011;Hasselkvist et al, 2010;Jarvinen et al, 1991;Jensdottir et al, 2004;Johansson et al, 2002;Lussi et al, 2004;Millward et al, 1994;Moazzez et al, 2000;Mulic et al, 2012], previous studies have had a limited focus in describing a doseresponse relationship between an individual's total daily consumption of acidic beverages and the extent of dental erosive wear. …”

Avaliação clínica dos fatores etiológicos das lesões cervicais não cariosas

“…Embora seu papel no desenvolvimento da erosão tenha sido amplamente estudado, os resultados permanecem ambíguos. Alguns estudos têm demonstrado que um elevado consumo de certas bebidas e alimentos ácidos estão relacionados com o desgaste erosivo (JENSDOTTIR et al, 2004;BARTLETT et al, 2011;EL AIDI et al, 2011;MULIC et al, 2012), enquanto outros não confirmam esses resultados (ÁRNADÓTTIR et al, 2003;GURGEL et al, 2011 O suco gástrico que entra na cavidade oral também está associado à erosão dental.…”

“…As perguntas do questionário foram divididas em grupos de acordo com os possíveis (MAIR, 1992;LEVITCH et al, 1994;DONACHIE;WALLS, 1995;BADER et al, 1996;BORCIC et al, 2004) Seguindo o mesmo delineamento metodológico de vários estudos, a presente pesquisa utilizou-se da aplicação de questionário (BADER et al, 1996;TELLES;PEREIRA, 2000;ÁRNADÓTTIR et al, 2003;PEGORARO et al, 2005;TELLES;PEREIRA, 2006;EL AIDI et al, 2011;BARTLETT et al, 2011;BRANDINI et al, 2012b;MULIC et al, 2012), exame clínico e moldagem dos arcos para identificação de facetas de desgaste (BADER et al, 1996;TELLES;PEREIRA, 2000;MILLER et al, 2003;PEGORARO et al, 2005;TELLES;PEREIRA, 2006;PIKDÖKEN et al, 2011;BRANDINI et al, 2012b) e aplicação do índice de biofilme dental (RADENTZ et al, 1976;MILLER et al, 2003;PIKDÖKEN et al, 2011) para correlacionar a presença de lesões com os possíveis fatores etiológicos envolvidos na sua formação e desenvolvimento. Foram consideradas todas as formas de LCNCs presentes nas superfícies vestibulares e palatinas/linguais de todos os dentes, independentemente de suas características e de sua provável etiologia.…”

“…Ácidos responsáveis pela erosão dental podem ser de fontes extrínsecas ou intrínsecas (LUSSI et al, 1991;LUSSI, 2000 apud GRIPPO;. Muitos estudos têm mostrado que a ingestão frequente de bebidas ácidas é um preditor para o desenvolvimento das LCNCs (LUSSI; SCHAFFNER, 2000;JENSDOTTIR et al, 2004;ZERO, 2004;BARTLLET et al, 20011;EL AIDI et al, 2011;MULIC et al, 2012). Lussi e Schaffner (2000), em um estudo longitudinal, distinguiram a taxa de progressão e os fatores de risco das LCNCs com características de erosão e lesões em forma de cunha.…”