The prevalence of dental erosion and associated risk factors in 12-13-year-old school children in Southern China

Abstract

BackgroundDental erosion has been investigated in developed and developing countries and the prevalence varies considerably in different countries, geographic locations, and age groups. With the lifestyle of the Chinese people changing significantly over the decades, dental erosion has begun to receive more attention. However, the information about dental erosion in China is scarce. The purpose of this study was to explore the prevalence of dental erosion and associated risk factors in 12-13-year-old school children in Guangzhou, Southern China.MethodsThis cross-sectional survey was performed by two trained, calibrated examiners. A stratified random sample of 12-13-year-old children (774 boys and 725 girls) from 10 schools was examined for dental erosion using the diagnostic criteria of Eccles and the index of O'Sullivan was applied to record the distribution, severity, and amount of the lesions. Data on the socio-economic status, health behaviours, and general health involved in the etiology of dental erosion were obtained from a self-completed questionnaire. The analyses were performed using SPSS software.ResultsAt least one tooth surface with signs of erosion was found in 416 children (27.3%). The most frequently affected teeth were the central incisors (upper central incisors, 16.3% and 15.9%; lower central incisors, 17.4% and 14.8%). The most frequently affected surface was the incisal or occlusal edge (43.2%). The loss of enamel contour was present in 54.6% of the tooth surfaces with erosion. Of the affected tooth surfaces, 69.3% had greater than one-half of the tooth surface was affected. The results from logistic regression analysis demonstrated that the children who were female, consumed carbonated drinks once a week or more, and those whose mothers were educated to the primary level tended to have more dental erosion.ConclusionsDental erosion in 12-13-year-old Chinese school children is becoming a significant problem. A strategy of offering preventive care, including more campaigns promoting a healthier lifestyle for those at risk of dental erosion should be conducted in Chinese children and their parents.

Prevalence and risk factors for dental erosion among 11- to 14-year-old school children in South India

“…Various studies have identified consumption of lemon drinks as an important risk indicator for development of dental erosion due to its acidic contents (citric acid) (10,12). The findings of the present study were also in agreement with the findings of previous studies and frequent consumption of lemon drinks was found to be an important risk factor for dental erosion.…”

“…However, it is more worrying when this condition is found in an alarming proportion among children. If this condition is not controlled and stabilized, the child may suffer from severe tooth surface loss, tooth sensitivity, over closure, poor aesthetics, or even dental abscesses in the affected teeth (10). Since, there is not currently enough data to draw conclusions about the prevalence of dental erosion, more studies are needed in order to better understand the epidemiology of this destructive condition.…”

Dietary Habits and Oral Hygiene Practice amongst Dental Students at the College of Dentistry, Princess Nourah University

“…However, it is important to record erosive wear in all age groups to gather comprehensive information about the prevalence, distribution and incidence of erosive wear among different ages with possible different dietary habits [11] [12]. Geographic location seems to influence the prevalence rates observed in literature, since cultural, ethnical and dietary habits vary according to the region where the study was conducted [13] [14]. Saudi Arabia is one of several countries who underwent an especially rapid development and modernization with food culture changes in the past decades, through adoption of a more westernized diet in lifestyle.…”

“…These roles in prevention require the acquisition of numerous cross-disciplinary psychosocial and skill-based competencies ranging from role beliefs and commitment, to collaborative care [16] [17]. A long-standing challenge in dental education is preparing future clinicians to participate in prevention of oral/systemic health issues [14]- [18].…”

Dental Erozyonun Eti̇yoloji̇si̇ Ve Tedavi̇ Yaklaşimlari

“…Bu bağlamda özellikle genç erişkinlikler arasında hazır gıdaları ve gazlı içecekleri kullanma alışkanlığı artmıştır. Birçok çalışmaya göre gelişmiş ve gelişmekte olan ülkelerin genç çocuk ve erişkinlerinde dental erozyon prevalansının arttığı gözlenmiştir [31][32][33] . Erozyon toplumun her yaş grubunda görüle-bilen yüksek prevalansa sahip eskiden olduğu gibi günümüzde de devam eden önemli bir diş problemidir.…”