The Prevalence of Tooth Wear in the Dutch Adult Population

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For most participants with MCI or dementia, the swallowing ability and chewing ability were perceived as good. In addition, more than half of the prostheses had good retention and occlusion. Participants with more severe cognitive impairment had fewer occluding pairs and a smaller active mouth opening. The degree of tooth wear was less than one-third of the clinical crown in most participants with MCI or dementia.

Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Oral function of older people with mild cognitive impairment or dementia

Delwel

Scherder

Pérez

et al. 2018

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“…While the incidence of caries is declining, the frequency and severity of tooth wear seems to increase 1 . For example, a recent study among Dutch adults showed that mild to moderate tooth wear is a common phenomenon; its prevalence and severity increase with age, as determined in a previous survey 2 . A similar finding was revealed in the United Kingdom, where a 2009 survey 3 reported a higher prevalence of tooth wear than a 1998 survey 4 .…”

Section: Introductionmentioning

confidence: 55%

Diagnosing tooth wear, a new taxonomy based on the revised version of the Tooth Wear Evaluation System (TWES 2.0)

Wetselaar

Wetselaar‐Glas

Katzer

et al. 2020

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Background: Tooth wear is a multifactorial condition, leading to the loss of dental hard tissues. Physiological tooth wear is a slow process that normally does not lead to any subjective symptoms. When the condition progresses, it can become pathological, and several signs and symptoms may occur. The Tooth Wear Evaluation System (TWES) was described to implement a systematic diagnostic and management approach. Recently, management guidelines were presented in a European Consensus Statement (ECS) as well.Objectives: To evaluate the TWES in practice and to integrate the principles described in the ECS in order to compose a renewed TWES 2.0 and a new taxonomy. Methods:The TWES and the recommendations of the ECS were used by dental clinicians, in order to test its applicability in practice.Results: Agreement was reached that the TWES 2.0 will use a stepwise approach, with a straightforward Tooth Wear Screening part and a more detailed Tooth Wear Status part. Also, the assessment of pathology from the ECS is incorporated in the TWES 2.0 (both classification and taxonomy). Conclusions:In the TWES 2.0 is described that tooth wear is pathological if moderate/severe/extreme tooth wear is present, in combination with one or several described signs and symptoms. Aetiology can be assessed by findings that indicate a chemical and/or a mechanical cause. The taxonomy may help to identify situations in which preventive (restorative) interventions in early stages of tooth wear can be indicated. The reliability and validity of the adapted parts must be proven. K E Y W O R D S classification, diagnosis, European Consensus Statement (ECS), management, pathological, physiological, taxonomy, tooth wear, Tooth Wear Evaluation System (TWES) How to cite this article: Wetselaar P, Wetselaar-Glas MMJ, Katzer LD, Ahlers MO. Diagnosing tooth wear, a new taxonomy based on the revised version of the Tooth Wear Evaluation System (TWES 2.0). J Oral Rehabil. 2020;47:703-712. https://doi.

“…However, the teeth involved and the risk of ETW were higher in male adolescents. No evidence indicated that there are any differences in tooth structure between males and females or that the composition of the saliva differs between the genders . Concerning diet, there is evidence that males consume more acidic drinks than females, leading to more ETW.…”

Section: Discussionmentioning

confidence: 99%

A survey on the prevalence and risk indicators of erosive tooth wear among adolescents in Guangzhou, South China

et al. 2019

The term "tooth wear" (TW) is used to describe the loss of dental hard tissues (Viz. enamel and dentine) caused by friction between occlusal surfaces and food during masticatory or non-masticatory processes; between the occlusal surfaces of opposing teeth, with no involvement of dental caries or trauma; or by demineralisation through the action of nonbacterial extrinsic or intrinsic acids. 1 TW can be divided into the subtypes mechanical wear(attrition and abrasion) and chemical wear(erosion, erosive tooth wear, ETW). 2 The aetiology of TW is multifactorial. 3 Dietary factors, acidic medications, oral health behaviours and associated systematic diseases can causeSummary Background: Erosive tooth wear (ETW) has become a crucial oral health problem over the decades in China.Objectives: To explore the prevalence and risk indicators of ETW among adolescents in Guangzhou, south China. Methods:A cross-sectional survey of 720 participants was conducted in Guangzhou, using an equal-sized, stratified, multistage random sampling approach. The participants were from two different age groups (12-and 15-year-olds), 360 per group. The ratio of males to females was 1:1 in each group. ETW was recorded utilising the basic erosive wear examination (BEWE) index as the dependent variable. Independent variables included age, gender, region, socioeconomic status, dietary factors, oral health measures and others. Results:The prevalence rates (weighted) of ETW and dentin exposure (DE) were 56.1% and 26.2% among adolescents in Guangzhou, with mean teeth (weighted) of 1.8 ± 2.5 and 0.6 ± 1.5, respectively. No matter the prevalence or the mean teeth, the 15-year-olds were higher than the 12-year-olds; the mean teeth of ETW of males was higher than that of females; the mean teeth of ETW and DE of the adolescents of low socioeconomic status were higher than those of high socioeconomic status.Medium to high risk levels were found for 10.1%. In the multiple regression model, age, gender and taking acidic foods/drinks before sleep were associated with ETW. Conclusions:Moderate ETW in the permanent dentition was common among adolescents in Guangzhou. However, the teeth involved were low. Dietary factors and demographics were the main risk indicators. K E Y W O R D Sadolescent, cross-sectional survey, erosive tooth wear, oral epidemiology, risk indicator