Tooth wear patterns in the deciduous dentition

Warren, John J.; Yonezu, Takuro; Bishara, Samir E.

doi:10.1067/mod.2002.129193

Cited by 39 publications

(32 citation statements)

References 8 publications

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“…These findings generally agree with those of previous studies. For example, Warren et al [17], in a study of 355 American children with a mean age of 4.7 years, reported that no child was completely free of the condition, while Hugoson et al, [22] The analysis of data concerning the distribution of tooth wear within the dentition showed that it was more common in the maxillary than in the mandible, in the posterior than in the anterior teeth, and in the occlusal/ incisal than in the buccal or lingual surfaces. Previous studies have found similar patterns of distribution of tooth wear [11,17,20,22].…”

Section: Discussionmentioning

confidence: 98%

“…Millward et al [20], in a group of 101 children aged 4-16 years, assessing both deciduous and permanent dentition, found significant association of tooth wear severity (no/mild-moderatesevere) with the frequency of carbonated drinks and fruit drinks consumption and with fruit-based drinks consumption at bedtime. However, other investigators have not found any relationship between tooth wear and erosive dietary factors [11,12,17,34].…”

Section: Discussionmentioning

confidence: 99%

“…The quantitative estimators of tooth wear used are not standardized and validated yet. The number of teeth surfaces affected by tooth wear has been used as an estimator of tooth wear severity in previous studies [16,17]. The Basic Erosive Wear Examination score is a recently proposed scoring system for the evaluation of the severity of tooth wear [6] that was adapted, following the suggestion of the authors [45], to the data of the present study.…”

Section: Discussionmentioning

confidence: 99%

“…In these studies, the prevalence of tooth wear ranged from 30% to 100% of the children examined and from 11% to 80% of the teeth examined [8][9][10][11][12][13][14][15][16][17][18]. The higher susceptibility of the deciduous dentition to tooth wear has rather been attributed to the reduced thickness of the enamel than to its greater solubility in acid [19].…”

Section: Introductionmentioning

confidence: 99%

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Tooth wear in the deciduous dentition of 5–7-year-old children: risk factors

Gatou

Mamai-Homata

2011

Clin Oral Invest

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This study was conducted to investigate the distribution and severity of tooth wear in deciduous dentition and its relationship with possible risk factors. A stratified cluster sample of 243 5-7-year-old children was examined using the tooth wear index of Smith and Knight, and their exposure to intrinsic and extrinsic risk factors was retrospectively investigated through a structured questionnaire. The severity of wear was quantitatively estimated by the number of surfaces with affected dentine and by the cumulative score of the sextants, based on the Basic Erosive Wear Examination scoring system. Only 1.6% of the children were tooth wear free, whereas 45.6% had moderate to severe wear involving dentine. Maxillary canines were the most affected teeth (83.2%), and occlusal/incisal the most affected surfaces (52.7%). The likelihood of tooth wear involving dentine was greater in boys than girls (OR = 1.72), in immigrants than in Greeks (OR = 1.93), and in 6- and 7-year olds than in 5-year olds (OR = 2.78 to 2.93). After adjustment for age, gender, and nationality, exposure to several dietary factors and especially to soft drinks was found to significantly affect the prevalence (OR = 1.27) and the severity of tooth wear. Every additional serving/week of consumption of soft drinks increases the number of surfaces with dentine affected by 0.03 per year (p < 0.05) and the cumulative score of sextants by 0.04 (p < 0.05). The cluster of children with the higher prevalence and severity of tooth wear had an average exposure to soft drinks of 10 servings/week for a duration of 4 years. The cumulative score of sextants was better predicted by the assessed risk factors, in comparison with the number of surfaces with affected dentine. Tooth wear is a common condition in children, related both to the physiological process of aging of dentition and to the erosive effect of dietary factors. Strategies to reduce the intake of soft drinks in children are expected to have multiple benefits preventing tooth wear in childhood and in later life, as well as many other general and oral health diseases.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tooth wear in the deciduous dentition of 5–7-year-old children: risk factors

Gatou

Mamai-Homata

2011

Clin Oral Invest

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“…Also, their smaller size makes dissection of incisors more difficult than molars, and increases the probability of losing a portion of the sample from the dentin-enamel junction area. Finally, the occlusal surfaces of primary teeth, particularly those of maxillary incisors, are prone to wear, which can remove some dentin [Warren et al, 2002]. For these reasons, incisor dentin samples may have contained a greater proportion of total dentin from the fluoride-rich pulpal region than molars, artificially inflating dentin fluoride concentrations and biasing results toward the null.…”

Section: Discussionmentioning

confidence: 99%

Fluoride Concentration in Dentin of Exfoliated Primary Teeth as a Biomarker for Cumulative Fluoride Exposure

Cruz

Rozier²,

Bawden

2008

Caries Res

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A biomarker for lifetime fluoride exposure would facilitate population-based research and policy making but currently does not exist. This study examined the suitability of primary tooth dentin as a biomarker by comparing dentin fluoride concentration and fluoride exposures. Ninety-nine children’s exfoliated primary teeth were collected from 2 fluoridated and 2 fluoride-deficient communities in North Carolina. Coronal dentin was isolated by microdissection and fluoride concentration assayed using the microdiffusion, ion-specific electrode technique. Information on children’s fluoride exposures since birth from drinking water, toothpaste, supplements, rinses, food and beverages was collected by a self-reported questionnaire administered to caregivers. Only a small portion of the variance (10%) in incisor dentin fluoride (mean 792, SD 402 mg/kg) was accounted for by the best linear regression model as evaluated by the adjusted R². A moderate portion of the variance (60%) of molar dentin fluoride (mean 768, SD 489 mg/kg) was predicted by dietary fluoride supplement exposures, community of residence, and frequent tea consumption. Results for molars suggest that primary tooth dentin concentration may prove to be a satisfactory biomarker for fluoride exposure.

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References

2012

Pathology of the Hard Dental Tissues

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Tooth wear patterns in the deciduous dentition

Cited by 39 publications

References 8 publications

Tooth wear in the deciduous dentition of 5–7-year-old children: risk factors

Tooth wear in the deciduous dentition of 5–7-year-old children: risk factors

Fluoride Concentration in Dentin of Exfoliated Primary Teeth as a Biomarker for Cumulative Fluoride Exposure

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