The use of index teeth vs. full mouth in erosive tooth wear to assess risk factors in the diet: a cross-sectional epidemiological study

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dc.contributor.authorMartignon, Stefania
dc.contributor.authorLópez-Macías, Adriana M.
dc.contributor.authorBartlett, David W.
dc.contributor.authorPitts, Nigel B.
dc.contributor.authorUsuga-Vacca, Margarita
dc.contributor.authorGamboa, Luis Fernando
dc.contributor.authorO'Toole, Saoirse
dc.contributor.orcidMartignon, Stefania [0000-0002-6505-8356]
dc.date.accessioned2020-05-11T17:15:18Z
dc.date.available2020-05-11T17:15:18Z
dc.date.issued2019
dc.description.abstractenglishObjective:To assess common dietary erosive-tooth-wear (ETW) risk in university students from an exotic-fruitcountry comparing index teeth vs. full mouth ETW assessment.Methods:Ariskfactors’questionnairewasappliedon60118–25yearsoldsubjectsinBogotá-Colombia.Trainedexaminers assessed clinically: ETW (BEWE) on all buccal, occlusal and lingual surfaces and ICDAS caries ex-perience (ICDAS-DMFS). Full-arch and index-teeth (buccal of upper-central incisors and occlusal of lower-firstmolars) maximum-BEWE score categorized patients into: with- (2–3) and without wear (0–1). These werecomparedintermsofdemographic,clinical,dietaryandotherfactorswithcrudeandlogisticregressionmodels.Results:Students’ mean age was 20.0 ± 1.9 (77.7% females). Most consumed fruits were erosive/extremelyerosive (57%).Prevalenceofwear was73%(full-mouth)vs.19.6%(index-teeth). Full-mouth-BEWEcorrelatedsignificantly with teeth-index-BEWE score but low (0.31, p < 0.001). Besides anterior-teeth incisal surfaces,occlusal of lower molars (16%) and buccal of upper central incisors (3.3%) showed highest wear frequency.Strawuseor1-hwaitingfortoothbrushingdidn’tshowaprotectiveeffect.ETWwassignificantlyassociatedonindex teeth with frequent intakes of dietary acids(≥3 daily-acidicdrinks and ≥4 daily-fruitportions) (single-variable-logistic regression: OR 4.41, p=0.22 and OR 1.60, p=0.035; multivariable-logistic regression: OR4.47, p=0.022andOR1.63,p=0.036respectively).No significantdifferences werenoticedbetween groupswhen the full-mouth maximum score was used.Conclusion:ThisyoungcohortshoweddietaryETWassociatedwithfrequentdietaryacids’intakesandgradingETW on index teeth vs. full mouth was a more sensitive measurement method to assess underlying ETW riskfactors. The teeth index has promising usefulness for the clinic and epidemiology.Clinical Significance:Using index teeth (buccal of upper central incisors and occlusal of lower first molars) forETW(BEWE)assessmentallowedtoshowassociationinyoungadultsbetweenfrequentdailyexoticfruits/fruitjuicesdietary-acidconsumptionandETW,representingalesstimeconsumingclinical/epidemiologicalmethodof ETW measurement than a full mouth examinationeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.jdent.2019.07.002
dc.identifier.issn0300-5712
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2549
dc.language.isoeng
dc.publisherElsevierspa
dc.publisher.journalJournal of dentistryspa
dc.relation.ispartofseriesJournal of dentistry, 0300-5712, Vol. 88, 2019spa
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0300571219301460?via%3Dihub
dc.rights.creativecommons2019
dc.rights.localAcceso cerradospa
dc.subject.decsEpidemiologíaspa
dc.subject.decsFactores de riesgospa
dc.subject.decsDietaspa
dc.subject.keywordsTooth erosiospa
dc.subject.keywordsTooth wearspa
dc.subject.keywordsDiagnosisspa
dc.titleThe use of index teeth vs. full mouth in erosive tooth wear to assess risk factors in the diet: a cross-sectional epidemiological studyspa
dc.title.translatedThe use of index teeth vs. full mouth in erosive tooth wear to assess risk factors in the diet: a cross-sectional epidemiological studyspa
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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