Prevalence of erosive tooth wear and associated risk factors in Colombian adolescents

Autores organización

• Leidy Viviana Avila Adarme

  Autor

• 

  Margarita Viviana Usuga Vacca

  Autor

• David Augusto Diaz Baez

  Autor

• Stefania Martignon Biermann

  Autor

Autores

• Betlrán E.O.
• Cortés A.
• Castellanos Parras J.E.

Unidades de investigación

• Unidad de Investigación Básica Oral UIBO

  

  Investigador

  Gloria Ines Lafaurie Villamil

• Unidad de Investigación en Caries UNICA

  Investigador

  Stefania Martignon Biermann

Resumen

Accurate determination of the prevalence of erosive tooth wear (ETW) and associated risk factors in adolescents can inform clinical management guidelines. The aim of this analytical cross-sectional study was to estimate the prevalence, severity, and risk factors of ETW in adolescents aged 12–15 years in the municipality of Usaquén in Bogotá, Colombia. Two calibrated examiners clinically assessed ETW using Basic Erosive Wear Examination (BEWE) Index (range: 0–3). All tooth surfaces (excluding proximal) were scored to allow estimation of the Highest (0–3) and Total BEWE (sum of Highest BEWE score per sextant: 0–18) scores per patient. Sociodemographic characteristics, ETW risk factors, and caries severity (ICDAS-epi-merged) were evaluated, and their association with the presence of ETW (indicated by a Highest BEWE score of 2-3) was examined using preliminary analyses and logistic regression models. The study sample included 454 adolescents (mean age: 13.5±1.1 years; female: 61.7%), and the prevalence of ETW was 71.6%. The majority of participants exhibited a Highest BEWE score of 3 (58.0%) and a Total BEWE score =8 (84.3%). The preliminary analysis showed an association between the presence of ETW and age, caries, and brushing teeth before eating (p-value < 0.05). Risk factors for ETW included always brushing teeth before eating [adjusted Prevalence Ratio (PRa) 1.31, p-value=0.014], presence of extensive carious lesions (PRa 1.23, p-value = 0.024), male gender (PRa 1.14, p-value = 0.028), and age > 14 years (PRa 1.17, p-value = 0.009). Although ETW was highly prevalent, most Colombian adolescents exhibited low Total BEWE scores. ETW was associated with frequent fruit intake, age, toothbrushing habits, caries lesions, and sex. © (2024), (Sociedade Brasileira de Hematologia e Hemoterapia). All rights reserved.

Keywords

• Adolescent; Prevalence; Risk Factors; Tooth Erosion; Tooth Wear;Adolescent; Age Distribution; Age Factors; Child; Colombia; Cross-Sectional Studies; Dental Caries; Female; Humans; Logistic Models; Male; Prevalence; Risk Factors; Severity of Illness Index; Sex Distribution; Sex Factors; Socioeconomic Factors; Tooth Erosion; adolescent; age; age distribution; child; Colombia; cross-sectional study; dental caries; dental erosion; epidemiology; etiology; female; human; male; prevalence; risk factor; severity of illness index; sex factor; sex ratio; socioeconomics; statistical model