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Original Research

Open Access

Risk indicators for the severity of erosive wear in deciduous dentition of Mexican schoolchildren aged 5 to 7 years

  • María Fernanda Vázquez-Ortíz1
  • Socorro Aída Borges-Yáñez2
  • Adrian Lussi3
  • Álvaro E. González-Aragón Pineda4,*,

1Master and Doctoral Program in Medical, Dental and Health Sciences at the School of Dentistry, National Autonomous University of México, 04510 Mexico City, Mexico

2Dental Public Health Department, Graduate and Research Division at the School of Dentistry, National Autonomous University of México, 04510 Mexico City, Mexico

3Department of Operative Dentistry and Periodontology, University Medical Centre, 79106 Freiburg, BW, Germany

4Faculty of Higher Studies (FES) Iztacala, National Autonomous University of Mexico, 54090 Tlalnepantla, MX, Mexico

DOI: 10.22514/jocpd.2024.068 Vol.48,Issue 3,May 2024 pp.146-155

Submitted: 01 September 2023 Accepted: 10 October 2023

Published: 03 May 2024

*Corresponding Author(s): Álvaro E. González-Aragón Pineda E-mail: alvaroedgar@unam.mx

Abstract

The objective of this work was to estimate the prevalence and severity of erosive tooth wear (ETW), and to identify risk indicators of deciduous dentition of a group of schoolchildren from public schools in Tlalnepantla de Baz, State of Mexico. A cross-sectional study was carried out in 352 schoolchildren from 5 to 7 years old. The severity of the ETW was evaluated using the Basic Erosive Wear Examination (BEWE). Risk indicators were evaluated through a survey which included food and beverage consumption, consumption habits, vitamin C consumption, gastroesophageal reflux, heartburn, belching, xerostomia, vomiting and teeth grinding. Multinomial logistic regression models were fitted. The prevalence of ETW was 99.7% (n = 351). Regarding severity, 46.6% were at a null/mild level, 27.3% moderate, and 26.1% severe. Males were more likely to present severe ETW (odds ratio (OR) = 2.23, 95% confidence interval (CI), 1.27–3.93; p = 0.005). The risk indicators for the severity of ETW were the frequent consumption of citrus fruits (OR = 2.09, 95% CI, 1.12–3.89; p = 0.021), fruit juice (OR = 1.99, 95% CI, 1.06–3.75; p = 0.033), processed beverages (OR = 2.15, 95%CI, 1.23–3.78; p = 0.008) and hot sauce (OR = 1.82, 95% CI, 1.03–3.20; p = 0.036). The prevalence of ETW in the deciduous dentition was very high (99.7%) and ~1/3 for severe ETW. The dietary factors associated with severe ETW are part of the regular consumption of Mexican school-age children, which impact their oral health condition. It is important to establish intervention strategies from the infant stage, focused on both children and their caregivers.


Keywords

Erosive dental wear; Epidemiology; Deciduous dentition; Severity


Cite and Share

María Fernanda Vázquez-Ortíz,Socorro Aída Borges-Yáñez,Adrian Lussi,Álvaro E. González-Aragón Pineda. Risk indicators for the severity of erosive wear in deciduous dentition of Mexican schoolchildren aged 5 to 7 years. Journal of Clinical Pediatric Dentistry. 2024. 48(3);146-155.

References

[1] Schlueter N, Amaechi BT, Bartlett D, Buzalaf MAR, Carvalho TS, Ganss C, et al. Terminology of erosive tooth wear: consensus report of a workshop organized by the orca and the cariology research group of the IADR. Caries Research. 2020; 54: 2–6.

[2] Carvalho TS, Lussi A, Jaeggi T, Gambon DL. Erosive tooth wear in children. Monographs in Oral Science. 2014; 25: 262–278.

[3] Carvalho TS, Lussi A, Schlueter N, Baumann T. Differences in susceptibility of deciduous and permanent teeth to erosion exist, albeit depending on protocol design and method of assessment. Scientific Reports. 2022; 12: 4153.

[4] Wilson PR, Beynon AD. Mineralization differences between human deciduous and permanent enamel measured by quantitative microradiography. Archives of Oral Biology. 1989; 34: 85–88.

[5] Magalhães AC, Rios D, Honório HM, Delbem AC, Buzalaf MA. Effect of 4% titanium tetrafluoride solution on the erosion of permanent and deciduous human enamel: an in situ/ex vivo study. Journal of Applied Oral Science. 2009; 17: 56–60.

[6] Amaechi BT, Higham SM, Edgar WM. Factors influencing the development of dental erosion in vitro: enamel type, temperature and exposure time. Journal of Oral Rehabilitation. 1999; 26: 624–630.

[7] Schlueter N, Luka B. Erosive tooth wear—a review on global prevalence and on its prevalence in risk groups. British Dental Journal. 2018; 224: 364–370.

[8] Harding MA, Whelton H, O’Mullane DM, Cronin M. Dental erosion in 5-year-old Irish school children and associated factors: a pilot study. Community Dental Health. 2003; 20: 165–170.

[9] Gatou T, Mamai-Homata E. Tooth wear in the deciduous dentition of 5–7-year-old children: risk factors. Clinical Oral Investigations. 2012; 16: 923–933.

[10] Salas MM, Nascimento GG, Huysmans MC, Demarco FF. Estimated prevalence of erosive tooth wear in permanent teeth of children and adolescents: an epidemiological systematic review and meta-regression analysis. Journal of Dentistry. 2015; 43: 42–50.

[11] Lussi A, Megert B, Shellis RP. The erosive effect of various drinks, foods, stimulants, medications and mouthwashes on human tooth enamel. Swiss Dental Journal. 2023; 133: 440–455.

[12] Dib Gonçalves SC, Torres CP, Gomes-Silva JM, de Souza Peruchi CM, Palma-Dibb RG, Borsatto MC.. Effect of acid beverage on the microhardness of primary tooth enamel in vitro. Journal of Dentistry for Children. 2021; 88: 11–16.

[13] Saads Carvalho T, Lussi A. Chapter 9: acidic beverages and foods associated with dental erosion and erosive tooth wear. Monographs in Oral Science. 2020; 28: 91–98.

[14] Yip K, Lam PPY, Yiu CKY. Prevalence and associated factors of erosive tooth wear among preschool children—a systematic review and meta-analysis. Healthcare. 2022; 10: 491.

[15] Tschammler C, Müller-Pflanz C, Attin T, Müller J, Wiegand A. Prevalence and risk factors of erosive tooth wear in 3–6 year old German kindergarten children—a comparison between 2004/05 and 2014/15. Journal of Dentistry. 2016; 52: 45–49.

[16] Marqués Martínez L, Segarra Ortells C, Gavara Navarro MaJ, Borrell García C. Dental erosion in a sample of Valencian children. Prevalence and evaluation of eating habits. Nutrición Hospitalaria. 2020; 37: 895–901.

[17] Pereira AS, Lima LRS, Lima MDM, Lima CCB, Paiva SM, Moura LFAD, et al. Consumption of acidic beverages is a predisposing factor for erosive tooth wear in preschool children: a population-based study. Oral Health and Preventive Dentistry. 2020; 18: 1061–1067.

[18] Gaona-Pineda EB, Martínez-Tapia B, Arango-Angarita A, Valenzuela-Bravo D, Gómez-Acosta LM, Shamah-Levy T, et al. Food groups consumption and sociodemographic characteristics in Mexican population. Salud Pública de México. 2018; 60: 272–282.

[19] Gaona-Pineda EB, Rodríguez-Ramírez S, Medina-Zacarías MC, Valenzuela-Bravo DG, Martinez-Tapia B, Arango-Angarita A. Food groups consumption in Mexican population. Ensanut 2020–2022. Salud Pública de México. 2023; 65: S248–S258.

[20] González-Aragón Pineda ÁE, Borges-Yáñez SA, Lussi A, Aguirre-Hernandez R, García-Pérez Á. Prevalence, incidence, and progression of erosive tooth wear and their respective risk factors among schoolchildren in Mexico City. Pediatric Dentistry. 2020; 42: 300–307.

[21] Garduño-Picazo MG, Ruiz-Ramos M, Juárez-López M. Dental erosion risk factors in 6 to 12 year old children in Mexico City. Journal of Clinical Pediatric Dentistry. 2020; 44: 95–99.

[22] Instituto Nacional De Estadística y Geografía (INEGI). 2020. Available at https://www.inegi.org.mx/app/areasgeograficas/?ag=15#collapse-Resumen (Accessed: 20 September 2023).

[23] Consejo Nacional de Población (CONAPO). Indices de Marginación por Entidad Federativa y Municipio. 2021. Available at https://www.gob.mx/conapo/documentos/indices-de-marginacion-2020-284372 (Accessed: 20 September 2023).

[24] Wiegand A, Müller J, Werner C, Attin T. Prevalence of erosive tooth wear and associated risk factors in 2–7‐year‐old German kindergarten children. Oral Diseases. 2006; 12: 117–124.

[25] Holbrook WP, Árnadóttir IB, Hlöðversson SO, Arnarsdóttir E, Jónsson SH, Sæmundsson SR. The basic erosive wear examination (BEWE) applied retrospectively to two studies. Clinical Oral Investigations. 2014; 18: 1625–1629.

[26] Olley RC, Wilson R, Bartlett D, Moazzez R. Validation of the basic erosive wear examination. Caries Research. 2014; 48: 51–56.

[27] Liu JW, Shi XY, Li JX, Li X. The prevalence of erosive tooth wear and related risk factors in 6- to 12-year-old students. Oral Health and Preventive Dentistry. 2021; 19: 635–646.

[28] Rodrigues CR, Ando T, Guimarães LO. Simplified oral hygiene index for ages 4 to 6 and 7 to 10 (deciduous and mixed dentition). Revista de Odontologia da Universidade de São Paulo. 1990; 4: 20–24.

[29] Gatt G, Attard N. Erosive wear of the primary dentition: who is aware of it? European Archives of Paediatric Dentistry. 2019; 20: 285–294.

[30] Tvilde BN, Virtanen JI, Bletsa A, Graue AM, Skaare AB, Skeie MS. Dental erosive wear in primary teeth among five-year-olds—Bergen, Norway. Acta Odontologica Scandinavica. 2021; 79: 167–173.

[31] Pineda-Higuita S, Saldarriaga-Bolívar V, González-Penagos C, Moreno-Callejas S, Murillo-Murillo AY. Characteristics and severity of tooth wear in 2 to 5-year-old kindergarten children in Medellin. Acta Odontológica Latinoamericana. 2019; 32: 75–78.

[32] Mantonanaki M, Koletsi-Kounari H, Mamai-Homata E, Papaioannou W. Dental erosion prevalence and associated risk indicators among preschool children in Athens, Greece. Clinical Oral Investigations. 2013; 17: 585–593.

[33] Martignon S, Bartlett D, Manton DJ, Martinez-Mier EA, Splieth C, Avila V. Epidemiology of erosive tooth wear, dental fluorosis and molar incisor hypomineralization in the American Continent. Caries Research. 2021; 55: 1–11.

[34] Dahal S, Poudel P, Pradhan M, Mainali B. Tooth wear and associated factors in school children with primary dentition in kathmandu valley. Journal of Nepal Health Research Council. 2021; 18: 637–643.

[35] Jayakumar P, FelsyPremila G, Muthu MS, Kirubakaran R, Panchanadikar N, Al-Qassar SS. Bite force of children and adolescents: a systematic review and meta-analysis. Journal of Clinical Pediatric Dentistry. 2023; 47: 39–53.

[36] Hartz JJ, Procopio A, Attin T, Wegehaupt FJ. Erosive potential of bottled salad dressings. Oral Health and Preventive Dentistry. 2021; 19: 51–57.

[37] Lingström P, Simark Mattsson C. Chapter 2: oral conditions. Monographs in Oral Science. 2020; 28: 14–21.

[38] Basha S, Enan ET, Mohamed RN, Ashour AA, Alzahrani FS, Almutairi NE. Association between soft drink consumption, gastric reflux, dental erosion, and obesity among special care children. Special Care in Dentistry. 2020; 40: 97–105.

[39] Mohamed RN, Basha S, Al-Thomali Y, AlZahrani FS, Ashour AA, Almutair NE. Dental erosion prevalence and its association with obesity among children with and without special healthcare needs. Oral Health and Preventive Dentistry 2021; 19: 579–586.

[40] Nelson SP, Chen EH, Syniar GM, Christoffel KK. Prevalence of symptoms of gastroesophageal reflux during childhood: a pediatric practice-based survey. Pediatric Practice Research Group. Archives of Pediatrics & Adolescent Medicine. 2000; 154: 150–154.

[41] Ganss C, Klimek J, Giese K. Dental erosion in children and adolescents—a cross-sectional and longitudinal investigation using study models. Community Dentistry and Oral Epidemiology. 2001; 29: 264–271.


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