Socio-economic characteristics, acid drinking patterns and gastric alterations associated with erosive tooth wear in chi
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ORIGINAL SCIENTIFIC ARTICLE
Socio‑economic characteristics, acid drinking patterns and gastric alterations associated with erosive tooth wear in children: a cross‑sectional study Carla Massignan1,3 · Juliana Moro1 · Bárbara Moccelini1 · Fernanda Marques Torres de Vasconcelos2 · Mariane Cardoso1 · Michele Bolan1 Received: 15 May 2019 / Accepted: 26 November 2019 © European Academy of Paediatric Dentistry 2019
Abstract Aims Assessing the influence of socio-economic characteristics, acid drinking patterns and gastric alterations considering erosive tooth experience in children. Methods Cross-sectional study to assess 08–10-year-old children enrolled in the primary education in public schools in Florianopolis, Brazil (n = 1085). Caregivers have answered questionnaires comprising independent variables (head of the household education frequency consumption of sports drinks, acid juice/soda, chewing gum, recurrent vomiting, gastric disorders and vomiting after overeating). Four trained dental surgeons have examined the children for the erosive tooth wear-dependent variable (O’Sullivan index), as well as collected dental caries (DMFT) and dental crowding (DAI index) information. A two-stage cluster-sampling plan was conducted. Unadjusted and adjusted logistic regression models were applied (Odds ratio, OR; 95% Confidence interval, CI and 5% significance level). Results The prevalence of erosive tooth wear was 15.67%. Erosive tooth wear was positively associated with high consumption of sports drinks (OR 3.42; 95% CI: 1.18–9.23). Children whose caregivers’ educational level was equal or less than four years of study were less likely to have erosive tooth wear (OR 0.39; 95% CI: 0.17–0.88). Conclusion High consumption of sports drinks is positively associated with erosive tooth wear. Children whose caregivers’ educational level is low are less likely to present erosive tooth wear. Keywords Tooth erosion · Prevalence · Children
Introduction Erosive tooth wear is an irreversible condition (Kazoullis et al. 2007) in which the dental structure is lost in the presence of acids without the participation of bacteria (Carvalho et al. 2015). This chemical–mechanical process may affect both the primary and the permanent dentitions (Hunter et al.
2000). In the acidity presence, the dental tissues soften with subsequent morphological changes, showing shallow enamel concavities that may progress to the dentine if the acid contact continues (Ganss and Lussi 2006). Studies presenting the O’Sullivan index (O’Sullivan 2000) have shown that the prevalence of erosive tooth wear ranges from 25.10% (08–12-year-old children)
* Carla Massignan [email protected]
Michele Bolan [email protected]
Juliana Moro [email protected]
1
Department of Pediatric Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianópolis, SC, Brazil
2
Private Practice, Florianópolis, Brazil
3
Departamento de Odontologia, Universidade Federal de Santa Catarina, UFSC, Campus Universitário, CCS‑ODT, Trindade
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