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Maxillary incisor palatal erosion: no correlation with dietary variables?
R G Chadwick1, H L Mitchell, S L Manton
1Dundee Dental School and Hospital, Park Place, Dundee, DD1 4HN, Scotland, UK. r.g.chadwickf@dundee.ac.uk
The Journal of Clinical Pediatric Dentistry
|February 22, 2005
Summary
Frequent brushing with fluoride toothpaste may protect against palatal tooth erosion. Previous erosion and common risk factors did not predict future tooth substance loss in children.
Area of Science:
- Dental Science
- Oral Health
- Preventive Dentistry
Background:
- Tooth erosion, particularly on the palatal surfaces of maxillary incisors, is a concern in pediatric dentistry.
- Identifying risk factors for palatal tooth erosion is crucial for effective prevention strategies.
Purpose of the Study:
- To investigate the relationship between palatal tooth erosion in permanent maxillary central incisors and various dietary, behavioral, and medical factors.
- To assess the predictive value of previous erosion and identified risk factors on ongoing tooth substance loss.
Main Methods:
- A longitudinal study involving 251 schoolchildren (aged 11-13) over 18 months.
- Dental impressions were used to measure palatal tooth substance loss via electroconductive replicas and surface matching.
- Structured interviews assessed potential erosive dietary, behavioral, and medical risk factors.
Main Results:
- Previous tooth erosion did not predict the level of ongoing erosion.
- More frequent tooth brushing with fluoridated toothpaste showed a significant correlation with lower levels of ongoing erosion (P = 0.011).
- No significant correlation was found between assessed risk factors and the degree of palatal tooth substance loss.
Conclusions:
- Past palatal erosion is not a reliable predictor of future erosion.
- Topical fluoride from toothpaste may offer protection against palatal erosion.
- Individual susceptibility and salivary factors might be more significant predictors of tooth erosion than commonly identified risk factors.
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