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Updated: Jun 3, 2026

Mimicking and Measuring Occlusal Erosive Tooth Wear with the "Rub&Roll" and Non-contact Profilometry
Published on: February 2, 2018
Risk indicators for erosive tooth wear in Brazilian preschool children
Christiana Murakami1, Luciana Butini Oliveira, Aubrey Sheiham
1Department of Orthodontics and Pediatric Dentistry, School of Dentistry, Universidade de São Paulo, Brazil. chrismurakami@gmail.com
Insights
Erosive tooth wear (ETW) affects over half of Brazilian preschoolers. Frequent soft drink intake, gastro-oesophageal reflux, and older age are key risk factors for this dental condition.
Area of Science:
- Pediatric Dentistry
- Dental Public Health
- Oral Health Epidemiology
Background:
- Erosive tooth wear (ETW) is a multifactorial condition affecting tooth structure.
- Prevalence and risk factors for ETW in preschool populations require further investigation.
Purpose of the Study:
- To determine the prevalence of ETW in Brazilian preschool children.
- To identify risk indicators associated with ETW in this age group.
Main Methods:
- A cross-sectional study involving 967 children aged 3-4 years.
- Standardized assessment of ETW using a modified O'Brien index.
- Hierarchical logistic regression analysis to identify risk factors.
Main Results:
- The prevalence of ETW was 51.6% among the examined children.
- No significant associations were found with socio-economic, environmental, or nutritional factors.
- ETW was significantly associated with frequent soft drink consumption (≥2 times/day), gastro-oesophageal reflux, and older age.
Conclusions:
- A high prevalence of ETW exists in Brazilian preschool children.
- Frequent soft drink intake, gastro-oesophageal reflux, and age are significant risk indicators for ETW.
- Targeted preventive strategies are needed for this vulnerable population.
Abstract:
The aim of this study was to assess the prevalence and risk indicators for erosive tooth wear (ETW) in Brazilian preschool children. A total of 967 children aged 3-4 years were examined. ETW was assessed using a modified version of the index recommended by O'Brien [London, Her Majesty's Stationary Office, 1994]. The 16 examiners were trained and calibrated. Hierarchical logistic regression was applied to investigate the association between ETW and socio-economic, environmental, nutritional and behavioural factors, as well as factors related to the child's characteristics. ETW was present in 51.6% of children. Most lesions were confined to enamel (93.9%) and involved over two thirds of the tooth surface's area (82%). There were no significant associations between ETW and socio-economic, environmental and nutritional variables. ETW was significantly associated with soft drink intake twice or 3 or more times a day (p = 0.043 and 0.023, respectively), frequent reported gastro-oesophageal reflux (p = 0.005) and age (p = 0.003). In conclusion, there was a high prevalence of ETW in the preschool children examined, and the risk indicators were frequent consumption of soft drinks, reported gastro-oesophageal reflux and age.
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