Dental erosion prevalence and associated risk indicators among preschool children in Athens, Greece
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Published on: March 29, 2018
Magdalini Mantonanaki1, Haroula Koletsi-Kounari, Eleni Mamai-Homata
1Department of Preventive and Community Dentistry, Dental School, University of Athens, 2 Thivon St., 115 27 Athens, Greece.
Insights
Dental erosion is highly prevalent in Greek preschoolers, linked to oral hygiene and socioeconomic status. Early prevention programs are crucial for this common oral disease.
Area of Science:
- Pediatric Dentistry
- Oral Health Epidemiology
- Public Health
Background:
- Dental erosion is an increasing concern in preschool populations.
- Understanding its prevalence and risk factors is vital for early intervention.
Purpose of the Study:
- To determine the prevalence, distribution, and severity of dental erosion in Greek preschool children.
- To identify associations between dental erosion and factors like caries, oral hygiene, socioeconomic status, and health behaviors.
Main Methods:
- A random sample of 605 preschool children in Attica, Greece, underwent clinical examination.
- Dental erosion was assessed using the Basic Erosive Wear Examination Index (BEWE).
- Data on risk indicators were collected via questionnaire, and analyzed using zero-inflated Poisson regression.
Main Results:
- The prevalence of dental erosion was 78.8%, with a mean BEWE score of 3.64.
- Higher family income correlated positively with erosion severity.
- Higher maternal education and poorer oral hygiene were negatively associated with erosion.
Conclusions:
- Dental erosion is a common oral condition among preschool children in Attica, Greece.
- Oral hygiene and socioeconomic factors significantly influence dental erosion.
- Preventive strategies should target young children to mitigate erosion.
Objectives:
The aims of the study were to investigate dental erosion prevalence, distribution and severity in Greek preschool children attending public kindergartens in the prefecture of Attica, Greece and to determine the effect of dental caries, oral hygiene level, socio-economic factors, dental behavior, erosion related medication and chronic illness.
Material And Methods:
A random and stratified sample of 605 Greek preschool children was clinically examined for dental erosion using the Basic Erosive Wear Examination Index (ΒΕWE). Dental caries (dmfs) and Simplified Debris Index were also recorded. The data concerning possible risk indicators were derived by a questionnaire. Zero-inflated Poisson regression was generated to test the predictive effects of the independent variables on dental erosion.
Results:
The prevalence of dental erosion was 78.8 %, and the mean and SE of BEWE index was 3.64 ± 0.15. High monthly family income was positively related to ΒΕWE cumulative scores [RR = 1.204 (1.016-1.427)], while high maternal education level [RR = 0.872 (0.771-0.986)] and poor oral hygiene level [DI-s, RR = 0.584 (0.450-0.756)] showed a negative association.
Conclusions:
Dental erosion is a common oral disease in Greek preschool children in Attica, related to oral hygiene and socio-economic factors.
Clinical Relevance:
Programs aimed at erosion prevention should begin at an early age for all children.
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