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Consumption of Acidic Beverages is a Predisposing Factor for Erosive Tooth Wear in Preschool Children: A
Insights
The prevalence of erosive tooth wear (ETW) in Brazilian preschoolers was low at 3.3%. Consumption of acidic beverages was significantly associated with a higher chance of developing ETW.
Area of Science:
- Pediatric Dentistry
- Dental Public Health
- Oral Health Research
Background:
- Erosive tooth wear (ETW) is a multifactorial condition affecting dental tissues.
- Understanding the prevalence and risk factors in preschool populations is crucial for early intervention.
- Deciduous teeth are susceptible to erosive challenges.
Purpose of the Study:
- To determine the prevalence of erosive tooth wear (ETW) in 5-year-old preschoolers.
- To identify factors associated with ETW in this pediatric population.
- To investigate the relationship between dietary habits and ETW.
Main Methods:
- Cross-sectional population-based study involving 888 preschoolers in Teresina, Brazil.
- Parental questionnaires collected socio-demographic, dietary, and oral health information.
- Clinical dental examinations by calibrated examiners using the modified O'Brien Index diagnosed ETW.
Main Results:
- The prevalence of ETW was 3.3%, primarily affecting maxillary incisors, mandibular, and maxillary molars.
- Most lesions were superficial (enamel) and involved less than one-third of the tooth surface.
- Children with an acidic food consumption profile had a 2.74 times higher likelihood of ETW.
Conclusions:
- The prevalence of erosive tooth wear in deciduous teeth among Brazilian preschoolers is low.
- Consumption of acidic beverages is a significant risk factor associated with ETW in this age group.
- Targeted preventive strategies focusing on dietary habits are recommended.
Abstract:
Purpose: In a cross-sectional population-based study of 888 5-year-old preschoolers from Teresina, Brazil, to determine the prevalence and factors associated with erosive tooth wear (ETW).
Materials and Methods: In a questionnaire, parents provided information on sociodemographic factors, their children's eating/drinking habits, and oral health. Dental examination was performed at the schools by two calibrated examiners for the diagnosis of ETW, following the criteria of the modified O'Brien Index.
Results: The prevalence of ETW was 3.3%. The maxillary incisors were the most highly affected teeth, followed by the mandibular and maxillary molars. The majority of the lesions reached only the enamel (72.1%) and up to 1/3 of the dental surface (63.1%). The occlusal surface was the most affected (47.8%). Preschoolers who had an acidic food-consumption profile had a 2.74 times (95% CI = 1.03-7.30) higher chance of having ETW than children without this profile.
Conclusion: The prevalence of erosive tooth wear on the deciduous teeth was low and associated with the consumption of acidic beverages.
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