Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
European Archives of Paediatric Dentistry
Published in: European Archives of Paediatric Dentistry 1/2018

Open Access 01-02-2018 | Original Scientific Article

Dental erosion, prevalence and risk factors among a group of adolescents in Stockholm County

Authors: M. Skalsky Jarkander, M. Grindefjord, K. Carlstedt

Published in: European Archives of Paediatric Dentistry | Issue 1/2018

Login to get access

Abstract

Aims

To investigate the prevalence and risk factors of dental erosion (DE) among a group of adolescents in Stockholm County.

Materials and methods

This cross sectional cohort study was conducted at three clinics of the Public Dental Service in Stockholm County. Fifteen and 17 year old adolescents (1335) who scheduled their regular dental health examination were asked to participate. After drop-outs a sample of 1071 individuals, 547 males and 524 females were enrolled in the study. Presence of erosive wear was diagnosed (yes/no) on marker teeth by trained dentists/dental hygienists and photographs were taken. The adolescents answered a questionnaire regarding oral symptoms, dietary and behavioural factors. Two calibrated specialist dentists performed evaluation of the photographs for severity of DE using a modified version of the Simplified Erosion Partial Recording System (SEPRS).

Results

DE was clinically diagnosed in 28.3% of 15 years old and 34.3% of 17 years old. Severe erosive wear (grade 3 and 4 according to SEPRS) was found in 18.3% of the adolescents based upon the intra-oral photographs. DE was more prevalent and severe among males than females. Clinically diagnosed erosive lesions correlated significantly with soft drink consumption (p < 0.001), the use of juice or sport drinks as a thirst quencher after exercise (p = 0.006) and tooth hypersensitivity when eating and drinking (p = 0.012). Furthermore, self-assessed gastric reflux was a factor strongly associated with DE (p < 0.001).

Conclusion

The study indicated that DE was common among adolescents in Stockholm County and associated with both internal and external risk factors.
Literature
Al-Dlaigan YH, Shaw L, Smith AJ. Dental erosion in a group of British 14-year-old school children Part I: prevalence and influence of differing socioeconomic backgrounds. Br Dent J. 2001;190:145–9.PubMed
Al-Majed I, Maguire A, Murray JJ. Risk factors for dental erosion in 5–6 year old and 12–14 year old boys in Saudi Arabia. Commun Dent Oral Epidemiol. 2002;30:38–46.CrossRef
Altman DG. Practical statistics for medical research. London: Chapman & Hall; 1995.
Arnadottir IB, Holbrook WP, Eggertsson H. Prevalence of dental erosion: a national survey. Commun Dent Oral Epidemiol. 2010;38:521–6.CrossRef
Bardsley PF, Taylor S, Milosevic A. Epidemiological studies of tooth wear and dental erosion in 14-year-old children in North West England, part 1; the relationship with water fluoridation and social deprivation. Br Dent J. 2004;197:413–6.CrossRefPubMed
Campbell K, Peebles R. Eating disorders in children and adolescents: state of the art review. Pediatrics. 2014;134:582–92.CrossRefPubMed
Dugmore CR, Rock WP. The progression of tooth erosion in a cohort of adolescents of mixed ethnicity. Int J Paediatr Dent. 2003;13:295–303.CrossRefPubMed
Dugmore CP, Rock WP. The prevalence of tooth erosion in 12-year-old children. Br Dent J. 2004a;196:279–82.CrossRefPubMed
Dugmore CR, Rock WP. A multifactorial analysis of factors associated with dental erosion. Br Dent J. 2004b;196:283–6.CrossRefPubMed
El Aidi H, Bronkhorst EM, Huysmans MC. Dynamics of tooth erosion in adolescents: a 3-year longitudinal study. J Dent. 2010;38:131–7.CrossRefPubMed
El Aidi H, Bronkhorst EM, Huysmans MC. Multifactorial analysis of factors associated with the incidence and progression of erosive tooth wear. Caries Res. 2011;45:303–12.CrossRefPubMed
Frese C, Frese F, Kuhlmann S. Effect of endurance training on dental erosion, caries, and saliva. Scand J Med Sci Sports. 2015;25:319–26.CrossRef
Hasselkvist A, Johansson A, Johansson AK. Dental erosion and soft drink consumption in Swedish children and adolescents and the development of a simplified erosion partial recording system. Swed Dent J. 2010;34:187–95.PubMed
Hasselkvist A, Johansson A, Johansson AK. Association between soft drink consumption, oral health and some lifestyle factors in Swedish adolescents. Acta Odontol Scand. 2014;72:1039–46.CrossRefPubMed
Hasselkvist A, Johansson A, Johansson AK. A 4 year prospective longitudinal study of progression of dental erosion associated to lifestyle in 13–14 year-old Swedish adolescents. J Dent. 2016;47:55–62.CrossRefPubMed
Holbrook WP, Arnadottir IB, Kay EJ. Prevention. Part 3: prevention of tooth wear. Br Dent J. 2003;195:75–81.CrossRefPubMed
Holbrook WP, Furuholm J, Gudmundsson K. Gastric reflux is a significant causative factor of tooth erosion. J Dent Res. 2009;88:422–6.CrossRefPubMed
Huysmans MCDNJM, Chew HP, Ellwood RP. Clinical studies of dental erosion and erosive wear. Caries Res. 2011;45:60–8.CrossRefPubMed
Isaksson H, Birkhed D, Wendt L-K. Prevalence of dental erosion and association with lifestyle factors in Swedish 20-year olds. Acta Odont Scand. 2013;72:448–57.CrossRefPubMed
Jaeggi T, Lussi A. Prevalence, incidence and distribution of erosion. Monogr Oral Sci. 2006;20:44–65.CrossRefPubMed
Jensdottir T, Arnadottir IB, Thorsdottir I. Relationship between dental erosion, soft drink consumption, and gastroesophageal reflux among Icelanders. Clin Oral Investig. 2004;8:91–6.CrossRefPubMed
Johansson AK, Johansson A, Birkhed D. Dental erosion, soft-drink intake, and oral health in young Saudi men, and development of a system for assessing erosive anterior tooth wear. Acta Odontol Scand. 1996;54:369–78.CrossRefPubMed
Johansson AK, Lingström P, Birkhed D. Comparison of factors potentially related to the occurrence of dental erosion in high- and low-erosion groups. Eur J Oral Sci. 2002;110:204–11.CrossRefPubMed
Johansson AK, Carlsson GE. Dental erosion: bakgrund och kliniska aspekter (in Swedish). 1st ed. Stockholm: Förlagshuset Gothia; 2006.
Johansson AK, Omar R, Carlsson GE. Dental erosion and its growing importance in clinical practice: from past to present. Int J Dent. 2012a;2012:632907.CrossRefPubMedPubMedCentral
Johansson AK, Norring C, Unell L. Eating disorders and oral health: a matched case-control study. Eur J Oral Sci. 2012b;120:61–8.CrossRefPubMed
Luo Y, Zeng XJ, Du MQ. The prevalence of dental erosion in preschool children in China. J Dent. 2005;33:115–21.CrossRefPubMed
Lussi A, Hellwig E, Zero D. Erosive tooth wear: diagnosis, risk factors and prevention. Am J Dent. 2006;19:319–25.PubMed
Lussi A, Ganss C. Erosive tooth wear from diagnosis to therapy. 2nd ed. Basel: Karger; 2014.
Milosevic A. The problem with an epidemiological index for dental erosion. Br Dent J. 2011;211:201–3.CrossRefPubMed
Mulic A, Skudutyte-Rysstad R, Tveit AB. Risk indicators for dental erosive wear among 18-year-old subjects in Oslo, Norway. Eur J Oral Sci. 2012;120:531–8.CrossRefPubMed
Mulic A, Tveit AB, Skaare AB. Prevalence and severity of dental erosive wear among a group of Norwegian 18-year-olds. Acta Odontol Scand. 2013;71:475–81.CrossRefPubMed
Myklebust S, Espelid I, Svalestad S. Dental health behavior, gastroesophageal disorders and dietary habits among Norwegian recruits in 1990 and 1999. Acta Odontol Scand. 2003;61:100–4.CrossRefPubMed
Olley RC, Moazzez R, Bartlett D. The relationship between incisal/occlusal wear, dentine hypersensitivity and time after the last acid exposure in vivo. J Dent. 2015;43:248–52.CrossRefPubMed
Otsu M, Hamura A, Ishikawa Y. Factors affecting the dental erosion severity of patients with eating disorders. Bio Psych Soc Med. 2014;8:25–31.
Peutzfeldt A, Jaeggi T, Lussi A. Restorative therapy of erosive lesions. Monogr Oral Sci. 2014;25:253–61.CrossRefPubMed
Ranjitkar S, Kaidonis JA, Smales RJ. Gastroesophageal reflux disease and tooth erosion. Int J Dent. 2012;2012:479850.CrossRefPubMed
Salas MMS, Nascimento GG, Huysmans MC. Estimated prevalence of erosive tooth wear in permanent teeth of children and adolescents: an epidemiological systematic review and meta-regression analysis. J Dent. 2015a;43:42–50.CrossRefPubMed
Salas MMS, Nascimento GG, Vargas-Ferreira F. Diet influenced tooth erosion prevalence in children and adolescents: results of a meta-analysis and meta-regression. J Dent. 2015b;43:865–75.CrossRefPubMed
Schlueter N, Tveit AB. Prevalence of erosive tooth wear in risk groups. Monogr Oral Sci. 2014;25:74–98.CrossRefPubMed
Sövik JB, Tveit AB, Storesund T. Dental erosion: a widespread condition nowadays? A cross-sectional study among a group of adolescents in Norway. Acta Odontol Scand. 2014;72:523–9.CrossRefPubMed
Sövik JB, Vieira A, Tveit AB. Enamel formation genes associated with dental erosive wear. Caries Res. 2015;49:236–42.CrossRefPubMed
Tantbirojn D, Pintado MR, Versluis A. Quantitative analysis of tooth surface loss associated with gastroesophageal reflux disease: a longitudinal clinical study. J Am Dent Assoc. 2012;143:278–85.CrossRefPubMed
Truin GJ, van Rijkom HM, Mulder J. Caries trends 1996–2002 among 6- and 12-year-old children and erosive wear prevalence among 12-year-old children in The Hague. Caries Res. 2005;39:2–8.CrossRefPubMed
Uhlen MM, Mulic A, Holme B. The susceptibility to dental erosion differs among individuals. Caries Res. 2016;50:117–23.CrossRefPubMed
van Rijkom HM, Truin GJ, Frencken JEFM. Prevalence, distribution and background variables of smooth-bordered tooth wear in teenagers. Caries Res. 2002;36:147–54.CrossRefPubMed
Van’t Spijker A, Rodriguez JM, Kreulen CM. Prevalence of tooth wear in adults. Int J Prosthodont. 2009;22:35–42.PubMed
Vargas-Ferreira F, Praetzel JR, Ardenghi TM. Prevalence of tooth erosion an associated factors in 11–14-year-old Brazilian school children. J Public Health Dent. 2011;71:6–12.CrossRefPubMed
Wilder-Smith CL, Materna A, Martig L. Gastro-oesophageal reflux is common in oligosymptomatic patients with dental erosion: a pH-impedance and endoscopic study. Unit Eur Gastro J. 2015;3:174–81.CrossRef
Metadata
Title
Dental erosion, prevalence and risk factors among a group of adolescents in Stockholm County
Authors
M. Skalsky Jarkander
M. Grindefjord
K. Carlstedt
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Paediatric Dentistry / Issue 1/2018
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-017-0317-5

Other articles of this Issue 1/2018

European Archives of Paediatric Dentistry 1/2018 Go to the issue

Original Scientific Article

Clinical assessment of class II resin-based composites versus preformed metal crowns performed on primary molars in patients at high risk of caries

Original Scientific Article

Treatment outcomes of using inhalation sedation for comprehensive dental care

Systematic Review

Biodentine™ material characteristics and clinical applications: a 3 year literature review and update

Case Report

Localised aggressive periodontitis in a 3-year-old-boy

Original Scientific Article

Efficacy of a single session protocol for endodontic treatment in primary teeth: in vivo study

Original Scientific Article

Salivary microbial profiles in 5-year old children with oral clefts: a comparative study