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Clinical Oral Investigations
Published in: Clinical Oral Investigations 2/2013

01-03-2013 | Original Article

Dental erosion prevalence and associated risk indicators among preschool children in Athens, Greece

Authors: Magdalini Mantonanaki, Haroula Koletsi-Kounari, Eleni Mamai-Homata, William Papaioannou

Published in: Clinical Oral Investigations | Issue 2/2013

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Abstract

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.
Literature
1.
Dugmore CR, Rock WP (2003) The progression of tooth erosion in a cohort of adolescents of mixed ethnicity. Int J of Peadiatr Dent 13:295–303CrossRef
2.
Barbour ME, Rees GD (2006) The role of erosion, abrasion and attrition in tooth wear. J Clin Dent 17:88–93PubMed
3.
Jaeggi T, Lussi A (2006) Prevalence, incidence and distribution of erosion. Monogr Oral Sci 20:44–65PubMedCrossRef
4.
Pindborg JJ (1970) Pathology of the dental hard tissues. Munskgaard, Copenhagen, pp 312–321
5.
Millward A, Shaw L, Smith A (1994) Dental erosion in four-year-old children from differing socioeconomic backgrounds. ASDC J Dent Child 61:263–266PubMed
6.
7.
Linnett V, Seow WK (2001) Dental erosion in children: a literature review. Peadiatr Dent 23:37–43
8.
Bartlett D, Dugmore C (2008) Pathological or physiological erosion—is there a relationship to age? Clin Oral Investig 12(Suppl 1):27–31CrossRef
9.
Wiegand A, Muller J, Werner C, Attin T (2006) Prevalence of erosive tooth wear and associated risk factors in 2-7-year-old German kindergarten children. Oral Dis 12:117–124PubMedCrossRef
10.
Ganss C, Klimek J, Giese K (2001) Dental erosion in children and adolescents—a cross-sectional and longitudinal investigation using study models. Community Dent Oral Epidemiol 29:264–271PubMedCrossRef
11.
Chadwick BL, White DA, Morris AJ, Evans D, Pitts NB (2006) Non-carious tooth conditions in children in the UK, 2003. Br Dent J 200:379–384PubMedCrossRef
12.
Harding MA, Whelton HP, Shirodaria SC, O’Mullane DM, Cronin MS (2010) Is tooth wear in the primary dentition predictive of tooth wear in the permanent dentition? Report from a longitudinal study. Community Dent Health 27:41–45PubMed
13.
Taji S, Seow K, Townsend G, Holcombre T (2010) A controlled study of dental erosion in 2- to 4-year-old twins. Int J Paediatr Dent 20:400–409PubMedCrossRef
14.
Luo Y, Zeng XJ, Du MQ, Bedi R (2005) The prevalence of dental erosion in preschool children in China. J Dent 33:115–121PubMedCrossRef
15.
Al-Majed MA, Murray J (2002) Risk factors for dental erosion in 5–6 year old and 12–14 year old boys in Saudi Arabia. Community Dent Oral Epidemiol 30:38–46PubMedCrossRef
16.
O’Brien M (1994) Children’s dental health in the United Kingdom 1993. Her Majesty’s Stationery Office, London
17.
Jones SG, Nunn JS (1995) The dental health of 3-year-old children in East Cambria 1993. Community Dent Health 12:161–166PubMed
18.
Hinds K, Gregory J (1995) National Diet and Nutrition Survey: children aged 1½ to 4½ years. Report of the dental survey. HMSO, London
19.
Al-Malik MI, Holt RD, Bedi R (2001) The relationship between erosion, caries and rampant caries and dietary habits in preschool children in Saudi Arabia. Int J Paediatr Dent 11:430–439PubMed
20.
Harding MA, Whelton H, O’Mullane DM, Chronin M (2003) Dental erosion in 5-year-old Irish school children and associated factors: a pilot study community. Dent Health 20:165–170
21.
Murakami C, Oliveira LB, Sheiham A, Nahas Pires Correa MS, Haddad AE, Bonecker M (2011) Risk indicators for erosive tooth wear in Brazilian preschool children. Caries Res 45:121–129PubMedCrossRef
22.
Lussi A, Schlueter N, Rakhmatullina E, Ganss C (2011) Dental erosion—an overview with emphasis on chemical and histopathological aspects. Caries Res 45(suppl 1):2–12PubMedCrossRef
23.
Petersen EP (2003) The Oral Health Report 2003. Continuous improvement of oral health in the 21st century—the approach of the WHO Global Oral Health Programme. World Health Organization, Geneva, publication no. WHO/NMH/NPH/ORH/03.2
24.
Lussi A, Jaeggi T (2008) Erosion-diagnosis and risk factors. Clin Oral Investig 12(Suppl 1):S5–S13PubMedCrossRef
25.
Nunn JH, Gordon PH, Morris AJ, Pine CM, Walker A (2003) Dental erosion—changing prevalence? A review of British national children’s surveys. Int J Paediatr Dent 13:98–105PubMedCrossRef
26.
27.
Margaritis V, Mamai-Homata E, Koletsi-Kounari H, Polychronopoulou A (2011) Evaluation of three different scoring systems for dental erosion: a comparative study in adolescents. J Dent 39:88–93PubMedCrossRef
28.
Prodromidis PI (2006) Greece in terms of the 2001 disaggregated data. In: A regional analysis of declared incomes in Greece. Centre of Planning and Economic Research, Athens, pp 31–53
29.
Green JC, Vermillion JR (1964) The simplified oral hygiene index. JADA 68:7–13
30.
World Health Organization (1997) Oral health surveys. Basic methods, 4th edn. WHO, Geneva
31.
Bartlett D, Ganss C, Lussi A (2008) Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Investig 12(Suppl 1):S65–S68PubMedCrossRef
32.
Long JS (1997) Regression models for categorical and limited dependent variables. Sage, Thousand Oaks
33.
Greene JC (1967) The simplified oral hygiene index—development and uses. J Periodontol 38:625–637PubMed
34.
Johansson AK, Lingström P, Birkhed D (2002) Comparison of factors potentially related to the occurrence of dental erosion in high- and low-erosion groups. Eur J Oral Sci 110:204–211PubMedCrossRef
35.
Cheung A, Zid Z, Hunt D, McIntyre J (2005) The potential for dental plaque to protect against erosion using an in vivo–in vitro model—a pilot study. Aust Dent J 50(4):228–234PubMedCrossRef
36.
Honório HM, Rios D, Santos CF, Buzalaf MA, Machado MA (2010) Influence of dental plaque on human enamel erosion: in situ/ex vivo study. Oral Health Prev Dent 8(2):179–184PubMed
37.
Lussi A, Jaeggi T, Zero D (2004) The role of diet in the aetiology of dental erosion. Caries Res 38(Suppl 1):34–44PubMedCrossRef
38.
39.
40.
Al-Malik MI, Holt RD, Bedi R (2002) Erosion, caries and rampant caries in preschool children in Jeddah, Saudi Arabia. Community Dent Oral Epidemiol 30:16–23PubMedCrossRef
41.
Mulic A, Tveit AB, Wang NJ, Hove LH, Espelid I, Skaare AB (2010) Reliability of two clinical scoring systems for dental erosive wear. Caries Res 44:294–299PubMedCrossRef
42.
Young A, Amaechi BT, Dugmore C, Holbrook P, Nunn J, Schiffner U, Lussi A, Ganns C (2008) Current erosion indices—flawed or valid? Summary. Clin Oral Investig 12(Suppl 1):S59–S63PubMedCrossRef
43.
Morton LM, Cahill J, Hartge P (2006) Reporting participation in epidemiologic studies: a survey of practice. Am J Epidemiol 163:197–203PubMedCrossRef
Metadata
Title
Dental erosion prevalence and associated risk indicators among preschool children in Athens, Greece
Authors
Magdalini Mantonanaki
Haroula Koletsi-Kounari
Eleni Mamai-Homata
William Papaioannou
Publication date
01-03-2013
Publisher
Springer-Verlag
Published in
Clinical Oral Investigations / Issue 2/2013
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-012-0730-4

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