Socio-economic characteristics, acid drinking patterns and gastric alterations associated with erosive tooth wear in children: a cross-sectional study

Eur Arch Paediatr Dent. 2020 Oct;21(5):573-579. doi: 10.1007/s40368-019-00498-6. Epub 2019 Dec 5.

Abstract

Aims: Assessing the influence of socio-economic characteristics, acid drinking patterns and gastric alterations considering erosive tooth experience in children.

Methods: Cross-sectional study to assess 08-10-year-old children enrolled in the primary education in public schools in Florianopolis, Brazil (n = 1085). Caregivers have answered questionnaires comprising independent variables (head of the household education frequency consumption of sports drinks, acid juice/soda, chewing gum, recurrent vomiting, gastric disorders and vomiting after overeating). Four trained dental surgeons have examined the children for the erosive tooth wear-dependent variable (O'Sullivan index), as well as collected dental caries (DMFT) and dental crowding (DAI index) information. A two-stage cluster-sampling plan was conducted. Unadjusted and adjusted logistic regression models were applied (Odds ratio, OR; 95% Confidence interval, CI and 5% significance level).

Results: The prevalence of erosive tooth wear was 15.67%. Erosive tooth wear was positively associated with high consumption of sports drinks (OR 3.42; 95% CI: 1.18-9.23). Children whose caregivers' educational level was equal or less than four years of study were less likely to have erosive tooth wear (OR 0.39; 95% CI: 0.17-0.88).

Conclusion: High consumption of sports drinks is positively associated with erosive tooth wear. Children whose caregivers' educational level is low are less likely to present erosive tooth wear.

Keywords: Children; Prevalence; Tooth erosion.

MeSH terms

  • Brazil / epidemiology
  • Child
  • Cross-Sectional Studies
  • Dental Caries*
  • Humans
  • Prevalence
  • Risk Factors
  • Socioeconomic Factors
  • Tooth Erosion / epidemiology*
  • Tooth Erosion / etiology*
  • Tooth Wear*