Liverpool University Dental Hospital, Liverpool, UK.
Caries Res. 2010;44(2):165-8. doi: 10.1159/000314067. Epub 2010 May 5.
The aim was to determine the prevalence of erosion in 13- to 14-year-old children on the Isle of Man and to investigate the strength of association with dietary risk factors.
Exposed dentine was assessed on smooth surfaces of incisors/canines and occlusal surfaces of first molars. A questionnaire assessed the consumption frequency of foodstuffs.
Of 629 children examined, 124 (20%) had dentine exposed labially, palatally or occlusally. More males had dentine exposed on these surfaces (OR = 1.7, 95% CI = 1.2-2.6). Palatal dentine exposure was present in 3% of the children and occlusal dentine exposure in 18%. In bivariate analyses, drinking fizzy drinks more than once a day was associated with erosion (OR = 1.6, 95% CI = 1.1-2.3). The mean DMFT scores were not statistically different for the children with smooth surface/occlusally exposed dentine (1.37) compared to those without (1.58). Multiple regression analysis showed age, gender and toothbrushing to be significant predictors of erosion.
This study has found a higher proportion of 13- to 14-year-old children with exposed dentine in molars than previous studies. The results corroborate previous reports that males have more erosion than females.
目的是确定马恩岛 13 至 14 岁儿童的牙本质腐蚀患病率,并调查其与饮食危险因素的关联强度。
在切牙/尖牙的光滑表面和第一磨牙的咬合面评估暴露的牙本质。问卷调查评估了食物的消费频率。
在检查的 629 名儿童中,有 124 名(20%)的牙本质在唇侧、腭侧或咬合面暴露。更多的男性在这些表面有牙本质暴露(OR=1.7,95%CI=1.2-2.6)。3%的儿童存在腭侧牙本质暴露,18%的儿童存在咬合面牙本质暴露。在单变量分析中,每天饮用碳酸饮料超过一次与腐蚀有关(OR=1.6,95%CI=1.1-2.3)。与无光滑面/咬合面牙本质暴露的儿童(1.37)相比,有牙本质暴露的儿童的 DMFT 评分平均值(1.58)没有统计学差异。多元回归分析显示,年龄、性别和刷牙是腐蚀的重要预测因素。
本研究发现,与之前的研究相比,马恩岛 13 至 14 岁儿童磨牙牙本质暴露的比例更高。研究结果证实了之前的报告,即男性比女性有更多的腐蚀。