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挪威品酒师的牙齿侵蚀性磨损。

Dental erosive wear among Norwegian wine tasters.

机构信息

Departments of Cariology, University of Oslo, Norway.

出版信息

Acta Odontol Scand. 2011 Jan;69(1):21-6. doi: 10.3109/00016357.2010.517554. Epub 2010 Sep 22.

DOI:10.3109/00016357.2010.517554
PMID:20860428
Abstract

OBJECTIVE

To assess the prevalence and severity of dental erosive wear among a group of professional wine tasters.

MATERIAL AND METHODS

Eighteen wine tasters currently employed at AS Vinmonopolet, Norway (3 women, 15 men; mean age 39 years) and 30 comparison participants (9 women, 21 men; mean age 39 years) were included in the study. The wine tasters were examined by four calibrated clinicians using the Visual Erosion Dental Examination system. Data concerning medical and dietary history, oral hygiene habits and occupational background were obtained from a self-completed questionnaire. Data were analyzed using Fisher's exact test, and examiner agreement was determined by means of linear-weighted kappa and the intra-class correlation coefficient.

RESULTS

Nine (50%) of the wine tasters and six (20%) of the comparison group showed clinical signs of dental erosion. Among the wine tasters, 39% had dentine involvement, compared to just 7% of the comparison group. The erosive lesions were mainly found on the occlusal surfaces of mandibular first molars in the wine tasters, whereas for the controls, the palatal surfaces of upper centrals were most often affected.

CONCLUSIONS

There was a significant difference in the prevalence of dental erosive wear between the two groups, the wine tasters having a higher prevalence and more severely affected surfaces than the comparison group. Half of the wine tasters had no erosive wear and, for the other half, there was no relationship between the duration of their professional life and the extent of erosive wear.

摘要

目的

评估一组专业品酒师中牙齿酸蚀磨损的流行程度和严重程度。

材料和方法

本研究纳入了 18 名目前在挪威 AS Vinmonopolet 工作的品酒师(3 名女性,15 名男性;平均年龄 39 岁)和 30 名对照参与者(9 名女性,21 名男性;平均年龄 39 岁)。品酒师由四名经过校准的临床医生使用视觉侵蚀性牙科检查系统进行检查。通过自填问卷获得有关医疗和饮食史、口腔卫生习惯和职业背景的数据。使用 Fisher 确切检验分析数据,并通过线性加权 kappa 和组内相关系数确定检查者之间的一致性。

结果

9 名(50%)品酒师和 6 名(20%)对照组出现了牙齿酸蚀的临床迹象。在品酒师中,有 39%的人出现牙本质受累,而对照组只有 7%。酸蚀病变主要发生在品酒师下颌第一磨牙的咬合面上,而对照组的上颌中切牙的腭面则是最常受影响的部位。

结论

两组之间牙齿酸蚀磨损的患病率存在显著差异,品酒师的患病率更高,受影响的表面更严重。一半的品酒师没有酸蚀磨损,对于另一半,他们的职业生涯时长与酸蚀磨损的程度之间没有关系。

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