Alaraudanjoki Viivi, Laitala Marja-Liisa, Tjäderhane Leo, Pesonen Paula, Lussi Adrian, Anttonen Vuokko
Research Unit of Oral Health Sciences, University of Oulu, P.O. Box 5281, FI-90014, Oulu, Finland.
Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Kajaanintie 54, FI-90029, Oulu, Finland.
BMC Oral Health. 2016 Jul 4;17(1):6. doi: 10.1186/s12903-016-0232-x.
The main aim of this cross-sectional study was to investigate the prevalence and severity of erosive tooth wear and its association with dental caries and socio-demographic factors among middle-aged Finnish adults.
Of the total Northern Finland Birth Cohort 1966 (n = 12,058), a convenience sample (n = 3181 adults) was invited for an oral health examination of which 1962 (61.7 %) participated, comprising the final study group. Clinical examinations were carried out by trained and calibrated dentists. Erosive tooth wear was assessed by sextants using the Basic Erosive Wear Examination Index (BEWE, 0-18) and dental caries at surface level using the ICDAS criteria (0-6). Socio-demographic data were obtained from a postal questionnaire. A logistic regression model was generated to test the association of the variables.
The prevalence of erosive tooth wear was 75 % and the mean of the BEWE sum score was 3.4 (SD 3.30). Almost half of the members needed non-invasive or invasive measures to prevent further progression of the condition. Of those with erosive lesions, 14.6 % suffered from severe erosive tooth wear. There was a strong positive relationship between the presence of severe erosive tooth wear (BEWE sum score ≥9) and male gender and restorative treatment need.
Erosive tooth wear is a common finding in Finnish adult population; almost one in ten suffer from severe erosive tooth wear. Restorative treatment need seems to be associated with severe erosive tooth wear.
这项横断面研究的主要目的是调查芬兰中年成年人中侵蚀性牙齿磨损的患病率和严重程度，及其与龋齿和社会人口统计学因素的关联。
在1966年芬兰北部出生队列的全部人群（n = 12,058）中，邀请了一个便利样本（n = 3181名成年人）进行口腔健康检查，其中1962人（61.7%）参与，组成了最终研究组。临床检查由经过培训和校准的牙医进行。使用基本侵蚀性磨损检查指数（BEWE，0 - 18）按牙 sextant评估侵蚀性牙齿磨损，使用国际疾病分类口腔健康问题（ICDAS）标准（0 - 6）评估表面水平的龋齿。社会人口统计学数据通过邮政问卷获得。生成逻辑回归模型以检验变量之间的关联。
侵蚀性牙齿磨损的患病率为75%，BEWE总分的平均值为3.4（标准差3.30）。几乎一半的人需要采取非侵入性或侵入性措施来防止病情进一步发展。在有侵蚀性病变的人中，14.6%患有严重侵蚀性牙齿磨损。严重侵蚀性牙齿磨损（BEWE总分≥9）的存在与男性性别和修复治疗需求之间存在很强的正相关关系。
侵蚀性牙齿磨损在芬兰成年人群中是一个常见现象；几乎十分之一的人患有严重侵蚀性牙齿磨损。修复治疗需求似乎与严重侵蚀性牙齿磨损有关。
