Wetselaar Peter, Vermaire Jan H, Visscher Corine M, Lobbezoo Frank, Schuller Annemarie A
Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, The Netherlands.
Caries Res. 2016;50(6):543-550. doi: 10.1159/000447020. Epub 2016 Oct 1.
This study aimed to assess the prevalence of tooth wear in different age groups of the Dutch adult population and to determine this tooth wear distribution by gender, socioeconomic class, and type of teeth. Results were compared with the outcomes of a previous study in a comparable population. As part of a comprehensive investigation of the oral health of the general Dutch adult population in 2013, tooth wear was assessed among 1,125 subjects in the city of 's-Hertogenbosch. The data collected were subjected to stratified analysis by 5 age groups (25-34, 35-44, 45-54, 55-64, and 65-74 years), gender, socioeconomic class, and type of teeth. Tooth wear was assessed using a 5-point ordinal occlusal/incisal grading scale. The number of teeth affected was higher in older age groups. Men showed more tooth wear than women, and subjects with low socioeconomic status (low SES) showed on average higher scores than those with high SES. Tooth wear prevalence found in this study was higher in all age groups than in the previous study. The present study found prevalences of 13% for mild tooth wear and 80% for moderate tooth wear, leading to the conclusion that these are common conditions in the Dutch adult population. Severe tooth wear (prevalence 6%) may however be characterized as rare. A tendency was found for there to be more tooth wear in older age groups, in men as compared with women, in persons with lower SES, and in the present survey as compared with the previous one.
本研究旨在评估荷兰成年人群不同年龄组的牙齿磨损患病率，并按性别、社会经济阶层和牙齿类型确定这种牙齿磨损的分布情况。将结果与之前在类似人群中的研究结果进行比较。作为2013年对荷兰成年人群口腔健康全面调查的一部分，在斯海尔托亨博斯市的1125名受试者中评估了牙齿磨损情况。收集的数据按5个年龄组（25 - 34岁、35 - 44岁、45 - 54岁、55 - 64岁和65 - 74岁）、性别、社会经济阶层和牙齿类型进行分层分析。使用5分序贯咬合/切缘分级量表评估牙齿磨损情况。年龄较大的组中受影响牙齿的数量更多。男性的牙齿磨损比女性更多，社会经济地位低（低SES）的受试者平均得分高于社会经济地位高的受试者。本研究中发现的牙齿磨损患病率在所有年龄组中均高于之前的研究。本研究发现轻度牙齿磨损的患病率为13%，中度牙齿磨损的患病率为80%，由此得出结论，这些情况在荷兰成年人群中很常见。然而，重度牙齿磨损（患病率6%）可能被视为罕见。研究发现，年龄较大的组、男性与女性相比、社会经济地位较低的人群以及本次调查与之前的调查相比，牙齿磨损情况更严重。
