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牙齿侵蚀。瓦伦西亚儿童和青少年样本中的病因因素。横断面研究。

Dental erosion. Etiologic factors in a sample of Valencian children and adolescents. Cross-sectional study.

机构信息

CEU-Cardenal Herrera University, Valencia, Spain.

Department of Oral Rehabilitation, University of Milan, Istituto Stomatologico Italiano, Milan, Italy.

出版信息

Eur J Paediatr Dent. 2019 Sep;20(3):189-193. doi: 10.23804/ejpd.2019.20.03.04.

Abstract

AIM

To establish the relationship between dental erosion prevalence in children aged 6-14 and all the aetiological factors that lead to the development of the lesions.

MATERIALS AND METHODS

Study design: A correlational cross-sectional study of a sample of 400 Valencian children was conducted. First, a questionnaire was completed to analyse the patients' health status, their dietary and oral hygiene habits, the kind of school they attended and their parents' academic level. Then, a clinical exploration of the permanent dentition was done, calculating the BEWE index and the risk of erosion for each patient.

RESULTS

The prevalence of dental erosion of the studied sample was 22.3%. A positive correlation was observed between the presence of dental erosion and the frequent intake of fruit juices, carbonated and isotonic drinks (p<0.05), presenting a higher correlation if the liquid was kept in the mouth before swallowing. Aetiological factors such as the use of inhalers in patients with asthma (p=0.006), frequency of vomiting and regurgitation (p<0.001), frequent swimmers (p<0.001) or a low socioeconomic status (p<0.05) were also positively associated to the development of erosive lesions.

STATISTICS

A descriptive and inferential statistical analysis was performed, using the Mann-Whitney U and the Kruskal-Wallis tests in the latter.

CONCLUSION

The results of this study suggest that the frequent intake of fruit juices, carbonated and isotonic drinks, the use of inhalers and belonging to a low socioeconomic level family are factors positively associated to the development of erosive lesions.

摘要

目的

建立 6-14 岁儿童的牙齿酸蚀症患病率与导致病变发展的所有病因因素之间的关系。

材料和方法

研究设计:对 400 名瓦伦西亚儿童进行了样本的相关性横断面研究。首先,完成一份问卷,以分析患者的健康状况、饮食和口腔卫生习惯、就读的学校类型以及父母的学历。然后,对恒牙进行临床探查,计算每位患者的 BEWE 指数和酸蚀风险。

结果

研究样本的牙齿酸蚀症患病率为 22.3%。观察到牙齿酸蚀症的存在与频繁摄入果汁、碳酸和等渗饮料之间存在正相关(p<0.05),如果液体在吞咽前在口中停留时间较长,则相关性更高。病因因素如哮喘患者使用吸入器(p=0.006)、呕吐和反流的频率(p<0.001)、频繁游泳者(p<0.001)或社会经济地位较低(p<0.05)也与侵蚀性病变的发展呈正相关。

统计

进行了描述性和推断性统计分析,后者使用了曼-惠特尼 U 检验和克鲁斯卡尔-沃利斯检验。

结论

这项研究的结果表明,频繁摄入果汁、碳酸和等渗饮料、使用吸入器以及来自社会经济地位较低的家庭是与侵蚀性病变发展呈正相关的因素。

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