Korkmaz Elif, Kaptan Arife
Oral Health Prev Dent. 2020 Oct 27;18(4):959-971. doi: 10.3290/j.ohpd.a45436.
This study aimed to estimate the prevalence, distribution, and the associated factors of tooth erosion in Turkish school children.
A cross-sectional analysis was performed on a representative sample of 473 children (aged 7-14 years) from 11 public schools in Turkey. Parents were asked to fill out a questionnaire to collect sociodemographic data. A questionnaire was also given to the children, to collect data pertaining to personal demographic details and habits of consuming acidic foods and drinks. The O'Sullivan index was used to assess affected permanent teeth. The data were analysed using a chi-square test and multivariate logistic regression analysis.
Dental erosion was observed in 21.8% of the children. Lesions were most often observed in the enamel with less than half of the buccal surface affected. Erosion was found to be statistically significantly higher in older children and in those with an elevated body mass index (BMI) (p <0.05). The consumption of fruit juices, drinks with cola, orange soft drinks, gaseous, cocoa milk, iced tea, sodas, sports drinks, energy drinks, oranges, lemons, kiwis, grapefruits, apples, peaches, and fruit yogurts was statistically significantly higher in students with erosion (p <0.05). There was no statistically significant relationship between students' sex, systemic disease, premature birth and low birth weight, exercise activity level, socioeconomic status, parental education level, and oral hygiene habits with erosion (p >0.05).
Although erosive lesions were limited to the enamel, the prevalence of erosion was high. Erosion was statistically significantly associated with older age, elevated BMI, consumption of certain beverages, and fruit.
本研究旨在评估土耳其学龄儿童牙齿侵蚀的患病率、分布情况及相关因素。
对来自土耳其11所公立学校的473名7至14岁儿童的代表性样本进行横断面分析。要求家长填写问卷以收集社会人口统计学数据。还向儿童发放问卷，收集有关个人人口统计学细节以及食用酸性食物和饮料习惯的数据。使用奥沙利文指数评估受影响的恒牙。采用卡方检验和多因素逻辑回归分析对数据进行分析。
21.8%的儿童观察到牙齿侵蚀。病变最常出现在牙釉质，颊面受影响面积不到一半。发现年龄较大的儿童以及体重指数（BMI）较高的儿童牙齿侵蚀在统计学上显著更高（p<0.05）。有牙齿侵蚀的学生饮用果汁、可乐饮料、橙汁汽水、汽水、可可奶、冰茶、苏打水、运动饮料、能量饮料、橙子、柠檬、猕猴桃、葡萄柚、苹果、桃子和水果酸奶的情况在统计学上显著更高（p<0.05）。学生的性别、全身性疾病、早产和低出生体重、运动活动水平、社会经济地位、父母教育水平以及口腔卫生习惯与牙齿侵蚀之间没有统计学上的显著关系（p>0.05）。
尽管侵蚀性病变仅限于牙釉质，但侵蚀的患病率较高。侵蚀在统计学上与年龄较大、BMI较高、某些饮料和水果的消费显著相关。
