Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Germany.
J Dent. 2024 May;144:104962. doi: 10.1016/j.jdent.2024.104962. Epub 2024 Mar 28.
Erosive tooth wear is a multifactorial condition. The aim of this systematic review and meta-analysis was to identify key risk factors for erosive tooth wear in permanent dentition.
Observational studies reporting anamnestic risk factors for erosive tooth wear. Methodological quality and risk of bias were assessed using the modified Newcastle-Ottawa scale for cross-sectional studies. Risk factors were visually presented in a heatmap, and where possible, random-effects meta-analyses were performed for the odds ratios (ORs) of risk factors.
Electronic databases (MEDLINE, Embase, Scopus, and Web of Science) and manual searches in February 2023. The protocol was registered in PROSPERO (CRD4202339776).
A total of 87 publications reporting on 71 studies were included in the systematic review. The studies examined a variety of anamnestic risk factors (n = 80) that were categorized into ten domains (socio-demographics, socio-economics, general health, oral diseases, medication, oral hygiene, food, beverages, dietary habits, and leisure-related risk factors). Meta-analyses revealed significant associations between erosive tooth wear and male gender (p<0.001; OR=1.30, 95 % CI: 1.16-1.44), regurgitation (p=0.033; OR=2.27, 95 % CI: 1.41-3.65), digestive disorders (p<0.001; OR=1.81, 95 % CI: 1.48-2.21), consumption of acidic foods (p=0.033; OR=2.40, 95 % CI: 1.44-4.00), seasoning sauces (p=0.003; OR=1.28, 95 % CI: 1.13-1.44), nutritional supplements (p=0.019; OR=1.73, 95 % CI: 1.28-2.35), and carbonated drinks (p=0.019; OR=1.43, 95 % CI: 1.17-1.75). Most included studies exhibited low bias risk.
Observational studies investigated a variety of anamnestic risk factors for erosive tooth wear. Future studies should employ validated questionnaires, particularly considering the most important risk factors.
Erosive tooth wear is a prevalent condition. Clinicians should concentrate primarily on symptoms of gastroesophageal reflux disease and dietary factors when screening patients at risk for erosive tooth wear.
牙酸蚀症是一种多因素疾病。本系统评价和荟萃分析的目的是确定恒牙酸蚀症的主要危险因素。
报告酸蚀性牙齿磨损的病史危险因素的观察性研究。使用改良的纽卡斯尔-渥太华量表（用于横断面研究）评估方法学质量和偏倚风险。风险因素以热图形式直观呈现，如果可能，对风险因素的比值比（OR）进行随机效应荟萃分析。
2023 年 2 月，电子数据库（MEDLINE、Embase、Scopus 和 Web of Science）和手动搜索。该方案已在 PROSPERO（CRD4202339776）中注册。
共有 87 篇报告 71 项研究的文献纳入系统评价。这些研究检查了各种病史危险因素（n=80），这些危险因素分为十个领域（社会人口统计学、社会经济学、一般健康、口腔疾病、药物、口腔卫生、食物、饮料、饮食行为和与休闲相关的危险因素）。荟萃分析显示，酸蚀性牙齿磨损与男性性别（p<0.001；OR=1.30，95%CI：1.16-1.44）、反流（p=0.033；OR=2.27，95%CI：1.41-3.65）、消化障碍（p<0.001；OR=1.81，95%CI：1.48-2.21）、酸性食物摄入（p=0.033；OR=2.40，95%CI：1.44-4.00）、调味酱（p=0.003；OR=1.28，95%CI：1.13-1.44）、营养补充剂（p=0.019；OR=1.73，95%CI：1.28-2.35）和碳酸饮料（p=0.019；OR=1.43，95%CI：1.17-1.75）之间存在显著关联。大多数纳入的研究显示出低偏倚风险。
观察性研究调查了恒牙酸蚀症的多种病史危险因素。未来的研究应使用经过验证的问卷，特别是考虑到最重要的危险因素。
牙酸蚀症是一种普遍存在的疾病。当筛查有酸蚀性牙齿磨损风险的患者时，临床医生应主要关注胃食管反流病的症状和饮食因素。
