Master and Doctoral Program in Medical, Dental and Health Sciences at the School of Dentistry, National Autonomous University of México, 04510 Mexico City, Mexico.
Dental Public Health Department, Graduate and Research Division at the School of Dentistry, National Autonomous University of México, 04510 Mexico City, Mexico.
J Clin Pediatr Dent. 2024 May;48(3):146-155. doi: 10.22514/jocpd.2024.068. Epub 2024 May 3.
The objective of this work was to estimate the prevalence and severity of erosive tooth wear (ETW), and to identify risk indicators of deciduous dentition of a group of schoolchildren from public schools in Tlalnepantla de Baz, State of Mexico. A cross-sectional study was carried out in 352 schoolchildren from 5 to 7 years old. The severity of the ETW was evaluated using the Basic Erosive Wear Examination (BEWE). Risk indicators were evaluated through a survey which included food and beverage consumption, consumption habits, vitamin C consumption, gastroesophageal reflux, heartburn, belching, xerostomia, vomiting and teeth grinding. Multinomial logistic regression models were fitted. The prevalence of ETW was 99.7% (n = 351). Regarding severity, 46.6% were at a null/mild level, 27.3% moderate, and 26.1% severe. Males were more likely to present severe ETW (odds ratio (OR) = 2.23, 95% confidence interval (CI), 1.27-3.93; = 0.005). The risk indicators for the severity of ETW were the frequent consumption of citrus fruits (OR = 2.09, 95% CI, 1.12-3.89; = 0.021), fruit juice (OR = 1.99, 95% CI, 1.06-3.75; = 0.033), processed beverages (OR = 2.15, 95% CI, 1.23-3.78; = 0.008) and hot sauce (OR = 1.82, 95% CI, 1.03-3.20; = 0.036). The prevalence of ETW in the deciduous dentition was very high (99.7%) and ~1/3 for severe ETW. The dietary factors associated with severe ETW are part of the regular consumption of Mexican school-age children, which impact their oral health condition. It is important to establish intervention strategies from the infant stage, focused on both children and their caregivers.
本研究旨在评估一群来自墨西哥州特拉尔内潘特拉市公立学校的 5 至 7 岁学童乳牙的侵蚀性牙齿磨损（ETW）的流行率和严重程度，并识别其风险指标。采用横断面研究，对 352 名 5 至 7 岁的学童进行了研究。采用基本侵蚀性牙齿磨损检查（BEWE）评估 ETW 的严重程度。通过包括食物和饮料消费、消费习惯、维生素 C 消费、胃食管反流、烧心、打嗝、口干、呕吐和磨牙在内的调查评估风险指标。拟合多项逻辑回归模型。ETW 的流行率为 99.7%（n=351）。关于严重程度，46.6%为零/轻度，27.3%为中度，26.1%为重度。男性更有可能出现严重的 ETW（比值比（OR）=2.23，95%置信区间（CI），1.27-3.93；p=0.005）。ETW 严重程度的风险指标为频繁食用柑橘类水果（OR=2.09，95%CI，1.12-3.89；p=0.021）、果汁（OR=1.99，95%CI，1.06-3.75；p=0.033）、加工饮料（OR=2.15，95%CI，1.23-3.78；p=0.008）和辣酱（OR=1.82，95%CI，1.03-3.20；p=0.036）。乳牙 ETW 的流行率非常高（99.7%），其中~1/3为严重 ETW。与严重 ETW 相关的饮食因素是墨西哥学龄儿童常规消费的一部分，这影响了他们的口腔健康状况。从婴儿期开始，针对儿童及其照顾者制定干预策略非常重要。
