Jiménez-Núñez José Cuauhtémoc, González-Aragón Pineda Álvaro Edgar, Villanueva-Gutiérrez Teresa, Longinos-Huerta Rodrigo Leopoldo, Cruz-Hervert Luis Pablo, Lussi Adrian, Borges-Yáñez Socorro Aída
Master and Doctoral Program in Medical-Dental and Health Sciences at the School of Dentistry, National Autonomous University of Mexico, Ciudad de México 04510, Mexico.
Faculty of Higher Studies (FES) Iztacala, National Autonomous University of Mexico, Tlalnepantla de Baz 54090, Mexico.
Children (Basel). 2024 Sep 6;11(9):1090. doi: 10.3390/children11091090.
Limited access to health services and low educational levels are factors in the rural population that are associated with the development of oral pathologies. However, the specific risk indicators contributing to erosive tooth wear (ETW) in these populations remain unclear. The objective of this study was to identify risk indicators associated with the prevalence of erosive tooth wear (ETW) in schoolchildren aged 8-12 years from rural and urban areas in the State of Mexico.
A cross-sectional study was carried out in public schools in rural and urban areas. The prevalence of ETW was evaluated using the Basic Erosive Wear Examination (BEWE). The risk indicators studied were gastroesophageal reflux, vomiting, vitamin C, food, beverages, dental hygiene, bruxism, and hyposalivation. Logistic regression models were used to calculate odds ratios (OR) and 95% confidence intervals (CI).
The prevalence of ETW was higher in the rural area (77.3%) compared to the urban area (51.2%) ( = 0.001). The odds of presenting ETW were more than twice in schoolchildren from rural areas compared to those from urban areas (OR: 2.25, 95% CI: 1.11-3.98). Risk indicators varied between rural and urban populations, with different factors such as the consumption of fresh tomato sauce, orange, tangerine, atole (artisanal corn-based drink), and teeth grinding in the rural area, and lemon, soft drink, fruit juice consumption, and the simplified oral hygiene index in the urban area ( < 0.05).
To prevent ETW, strategies offering tailored dietary and hygiene advice should be proposed, considering the specific conditions of each geographic area.
获得医疗服务的机会有限以及教育水平低下是农村人口中与口腔疾病发展相关的因素。然而，这些人群中导致牙侵蚀磨损（ETW）的具体风险指标仍不明确。本研究的目的是确定墨西哥州农村和城市地区8至12岁学童中与牙侵蚀磨损（ETW）患病率相关的风险指标。
在农村和城市地区的公立学校开展了一项横断面研究。使用基本侵蚀磨损检查（BEWE）评估ETW的患病率。研究的风险指标包括胃食管反流、呕吐、维生素C、食物、饮料、口腔卫生、磨牙症和唾液分泌减少。使用逻辑回归模型计算比值比（OR）和95%置信区间（CI）。
与城市地区（51.2%）相比，农村地区ETW的患病率更高（77.3%）（P = 0.001）。农村地区学童出现ETW的几率是城市地区学童的两倍多（OR：2.25，95% CI：1.11 - 3.98）。农村和城市人群的风险指标各不相同，农村地区的不同因素包括食用新鲜番茄酱、橙子、橘子、阿托尔（手工制作的玉米饮料）和磨牙，而城市地区的因素包括柠檬、软饮料、果汁消费和简化口腔卫生指数（P < 0.05）。
为预防ETW，应根据每个地理区域的具体情况，提出提供量身定制的饮食和卫生建议的策略。
