Chatzimarkou Sofia, Seremidi Kyriaki, Papaioannou William, Mortensen Diana, Twetman Svante, Gizani Sotiria
Department of Paediatric Dentistry, School of Dentistry, National and Kapodistrian University of Athens, 2 Thivon Street, 115 27 Athens, Greece.
Department of Preventive and Community Dentistry, School of Dentistry, National and Kapodistrian University of Athens, 2 Thivon Street, 115 27 Athens, Greece.
Dent J (Basel). 2025 Jun 3;13(6):249. doi: 10.3390/dj13060249.
: With a prevalence linked to modern lifestyle, erosive tooth wear (ETW) is a growing clinical problem among children and adolescents. The aim of this cross-sectional study was to record the awareness and knowledge of ETW among Greek dentists and to explore their preferred treatment decisions. : A case-based digital questionnaire was distributed to a stratified sample of dentists practising in Athens (n = 218). We collected data regarding clinical scoring, possible aetiological factors, and clinical management of ETW and used descriptive statistics, chi-square tests, and odds ratio calculations to process the outcome. : The response rate was 92%. The majority (71%) recorded ETW among their patients, but only 5% used an established and validated scoring system. Almost 1/3 registered only the location of the lesions. Over 70% disclosed the possible causes of ETW, with frequent consumption of fizzy soft drinks (67%) and acidic foods (56%) being the most common. Most respondents managed the ETW patients in their own clinic, while 23% referred them to another dentist or a university clinic. The respondents focused on secondary prevention (dietary advice, oral hygiene, and fluoride exposure) and preferred less invasive options for anterior teeth, with restorative care restricted to the lower molars. : The majority of the dentists participating in this survey registered ETW and its possible causes and seem to have adopted a preventive and minimally invasive approach for the management in children and adolescents. For the case documentation, a minority took advantage of standardised scoring systems for lesions and dietary habits, and very few performed salivary diagnostics. The findings underscore the need of continuing education to offer updates on the most current guidelines and focusing on patients' needs and expectations.
由于侵蚀性牙齿磨损（ETW）与现代生活方式相关，它在儿童和青少年中已成为一个日益严重的临床问题。这项横断面研究的目的是记录希腊牙医对ETW的认识和了解，并探讨他们偏爱的治疗决策。
向雅典执业牙医的分层样本（n = 218）发放了一份基于病例的数字问卷。我们收集了有关ETW临床评分、可能的病因因素以及临床管理的数据，并使用描述性统计、卡方检验和比值比计算来处理结果。
回复率为92%。大多数（71%）记录到其患者中存在ETW，但只有5%使用了既定且经过验证的评分系统。近三分之一的人仅记录了病变的位置。超过70%揭示了ETW的可能原因，最常见的是经常饮用碳酸软饮料（67%）和酸性食物（56%）。大多数受访者在自己的诊所管理ETW患者，而23%将他们转诊给另一位牙医或大学诊所。受访者专注于二级预防（饮食建议、口腔卫生和氟暴露），对于前牙更喜欢侵入性较小的选择，修复治疗仅限于下颌磨牙。
参与本次调查的大多数牙医记录了ETW及其可能的原因，并且似乎已采取预防和微创方法来管理儿童和青少年患者。对于病例记录，少数人利用标准化评分系统来评估病变和饮食习惯，很少有人进行唾液诊断。研究结果强调了继续教育的必要性，以提供最新指南的更新内容，并关注患者的需求和期望。
