Influence of Intrinsic Factors on Erosive Tooth Wear in a Large-Scale Epidemiological Study
Objective: To assess the influence of self-reported intrinsic factors [gastroesophageal reflux disease (GERD), long-term alcoholism, long-term heavy use of alcohol and multiple pregnancies] on erosive tooth wear in a middle-aged cohort sample. Materials and Methods: Of the total Northern Finland Bir...
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crskarger:10.1159/000448292 2024-06-23T07:55:32+00:00 Influence of Intrinsic Factors on Erosive Tooth Wear in a Large-Scale Epidemiological Study Alaraudanjoki, Viivi Laitala, Marja-Liisa Tjäderhane, Leo Pesonen, Paula Lussi, Adrian Ronkainen, Jukka Anttonen, Vuokko 2016 http://dx.doi.org/10.1159/000448292 https://www.karger.com/Article/Pdf/448292 en eng S. Karger AG https://www.karger.com/Services/SiteLicenses https://www.karger.com/Services/SiteLicenses Caries Research volume 50, issue 5, page 508-516 ISSN 0008-6568 1421-976X journal-article 2016 crskarger https://doi.org/10.1159/000448292 2024-06-05T04:07:25Z Objective: To assess the influence of self-reported intrinsic factors [gastroesophageal reflux disease (GERD), long-term alcoholism, long-term heavy use of alcohol and multiple pregnancies] on erosive tooth wear in a middle-aged cohort sample. Materials and Methods: Of the total Northern Finland Birth Cohort (NFBC 1966), a convenience sample (n = 3,181) was invited for an oral health examination in 2012-2013, of which 1,962 participated, comprising the final study group. Erosive tooth wear was assessed by sextants using the Basic Erosive Wear Examination Index (BEWE, 0-18). Clinical data were supplemented by questionnaires conducted in 1997/1998 and 2012/2013. The participants were divided into severe (BEWE sum ≥9) and no-to-moderate (BEWE sum 0-8) erosive wear groups, and the logistic regression model was applied. Results: Selected intrinsic factors were quite rare in this cohort sample and explained only 5.9% of the difference in the prevalence and severity of erosive wear. Daily symptoms of GERD [odds ratio (OR) 3.8, confidence interval (CI) 1.2-12.0] and hyposalivation (OR 3.8, CI 1.2-11.8) were the strongest risk indicators for severe erosive wear. Additionally, variables associated with an elevated risk for severe erosive wear were diagnosed alcoholism at any point (OR 2.5, CI 0.7-9.7) and self-reported heavy use of alcohol in both questionnaires (OR 2.0, CI 0.6-6.2). Even low-dose long-term consumption of alcohol was associated with erosive wear. Conclusions: In this cohort sample, intrinsic factors such as GERD or alcoholism alone are relatively uncommon causes of erosive tooth wear. The role of long-term use of alcohol in the erosion process may be bigger than presumed. Article in Journal/Newspaper Northern Finland Karger Gerd ENVELOPE(-45.750,-45.750,-60.666,-60.666) Caries Research 50 5 508 516 |
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Karger |
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crskarger |
language |
English |
description |
Objective: To assess the influence of self-reported intrinsic factors [gastroesophageal reflux disease (GERD), long-term alcoholism, long-term heavy use of alcohol and multiple pregnancies] on erosive tooth wear in a middle-aged cohort sample. Materials and Methods: Of the total Northern Finland Birth Cohort (NFBC 1966), a convenience sample (n = 3,181) was invited for an oral health examination in 2012-2013, of which 1,962 participated, comprising the final study group. Erosive tooth wear was assessed by sextants using the Basic Erosive Wear Examination Index (BEWE, 0-18). Clinical data were supplemented by questionnaires conducted in 1997/1998 and 2012/2013. The participants were divided into severe (BEWE sum ≥9) and no-to-moderate (BEWE sum 0-8) erosive wear groups, and the logistic regression model was applied. Results: Selected intrinsic factors were quite rare in this cohort sample and explained only 5.9% of the difference in the prevalence and severity of erosive wear. Daily symptoms of GERD [odds ratio (OR) 3.8, confidence interval (CI) 1.2-12.0] and hyposalivation (OR 3.8, CI 1.2-11.8) were the strongest risk indicators for severe erosive wear. Additionally, variables associated with an elevated risk for severe erosive wear were diagnosed alcoholism at any point (OR 2.5, CI 0.7-9.7) and self-reported heavy use of alcohol in both questionnaires (OR 2.0, CI 0.6-6.2). Even low-dose long-term consumption of alcohol was associated with erosive wear. Conclusions: In this cohort sample, intrinsic factors such as GERD or alcoholism alone are relatively uncommon causes of erosive tooth wear. The role of long-term use of alcohol in the erosion process may be bigger than presumed. |
format |
Article in Journal/Newspaper |
author |
Alaraudanjoki, Viivi Laitala, Marja-Liisa Tjäderhane, Leo Pesonen, Paula Lussi, Adrian Ronkainen, Jukka Anttonen, Vuokko |
spellingShingle |
Alaraudanjoki, Viivi Laitala, Marja-Liisa Tjäderhane, Leo Pesonen, Paula Lussi, Adrian Ronkainen, Jukka Anttonen, Vuokko Influence of Intrinsic Factors on Erosive Tooth Wear in a Large-Scale Epidemiological Study |
author_facet |
Alaraudanjoki, Viivi Laitala, Marja-Liisa Tjäderhane, Leo Pesonen, Paula Lussi, Adrian Ronkainen, Jukka Anttonen, Vuokko |
author_sort |
Alaraudanjoki, Viivi |
title |
Influence of Intrinsic Factors on Erosive Tooth Wear in a Large-Scale Epidemiological Study |
title_short |
Influence of Intrinsic Factors on Erosive Tooth Wear in a Large-Scale Epidemiological Study |
title_full |
Influence of Intrinsic Factors on Erosive Tooth Wear in a Large-Scale Epidemiological Study |
title_fullStr |
Influence of Intrinsic Factors on Erosive Tooth Wear in a Large-Scale Epidemiological Study |
title_full_unstemmed |
Influence of Intrinsic Factors on Erosive Tooth Wear in a Large-Scale Epidemiological Study |
title_sort |
influence of intrinsic factors on erosive tooth wear in a large-scale epidemiological study |
publisher |
S. Karger AG |
publishDate |
2016 |
url |
http://dx.doi.org/10.1159/000448292 https://www.karger.com/Article/Pdf/448292 |
long_lat |
ENVELOPE(-45.750,-45.750,-60.666,-60.666) |
geographic |
Gerd |
geographic_facet |
Gerd |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Caries Research volume 50, issue 5, page 508-516 ISSN 0008-6568 1421-976X |
op_rights |
https://www.karger.com/Services/SiteLicenses https://www.karger.com/Services/SiteLicenses |
op_doi |
https://doi.org/10.1159/000448292 |
container_title |
Caries Research |
container_volume |
50 |
container_issue |
5 |
container_start_page |
508 |
op_container_end_page |
516 |
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1802648165939150848 |