Prevalence and Risk Factors of Dental Erosion in Deciduous Teeth in Khon Kaen Municipality, Thailand

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Onauma Angwaravong
Paweerat Kwansiriku
Waranuch Pitiphat
Thidarat Angwarawong

Abstract

The aims of this cross-sectional study were to determine the prevalence and risk factor of dental erosion in deciduous teeth among 4-6 years old children attending schools in Khon Kaen Municipality, Khon Kaen. The children were selected using stratified random sampling by type and size of school. Research instruments included dental erosion form and questionnaire. Dentists examined dental erosion in the children and interviewed caregivers via telephone based on a structured questionnaire. Statistical analyses were calculated using percentage, mean, standard deviation, Fisher’s Exact test, and Mann-Whitney U test. The level of statistical significance was set at 0.05. The results from 284 children showed that the prevalence of dental erosion in deciduous teeth was 2.8%.  There was no association of personal factors, health factors, oral health factors and lifestyle factors with dental erosion in deciduous teeth. Regarding dietary factors, it was found that breast milk feeding longer than 12 months significantly increased the risk for dental erosion in deciduous teeth (Odds ration = 4.4, 95% Confidence interval = 1.0-19.0, p-value = 0.04). In conclusion, the prevalence of dental erosion in primary teeth is low. Duration of breast milk feeding is associated with increased risk of dental erosion in deciduous teeth. The observed association could as well due to uncontrolled confounding factors or chance. Further study is therefore needed to confirm these findings.

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Angwaravong O, Kwansiriku P, Pitiphat W, Angwarawong T. Prevalence and Risk Factors of Dental Erosion in Deciduous Teeth in Khon Kaen Municipality, Thailand. Khon Kaen Dent J [Internet]. 2017 Dec. 1 [cited 2024 Apr. 20];20(2):20-36. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/125405
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References

1. Johansson AK, Koch G, Poulsen S. Dental erosion. In: Koch G, Poulsen S, editors. Pediatric Dentistry A Clinical Approach. 2nd ed: Willey-Blackwell; 2009.
2. Bartlett DW. The role of erosion in tooth wear: aetiology, prevention and management. Int Dent J 2005;55(4):277-84.
3. Luo Y, Zeng XJ, Du MQ, Bedi R. The prevalence of dental erosion in preschool children in China. J Dent 2005;33(2):115-21.
4. Johansson AK, Sorvari R, Birkhed D, Meurman JH. Dental erosion in deciduous teeth--an in vivo and in vitro study. J Dent 2001;29(5):333-40.
5. Crossner CG. Salivary flow rate in children and adolescents. Swed Dent J 1984;8(6):271-6.
6. Johansson AK, Omar R, Carlsson GE, Johansson A. Dental erosion and its growing importance in clinical practice: from past to present. Int J Dent 2012;2012:632907.
7. Harley K. Tooth wear in the child and the youth. Br Dent J 1999;186(10):492-6.
8. Bonte E, Deschamps N, Goldberg M, Vernois V. Quantification of free water in human dental enamel. J Dent Res 1988;67(5):880-2.
9. Linden LA, Bjorkman S, Hattab F. The diffusion in vitro of fluoride and chlorhexidine in the enamel of human deciduous and permanent teeth. Arch Oral Biol 1986;31(1):33-7.
10. Amaechi BT, Higham SM, Edgar WM. Factors influencing the development of dental erosion in vitro: enamel type, temperature and exposure time. J Oral Rehabil 1999;26(8):624-30.
11. Ganss C, Klimek J, Giese K. Dental erosion in children and adolescents--a cross-sectional and longitudinal investigation using study models. Community Dent Oral Epidemiol 2001;29(4):264-71.
12. Downer MC. The 1993 national survey of children's dental health. Br Dent J 1995;178(11):407-12.
13. Millward A, Shaw L, Smith A. Dental erosion in four-year-old children from differing socioeconomic backgrounds. ASDC J Dent Child 1994;61(4):263-6.
14. Harding MA, Whelton H, O'Mullane DM, Cronin M. Dental erosion in 5-year-old Irish school children and associated factors: a pilot study. Community Dent Health 2003;20(3):165-70.
15. Wiegand A, Muller J, Werner C, Attin T. Prevalence of erosive tooth wear and associated risk factors in 2-7-year-old German kindergarten children. Oral Dis 2006;12(2):117-24.
16. Hasselkvist A, Johansson A, Johansson AK. Dental erosion and soft drink consumption in Swedish children and adolescents and the development of a simplified erosion partial recording system. Swed Dent J 2010;34(4):187-95.
17. Mantonanaki M, Koletsi-Kounari H, Mamai-Homata E, Papaioannou W. Dental erosion prevalence and associated risk indicators among preschool children in Athens, Greece. Clin Oral Investig 2013;17(2):585-93.
18. Al-Malik MI, Holt RD, Bedi R. The relationship between erosion, caries and rampant caries and dietary habits in preschool children in Saudi Arabia. Int J Paediatr Dent 2001;11(6):430-9.
19. Al-Majed I, Maguire A, Murray JJ. Risk factors for dental erosion in 5-6 year old and 12-14 year old boys in Saudi Arabia. Community Dent Oral Epidemiol 2002;30(1):38-46.
20. Deshpande SD, Hugar SM. Dental erosion in children : an increasing clinical problem. J Indian Soc Pedod Prev Dent 2004;22(3):118-27.
21. Tao DY, Hao G, Lu HX, Tian Y, Feng XP. Dental erosion among children aged 3-6 years and its associated indicators. J Public Health Dent 2015;75(4):291-7.
22. Murakami C, Oliveira LB, Sheiham A, et al. Risk indicators for erosive tooth wear in Brazilian preschool children. Caries Res 2011;45(2):121-9.
23. Moimaz SA, Araujo PC, Chiba FY, Garbin CA, Saliba NA. Prevalence of deciduous tooth erosion in childhood. Int J Dent Hyg 2013;11(3):226-30.
24. Habib M, Hottel TL, Hong L. Prevalence and risk factors of dental erosion in American children. J Clin Pediatr Dent 2013;38(2):143-8.
25. Ayers KM, Drummond BK, Thomson WM, Kieser JA. Risk indicators for tooth wear in New Zealand school children. Int Dent J 2002;52(1):41-6.
26. Kazoullis S, Seow WK, Holcombe T, Newman B, Ford D. Common dental conditions associated with dental erosion in schoolchildren in Australia. Pediatr Dent 2007;29(1):33-9.
27. Huang LL, Leishman S, Newman B, Seow WK. Association of erosion with timing of detection and selected risk factors in primary dentition: a longitudinal study. Int J Paediatr Dent 2014;26(10):12109.
28. Taji S, Seow WK. A literature review of dental erosion in children. Aust Dent J 2010;55(4):358-67; quiz 475.
29. Greene JC VJ. Oral hygiene index: a method classifying oral hygiene status. JADA 1964(61):172.
30. Department of Health, Ministry of Public Health. [homepage on the Internet]. Report on the seventh national health survey, 2012, Thailand [updated 2013 May 1; cited 2017 May 19]. Available from: https://dental.anamai.moph.go.th/elderly/academic/full99.pdf
31. Ganss C, Lussi A. Diagnosis of erosive tooth wear. Monogr Oral Sci 2006;20:32-43.
32. Nunn JH, Gordon PH, Morris AJ, Pine CM, Walker A. Dental erosion -- changing prevalence? A review of British National childrens' surveys. Int J Paediatr Dent 2003;13(2):98-105.
33. Taji SS, Seow WK, Townsend GC, Holcombe T. A controlled study of dental erosion in 2- to 4-year-old twins. Int J Paediatr Dent 2010;20(6):400-9.
34. Chadwick BL, White DA, Morris AJ, Evans D, Pitts NB. Non-carious tooth conditions in children in the UK, 2003. Br Dent J 2006;200(7):379-84.
35. Word Health Organization. Oral health suryes: basic methods. 5th ed. Geneva: The organization; 2013.
36. Manaf ZA, Lee MT, Ali NH, et al. Relationship between food habits and tooth erosion occurrence in Malaysian University students. Malays J Med Sci 2012;19(2):56-66.
37. Mangueira DF, Sampaio FC, Oliveira AF. Association between socioeconomic factors and dental erosion in Brazilian schoolchildren. J Public Health Dent 2009;69(4):254-9.
38. Kumar S, Acharya S, Mishra P, Debnath N, Vasthare R. Prevalence and risk factors for dental erosion among 11-to 14-year-old school children in South India. Journal of oral science 2013;55(4):329-36.
39. Hamasha AA, Zawaideh FI, Al-Hadithy RT. Risk indicators associated with dental erosion among Jordanian school children aged 12-14 years of age. Int J Paediatr Dent 2014;24(1):56-68.
40. Al-Dlaigan YH, Shaw L, Smith A. Dental erosion in a group of British 14-year-old school children. Part II: Influence of dietary intake. Br Dent J 2001;190(5):258-61.
41. Chrysanthakopoulos NA. Prevalence of tooth erosion and associated factors in 13-16-year old adolescents in Greece. Journal of Clinical and Experimental Dentistry 2012;4(3):160-66.
42. Huew R, Waterhouse PJ, Moynihan PJ, Kometa S, Maguire A. Dental erosion and its association with diet in Libyan schoolchildren. Eur Arch Paediatr Dent 2011;12(5):234-40.
43. Bardsley PF, Taylor S, Milosevic A. Epidemiological studies of tooth wear and dental erosion in 14-year-old children in North West England. Part 1: The relationship with water fluoridation and social deprivation. Br Dent J 2004;197(7):413-6; discussion 399.
44. Sukhumarn Likitwongkhajohn. Prevalence and factors associated with dental erosion in 15-year-old adolescents in Muang District, Khon kaen province [dissertation]. Khon Kaen: Khon Kaen University; 2008.