Prevalence and Characteristics of Dental Erosion in Swimmers in Muang Districts, of Khon Kaen and Mahasarakham
Main Article Content
Abstract
In Thailand, there are reports of tooth erosion among swimming athletes and regular swimmers. The most common problem related to tooth erosion is tooth hypersensitivity, leading to the negative effects on daily life. The purpose of this cross-sectional study was to evaluate the prevalence and characteristics of tooth erosion as well as its related factors among swimmers aged 13-25 years in Muang District, Khon Kaen and Mahasarakham Provinces, Thailand. Clinical examinations including the measurements of tooth erosion, dental caries experience, and oral hygiene were performed by one calibrated dentist. The Basic Erosive Wear Examination was used to evaluate the level of erosion on six upper anterior teeth. The pH of pool water was measured. Related information was collected using self-administered questionnaire. The data were analyzed by using descriptive statistics and Kruskal-Wallis Test was used to compare the relation between the number of years of regularly practicing swimming and tooth erosion. The results from 46 swimmers showed that the mean debris score of this population was 1.3±0.5. The prevalence of tooth erosion and sudden tooth hypersensitivity after swimming was 100%. The most severe erosive teeth were central incisors, followed by lateral incisors and canines, respectively. Erosive defects were more severe on labial surfaces than palatal surfaces. Swimmers who had practiced swimming for longer years tended to have more severe tooth erosion (p=0.05). In addition, the difference of mean erosion score of buccal surfaces was statistically significant (p=0.01). Therefore, health education on the prevention of dental erosion in swimmers should be considered.
Article Details
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
2. Johansson A-K, Omar R, Carlsson GE, Johansson A. Dental erosion and its growing importance in clinical practice: from past to present. Int Dent J 2012;2012:1-17.
3. Kitsahawong K. Dental erosion. Khon Kaen Dent J 2005;8(1):68-80.
4. Lussi A, Hellwig E, Zero D, Jaeggi T. Erosive tooth wear: diagnosis, risk factors and prevention. Am J Dent 2006;19(6):319.
5. Wiegand A, Attin T. Occupational dental erosion from exposure to acids:a review. Occup Med (lond) 2007;57(3):169-76.
6. Zebrauskas A, Birskute R, Maciulskiene V. Prevalence of dental erosion among the young regular swimmers in Kaunas, Lithuania. J Oral Maxillofac Res 2014;5(2):1-6.
7. Buczkowska-Radlinska J, Lagocka R, Kaczmarek W, Górski M, Nowicka A. Prevalence of dental erosion in adolescent competitive swimmers exposed to gas-chlorinated swimming pool water. Clin Oral Investig 2013;17(2):579-83.
8. Baghele O, Majumdar I, Thorat M, Nawar R, Baghele M, Makkad S. Prevalence of dental erosion among young competitive swimmers: a pilot study. Comp Cont Educ Dent 2013;34(2):20-4.
9. Limsintaropas W, Leelasithorn S, Ungchusak C. Dental erosion among swimming athletes in Phitsanulok province. J Dent Assoc Thai 1995;45:98-104.
10. Tuongratanaphan S, Homnan J, Pakdee P, Chatchawanpan C, Jantawuttikul A. Dental erosion among swimming athletes and related factors: A study in Amphur Muang, Chiang Mai. CM Dent J 2011;32(2):103-12.
11. Thaweboon B, Kritpet T, Buajeeb W, Thaweboon S. Prevalence of enamel erosion in Thai swimmers and the related factors. J Dent Assoc Thai 1998;48(3):134-42.
12. Department of Health [homepage on the Internet]. Bangkok: Department of Health [updated 2012 Mar 3; cited 2019 May 10]. Available from:https://laws.anamai.moph.go.th/
13. Dawes C, Boroditsky CL. Rapid and severe tooth erosion from swimming in an improperly chlorinated pool: case report. J Can Dent Assoc 2008;74(4):359-61.
14. Sivasithamparam K, Harbrow D, Vinczer E, Young W. Endodontic sequelae of dental erosion. Aust Dent J 2003; 48(2):97-101.
15. Bartlett D, Ganss C, Lussi A. Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Investig 2008;12(1):65-8.
16. Centerwall BS, Armstrong CW, Funkhouser LS, Elzay RP. Erosion of dental enamel among competitive swimmers at a gas-chlorinated swimming pool. Am J Epidemiol 1986;123(4):641-7.
17. Lukkananuruk N, Tuongratanaphan S. Dental erosion in competitive swimmer. CM Dent J 2014;35(2):25-34.
18. Smith B. An index for measuring the wear of teeth. Br Dent J 1984;156:435-8.
19. Carvalho T, Colon P, Ganss C, Huysmans M, Lussi A, Schlüter N, et al. Consensus report of the European Federation of Conservative Dentistry: erosive tooth wear—diagnosis and management. Clin Oral Investig 2015;19(7):1557-61.
20. Yee R, David J, Khadka R. Oral cleanliness of 12-13- year-old and 15-year-old school children of Sunsari District, Nepal. J Indian Soc Pedod Prev Dent 2006;24(3):146.
21. Sanchez M. Oral hygiene among youths 12-17 years. Vital and health statistics Series 11, Data from the national health survey. 1975;15:1-36.
22. Vongsavan N, Matthews B. The relation between fluid flow through dentine and the discharge of intradental nerves. Arch Oral Biol 1994;39:140.
23. Brännström M, Åström A. A study on the mechanism of pain elicited from the dentin. J Dent Res 1964;43(4):619-25.
24. Lee YH, Choi JO. Study on DMFT related factors in some adolescents. Curr Pediatr Res 2017;21(4):640-5.
25. Shin SH. Correlation between dental caries experience, oral health promotion behaviors, and knowledge of oral health in children and adolescents. J Korean Soc Dent Hyg 2013;13(4):615-22.
26. Department of Health [homepage on the Internet]. Bangkok: Department of Health [updated 2012 Mar 3; cited 2019 May 10]. Available from:https://laws.anamai.moph.go.th/.
27. Kitsahawong K, Kitsahawong S. Effect of mouthguard on surface hardness of dental enamel after exposing to chlorinated water. Khon Kaen Dent J 2005;8(2):115-23.
28. Ungchusak C, Parkpien K, Ekkarntrong P. Protecive effects of closed-fitting mouthguard for protection of dental erosion among swimming athletes. J Dent Assoc Thai 2004; 54(4):235-41.