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- Title
A collection of interesting articles taken from international magazines on the subject of functional diagnostics and treatment.
- Authors
Bernhardt, Olaf
- Abstract
Tooth wear, a condition characterized by the cumulative and irreversible surface loss of dental hard tissue, is generally asymptomatic in its early stages and is often not recognized by adult patients even in its advanced stages. Adult patients with tooth wear may complain of sensitivity due to dentin/ pulp proximity or pulp exposure, functional impairment due to occlusal changes, and deterioration in the esthetic appearance due to discoloration and shortening of the teeth. Aim: The purpose of this study was to determine the impact of tooth wear on oral health and oral health-related quality of life (OHRQoL) in adults. Materials and methods: This cross-sectional study included a sample of 570 adults ≥ 18 years of age, all of whom were required to have at least one bilateral occlusal contact on the molars. Participants answered a self-designed questionnaire (intraclass correlation coefficient, ICC = 0.71) consisting of four domains: sociodemographics; oral hygiene measures; oral health status and lifestyle; complaints and oral health-related quality of life (OHIP-14). Tooth wear was determined clinically using the basic erosive wear examination index by two examiners, whose interrater reliability was k = 0.76 to 0.80. Results: All patients showed a high OHRQoL score. The prevalence of tooth wear was 75.0%, but only 30.2% of the adults in the study reported high OHRQoL scores. Logistic regres sion showed a significantly reduced OHRQoL for the following variables: age 35 to 54 years (OR = 2.1); limitations regarding regular oral health care (OR = 3.6); intake of acidic beverages more than once a day (OR = 1.7); reporting tooth sensitivity (OR = 2.9); subjects reporting that teeth had changed in appearance (OR = 5.9). The severity of tooth wear was no longer significant when moderate and severe cases were considered together. Conclusions: Although the prevalence of tooth wear was high, its severity and impact on OHRQoL were limited.
- Subjects
TOOTH erosion; TOOTH abrasion; FEAR of dentists; BODY dysmorphic disorder; DENTAL discoloration; TOOTH sensitivity; QUALITY of life; INTRACLASS correlation
- Publication
Journal of Craniomandibular Function, 2023, Vol 15, Issue 1, p73
- ISSN
1868-4149
- Publication type
Article