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Meta-analysis of the prevalence of tooth wear in primary dentition

Type:  Articles

Pubblication date:  /1/2014

Authors:  A. Corica, A. Caprioglio

Language:  English

Institution:  School of Medicine, University of Insubria, Varese (Italy)

Publication:  European Journal of Paediatic Dentistry

Publisher:  Ariesdue Srl

Keywords:  Enamel dental erosion; Gastroesophageal reflux disease; Primary dentition.

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Email:  [email protected]

Title:  Meta-analysis of the prevalence of tooth wear in primary dentition

Abstract:  Aim To conduct a meta-analysis of all the studies published in literature over the past three decades on the prevalence of dental erosion in preschool children. Materials and methods The Pubmed data base revealed only one systematic review on the prevalence of tooth wear in children up to 5 years old. The search included works published from January 1982 to September 2012, using the following combinations of keywords: 1) “dental erosion” AND “children”; 2) “dental erosion in primary dentition”; 3) “dental” AND “attrition” AND “prevalence”. The inclusion criteria for papers on tooth wear were the deciduous dentition observed only on the palatal and buccal sides with the distinction of erosion, attrition and abrasion. We took into consideration only randomized control trials. We excluded articles not written in English, case reports, historical and forensic studies, in vitro and in vivo studies. In case of doubt and/or when an abstract was not available, the full text copy of the article was examined. The first search on Pubmed revealed 29 articles, the same found in the study of Kreulen [2010], however we selected only multicentric studies focused on children of age below 5 years old, in which only the primary dentition (D) and only anterior teeth (incisors) were considered. Results Both forest plot and scatter plot showed the prevalence of dental erosion in primary dentition, and that older children had a more severe dental erosion. Conclusion Dental erosion should be considered a paediatric dentistry pathological entity as well as dental caries, and it can be related to more severe systemic diseases such as Gastroesophageal reflux disease. In addition, taking care of these little patients is important because they might suffer ipersentiveness, and also pulpal pathology caused by the typical structure of deciduous teeth, where the pulp cavity is wide and close to the dentine and the enamel.

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