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Erosive tooth wear status of institutionalized alcoholic patients under rehabilitation therapy in the north of Portugal

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Abstract

Objectives

The objective of the study was to determine the erosive tooth wear (ETW) status of institutionalized patients for alcohol misuse rehabilitation therapy in the north of Portugal.

Material and methods

Descriptive, analytical, and cross-sectional study, conducted on 277 individuals (83.4 % men) with an average age of 43.6 ± 8.4 years, institutionalized at Instituto da Droga e Toxicodependência–Delegação Regional Norte (IDT-Norte). ETW prevalence and severity were assessed by Eccles and Jenkins index. Multivariate logistic regression was used to identify ETW risk factors. Subjects with ETW risk identification according to biological and behavioral exposure were determined in the study.

Results

ETW prevalence was 98.6 %. In the cohort, 51.3 % showed localized ETW lesions, 40.1 % generalized ETW lesions, and 7.2 % enamel ETW lesions, more frequently localized in maxilla. From the examined dental surfaces (n = 15,598), 11,493 had erosive wear lesions: 92.4 % (95 % CI 91.7–93.1 %) of all occlusal surfaces, 71.9 % (95 % CI 70.7–73.1 %) of all palatal/lingual, and 56.7 % (95 % CI 55.4–58.1 %) of all buccal surfaces. Buccal and lingual surfaces showed 43.2 and 41.8 % enamel erosive wear lesions; occlusal surfaces had 43.4 % localized erosive wear lesions in dentin. The main ETW risk factors were as follows: age, gastroesophageal reflux disease over 1 year, daily intake of alcohol ≥240 g (grams), and intra-oral location in anterior region; 46.2 % of the participants had erosive risk by exposure to biological and behavioral factors.

Conclusions

The ETW status showed high values for disease prevalence and severity, mainly located in the maxilla, and high frequency of erosive wear lesions at occlusal, buccal, and lingual surfaces, resulting from simultaneous exposure to several risk factors.

Clinical implications

For ETW differential diagnosis, the association of both clinical and biological/nutritional/behavioral risk factors should be done for each studied population.

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Acknowledgments

The authors are grateful to the Instituto da Droga e Toxicodependência–Delegação Regional do Norte (IDT-Norte), Porto, Portugal, and to all the participants for their cooperation.

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Authors and Affiliations

  1. Conservative & Restorative Dentistry, Department of Medical Sciences, Faculty of Health Sciences, University Fernando Pessoa, R. Carlos da Maia, 296, 4200-150, Porto, Portugal

    Liliana Teixeira & Patrícia Manarte-Monteiro

  2. Biostatistics, Faculty of Health Sciences, FP-ENAS, University Fernando Pessoa, Porto, Portugal

    Maria-Conceição Manso

  3. REQUIMTE, University of Porto, Porto, Portugal

    Maria-Conceição Manso

Authors
  1. Liliana Teixeira
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  2. Maria-Conceição Manso
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  3. Patrícia Manarte-Monteiro
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Corresponding author

Correspondence to Liliana Teixeira.

Ethics declarations

All procedures performed in this study involving the participants, were in accordance with the ethical standards and with the 1964 Helsinki Declaration and its later amendments. This was formally approved, monitored, and reviewed by the University Fernando Pessoa Ethical Committee.

Conflict of interest

The authors declare no potential conflicts of interest with respect to the authorship and/or publication of this article. The authors also state that have full control of all primary data and that agreed to allow the journal to review the data if requested.

Funding

The authors received no financial support.

Informed consent

After explaining to all individual the risks involved on this survey, the written informed consent was obtained from all participants included in the study.

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Teixeira, L., Manso, MC. & Manarte-Monteiro, P. Erosive tooth wear status of institutionalized alcoholic patients under rehabilitation therapy in the north of Portugal. Clin Oral Invest 21, 809–819 (2017). https://doi.org/10.1007/s00784-016-1823-2

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  • DOI: https://doi.org/10.1007/s00784-016-1823-2

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