OBJECTIVE: This scoping review aims to map and describe suspected available factors associated with TW in permanent dentition based on quantitative measurement.
METHODS: The scoping review was conducted using the PRISMA extension of the Scoping Reviews checklist. The search was conducted in October 2022 from the Medline® (PubMed® interface) and Scopus® databases. Two independent reviewers selected and characterised the studies.
RESULTS: 2702 articles were identified for assessment of titles and abstracts, and 273 articles were included in the review. The results show a need to standardise TW measurement indices and the study design. The included studies highlighted various factors, classified into nine domains: sociodemographic factors, medical history, drinking habits, eating habits, oral hygiene habits, dental factors, bruxism and temporomandibular disorders, behavioural factors, and stress. Results related to chemical TW (erosion) risk factors underline the importance of eating disorders, gastroesophageal reflux and lifestyle, particularly drinking and eating behaviours, which supports developing public health information campaigns and interventions. Besides chemical, this review identifies evidence of several mechanical TW risk factors, such as toothbrushing and bruxism; the influence of this last factor needs to be further explored.
CONCLUSIONS: TW management and prevention require a multidisciplinary approach. Dentists are in the first line to detect associated diseases such as reflux or eating disorders. Consequently, practitioners\' information and guideline diffusion should be promoted, and a TW risk factors checklist (the ToWeR checklist) is proposed to help diagnostic approaches.
目的:本范围审查旨在根据定量测量绘制和描述与恒牙中TW相关的可疑可用因素。
方法:范围审查使用范围审查清单的PRISMA扩展进行。在Octobre2022中从Medline®(PubMed®界面)和Scopus®数据库进行搜索。两名独立审稿人选择并描述了这些研究。
结果:确定了2702篇文章用于评估标题和摘要,273篇文章被纳入审查。结果表明,需要标准化TW测量指标和研究设计。纳入的研究强调了各种因素,分为九个领域:社会人口统计学因素,病史,饮酒习惯,饮食习惯,口腔卫生习惯,牙科因素,磨牙症和颞下颌关节紊乱病(TMD),行为因素,和压力。与化学TW(侵蚀)风险因素相关的结果强调了饮食失调的重要性,胃食管反流,和生活方式,特别是饮酒和饮食行为,支持开展公共卫生宣传运动和干预措施。除了化学,这篇综述确定了几种机械性TW危险因素的证据,例如刷牙和磨牙症;最后一个因素的影响需要进一步探索。
结论:TW管理和预防需要多学科方法。牙医在第一线检测相关疾病,如反流或进食障碍。因此,应促进从业人员信息和指南的传播,并提出了TW风险因素检查表(ToWeR检查表)来帮助诊断方法。