Abstract：
Accurate determination of the prevalence of erosive tooth wear (ETW) and associated risk factors in adolescents can inform clinical management guidelines. The aim of this analytical cross-sectional study was to estimate the prevalence, severity, and risk factors of ETW in adolescents aged 12-15 years in the municipality of Usaquén in Bogotá, Colombia. Two calibrated examiners clinically assessed ETW using Basic Erosive Wear Examination (BEWE) Index (range: 0-3). All tooth surfaces (excluding proximal) were scored to allow estimation of the Highest (0-3) and Total BEWE (sum of Highest BEWE score per sextant: 0-18) scores per patient. Sociodemographic characteristics, ETW risk factors, and caries severity (ICDAS-epi-merged) were evaluated, and their association with the presence of ETW (indicated by a Highest BEWE score of 2-3) was examined using preliminary analyses and logistic regression models. The study sample included 454 adolescents (mean age: 13.5±1.1 years; female: 61.7%), and the prevalence of ETW was 71.6%. The majority of participants exhibited a Highest BEWE score of 3 (58.0%) and a Total BEWE score ≤8 (84.3%). The preliminary analysis showed an association between the presence of ETW and age, caries, and brushing teeth before eating (p-value < 0.05). Risk factors for ETW included always brushing teeth before eating [adjusted Prevalence Ratio (PRa) 1.31, p-value=0.014], presence of extensive carious lesions (PRa 1.23, p-value = 0.024), male gender (PRa 1.14, p-value = 0.028), and age > 14 years (PRa 1.17, p-value = 0.009). Although ETW was highly prevalent, most Colombian adolescents exhibited low Total BEWE scores. ETW was associated with frequent fruit intake, age, toothbrushing habits, caries lesions, and sex.
摘要：
准确确定青少年糜烂牙齿磨损（ETW）的患病率和相关风险因素可以为临床管理指南提供依据。这项分析性横断面研究的目的是估计患病率，严重程度,以及波哥大Usaquén市12-15岁青少年ETW的危险因素，哥伦比亚。两名校准的检查者使用基本侵蚀磨损检查(BEWE)指数(范围:0-3)临床评估ETW。对所有牙齿表面（不包括近端）进行评分，以估计每位患者的最高（0-3）和总BEWE（每位六分仪的最高BEWE评分之和：0-18）评分。社会人口统计学特征，ETW风险因素，和龋齿严重程度（ICDAS-epi-合并）进行评估，使用初步分析和逻辑回归模型检查了它们与ETW的存在的关联(由最高BEWE得分为2-3)。研究样本包括454名青少年（平均年龄：13.5±1.1岁；女性：61.7％），ETW的患病率为71.6%。大多数参与者表现出最高的BEWE得分为3（58.0％），总BEWE得分为≤8（84.3％）。初步分析表明，ETW的存在与年龄之间存在关联，龋齿,进食前刷牙（p值<0.05）。ETW的危险因素包括进食前总是刷牙[调整后的患病率比率（PRa）1.31，p值=0.014]，存在广泛的龋齿病变（PRa1.23，p值=0.024），男性（PRa1.14，p值=0.028），年龄>14岁（PRa1.17，p值=0.009）。尽管ETW非常普遍，大多数哥伦比亚青少年表现出较低的BEWE总分。ETW与频繁的水果摄入有关，年龄,刷牙习惯,龋齿病变，和性爱。
