Erosion

侵蚀
  • 文章类型: Journal Article
    长期以来,手术治疗方案一直是男性压力性尿失禁(SUI)领域治疗设备的一部分,并将继续发挥重要作用,因为它们可以显着改善患者的生活质量和尿路功能和控制。人工尿道括约肌(AUS)被广泛认为是男性SUI的黄金标准治疗选择,因为它在轻度,中度,严重的SUI病例。和任何手术一样,在权衡不同治疗方案的利弊时,所有患者都必须意识到潜在的围手术期风险和并发症.AUS手术最可怕的两种并发症是尿道袖口侵蚀和装置感染,两者都需要对装置外植体进行后续手术。这篇临床实践综述文章的目的是检查和讨论这些并发症的围手术期因素和处理。有效治疗这些并发症至关重要,不仅仅是为了解决患者健康和安全的严重临床问题,而且还为患者提供了在未来进行AUS置换手术的最佳机会,鉴于这些患者中的绝大多数在移除侵蚀和/或感染的装置后会出现反复出现的麻烦的SUI。通过回顾相关的患者因素,术前和术后注意事项,特定于设备的特性,外科技术,和耐心咨询,这篇文章为从事男性失禁手术的泌尿科医师提供了全面而实用的临床回顾指南。
    Surgical treatment options have long been a part of the treatment armamentarium in the field of male stress urinary incontinence (SUI) and will continue to play an important role moving forward given the dramatic improvement they can have on a patient\'s quality of life and urinary tract function and control. The artificial urinary sphincter (AUS) is widely considered the gold standard treatment option for male SUI given its breadth of effectiveness in mild, moderate, and severe cases of SUI. As with any surgery, there are potential perioperative risks and complications that all patients must be aware of when weighing the pros and cons of different treatment options. Two of the most dreaded complications of AUS surgery are urethral cuff erosion and device infection, both necessitating a subsequent surgery for device explant. The goal of this clinical practice review article is to examine and discuss the perioperative factors and management of these complications. Effectively treating these complications is of utmost importance, not just to address the acute clinical problem for patient health and safety, but also to provide the patient with the best chance of pursuing AUS replacement surgery in the future, given that the vast majority of these patients will develop recurrent bothersome SUI after the eroded and/or infected device is removed. By reviewing pertinent patient factors, preoperative and postoperative considerations, device-specific characteristics, surgical techniques, and patient counseling, this article serves as a thorough and practical clinical review guide for practicing urologists who perform male incontinence surgery.
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  • 文章类型: Journal Article
    摩擦力,磨损,随之而来的能量耗散在具有移动组件的系统中构成了重大挑战,跨越各个领域,包括纳米机电系统(NEMS/MEMS)和生物MEMS(微型机器人),髋关节假体(生物材料),海上风力和水力涡轮机,太空飞行器,用于光伏的太阳能镜,摩擦发电机,等。自然启发的仿生表面提供了有效的纹理策略的有价值的例子,涵盖各种几何和拓扑方法,以减轻各种场景中的摩擦效应和相关功能。通过采用仿生表面修饰,例如,粗糙度剪裁,可以产生系统的多功能性,以有效地减少摩擦和磨损,提高承载能力,提高在不同环境中的自我适应能力,改善化学相互作用,促进生物相互作用,等。然而,由于对摩擦学/生物摩擦学环境中功能方面的机械理解有限,因此生物启发纹理的全部潜力仍未开发。当前的评论扩展到表面工程,并提供了生物启发的纹理的全面和关键的评估,表现出摩擦学和生物学之间的可持续协同作用。全面讨论了从自然界中成功发展的表面/摩擦学解决方案的例子,这些解决方案可以有效解决干燥和润滑接触情况下的复杂摩擦学问题。审查包括四个主要的磨损条件:滑动,固体颗粒侵蚀,加工或切割,和冲击(能量吸收)。此外,它探讨了地形及其设计参数如何在指定的摩擦学条件下提供定制的响应(多功能)。此外,提出了具有增强耐磨性的生物启发材料和结构的未来潜力的跨学科观点。
    Friction, wear, and the consequent energy dissipation pose significant challenges in systems with moving components, spanning various domains, including nanoelectromechanical systems (NEMS/MEMS) and bio-MEMS (microrobots), hip prostheses (biomaterials), offshore wind and hydro turbines, space vehicles, solar mirrors for photovoltaics, triboelectric generators, etc. Nature-inspired bionic surfaces offer valuable examples of effective texturing strategies, encompassing various geometric and topological approaches tailored to mitigate frictional effects and related functionalities in various scenarios. By employing biomimetic surface modifications, for example, roughness tailoring, multifunctionality of the system can be generated to efficiently reduce friction and wear, enhance load-bearing capacity, improve self-adaptiveness in different environments, improve chemical interactions, facilitate biological interactions, etc. However, the full potential of bioinspired texturing remains untapped due to the limited mechanistic understanding of functional aspects in tribological/biotribological settings. The current review extends to surface engineering and provides a comprehensive and critical assessment of bioinspired texturing that exhibits sustainable synergy between tribology and biology. The successful evolving examples from nature for surface/tribological solutions that can efficiently solve complex tribological problems in both dry and lubricated contact situations are comprehensively discussed. The review encompasses four major wear conditions: sliding, solid-particle erosion, machining or cutting, and impact (energy absorbing). Furthermore, it explores how topographies and their design parameters can provide tailored responses (multifunctionality) under specified tribological conditions. Additionally, an interdisciplinary perspective on the future potential of bioinspired materials and structures with enhanced wear resistance is presented.
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  • 文章类型: Journal Article
    背景:刷牙是一种普遍的建议。然而,与执行时间相关的建议是相互矛盾的,特别是在处理有糜烂牙齿磨损(ETW)或龋齿风险的患者时。
    结论:我们的目的是总结与ETW和致龋饮食挑战有关的氟化牙膏刷牙时间的证据。我们根据PRISMA-ScR清单进行了范围审查,使用三个数据库搜索体内,就地,或涉及人类牙齿暴露于龋齿或侵蚀性挑战的体外研究。仅评估包括人唾液和氟化物的模型。数据选择,提取,和偏倚风险分析是重复和独立进行的。从1545项确定的研究中,包括17个(16个与ETW有关,1个与龋齿有关)。大多数证据(n=10)支持用含氟产品刷牙不会增加ETW,独立于刷牙的时刻。延迟刷牙1小时(n=4)或基于患者问题的个性化建议(n=2)频率较低。只有一项研究报告说,餐前或餐后刷牙不会影响变形链球菌的计数。大多数数据是原位数据(n=13),总体研究质量被判定为足够/低偏倚风险.
    结论:尽管现有证据缺乏有力的临床研究,在侵蚀性挑战后立即使用氟化产品刷牙不会增加ETW的风险,可以推荐,这符合龋齿预防的建议。此外,我们建议更新国际指南,根据危险因素提出个性化建议,以预防ETW或龋齿.
    BACKGROUND: Tooth brushing is a universal recommendation. However, the recommendations related to the time of its execution are conflicting, especially when dealing with patients at risk of erosive tooth wear (ETW) or dental caries.
    CONCLUSIONS: Our objective was to summarize the evidence on the timing of brushing with fluoridated toothpaste in relation to ETW and cariogenic dietary challenges. We conducted a scoping review following the PRISMA-ScR checklist, using three databases searching for in vivo, in situ, or in vitro studies involving human teeth exposed to either a cariogenic or an erosive challenge. Only models including human saliva and fluoride were assessed. Data selection, extraction, and risk of bias analysis were done in duplicate and independently. From 1,545 identified studies, 17 (16 related to ETW and 1 to dental caries) were included. Most evidence (n = 10) supported that brushing with a fluoride-containing product does not increase ETW, independent of the moment of brushing. Delaying tooth brushing up to 1 h (n = 4) or individualized recommendations based on the patient\'s problem (n = 2) were less frequent. Only one study reported that brushing pre- or post-meal does not affect Streptococcus mutans counts. Most data were in situ (n = 13), and the overall study quality was judged as sufficient/low risk of bias.
    CONCLUSIONS: Although the available evidence lacked robust clinical studies, tooth brushing using fluoridated products immediately after an erosive challenge does not increase the risk of ETW and can be recommended, which is in line with recommendations for dental caries prevention. Furthermore, we suggest updating the international guidelines to promote individualized recommendations based on risk factors to prevent either ETW or dental caries.
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  • 文章类型: Meta-Analysis
    目标:历史上,龋齿的患病率发生了重大变化,特别是随着食糖消费的工业化而增加。当考察古代人口时,更低的龋齿率被发现,部分归因于饮食因素。这些人食用研磨性食物,导致咬合磨损和减少非轴向咬合力,潜在影响子宫颈病变(NCCLs)。尽管有些人将NCCL归因于叛逆,该机制仍在辩论中。这篇系统的综述旨在评估古代人群中NCCL的存在,阐明导致它们发生的因素。
    方法:本系统综述已在PROSPERO注册,手稿是按照PRISMA指南编写的。
    结果:经过文献检索和文章筛选,来自6项研究的数据被纳入荟萃分析,古代头骨中只有两个报告的NCCL,在805个被检查的头骨中封装17个受试者,甚至在广泛使用牙刷之前就表明了它们的存在。这一发现表明了一种潜在的病因机制,但原因很复杂,涉及与饮食习惯密切相关的磨蚀和侵蚀因素。
    结论:总之,NCCL存在于古代人群中,尽管患病率要低得多。它们的发生不能仅仅归因于磨损机制,而必须与与饮食或具有宗教和文化意义的习俗有关的磨蚀因素有关。例如使用实验室。
    结论:今天,了解NCCL在古代双桨中的存在对于更好地了解相关风险因素至关重要。在这种情况下,对古代头骨的分析使我们能够辨别刷牙和饮食在NCCL形成中所起的作用,在过去的一个世纪。
    OBJECTIVE: Historically, the prevalence of caries has undergone significant changes, particularly increasing with the industrialization of sugar consumption. When examining ancient populations, lower caries rates are discovered, attributed in part to dietary factors. These populations consumed abrasive foods, leading to occlusal wear and reduced non-axial occlusal forces, potentially influencing Non-Carious Cervical Lesions (NCCLs). Although some attribute NCCLs to abfraction, the mechanism remains debated. This systematic review aims to evaluate the presence of NCCLs in ancient populations, shedding light on the factors contributing to their occurrence.
    METHODS: The present systematic review was registered on PROSPERO, and the manuscript was prepared following PRISMA guidelines.
    RESULTS: After the literature search and article screening, data from 6 studies were included in the meta-analysis, with only 2 reporting NCCLs in ancient skulls, encopassing 17 subjects in 805 examined skulls, suggesting their presence even before the widespread use of toothbrushes. This finding indicates a potential etiopathogenic mechanism linked to abfraction, but the cause is complex and involves abrasive and erosive factors closely tied to dietary habits.
    CONCLUSIONS: In summary, NCCLs were present in ancient populations, albeit with a much lower prevalence. Their occurrence cannot be solely attributed to wear mechanisms but must be connected to abrasive factors related to diet or practices with religious and cultural significance, such as the use of labrets.
    CONCLUSIONS: Th the knowledge of NCCLs presence in acient sculls is crucial today for better understand the associated risk factors. In this context, the analysis of ancient skulls allows us to discern the role that tooth brushing and diet played in the formation of NCCLs, over the past century.
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  • 文章类型: Journal Article
    磨损(侵蚀/磨损)和腐蚀在几个工业装置中协同作用,其中腐蚀性流体与固相一起循环,导致相互损坏。高熵合金(HEAs)是有前途的材料,可用于这种类型的环境,因为它们具有出色的化学性能,电化学和机械性能。虽然目前有几篇关于腐蚀的评论文章,机械性能,HEAs的发展,微观结构,和HEA涂层,不可否认,缺乏针对散装HEA的摩擦学行为和摩擦腐蚀的全面而严格的审查。这项工作旨在收集,总结,并批判性地回顾HEA在过去20年中处理磨损的主要成就和进展,腐蚀,和耐磨性。它突出了可以影响HEAs性能的最重要方面,包括基础合金元素的变化,温度的影响,热处理,和磨损测试参数(负载,速度,持续时间,距离)。此外,运行机制,以及显微组织与耐磨性之间的关系,将描述微观结构和耐腐蚀性之间的关系。最后,将回顾文献中报道的有关HEAs摩擦腐蚀的文章。这项研究的结果有望指导潜在的研究人员,并为他们提供HEAs在耐腐蚀性方面的当前趋势的总和,耐磨性和两者的协同作用,希望帮助他们做出正确的决定来设计和开发新的HEAs或改进现有HEAs的研究。
    Wear (erosion/abrasion) and corrosion act in synergy in several industrial installations where corrosive fluids circulate together with a solid phase causing mutual damage. High entropy alloys (HEAs) are promising materials to be used in that type of environments because of their outstanding chemical, electrochemical and mechanical properties. While several review articles are currently available on corrosion, mechanical properties, development of HEAs, microstructure, and HEA coatings, there is an undeniable lack of a comprehensive and critical review focusing on the tribological behaviour and tribocorrosion of bulk HEAs. This work aims to collect, summarise, and critically review the major accomplishments and progresses of HEAs over the last 20 years dealing with wear, corrosion, and wear-corrosion resistance. It highlights the most significant aspects that can influence the performance of HEAs including the change of the base alloying elements, the influence of the temperature, heat treatment, and wear test parameters (load, velocity, duration, distance). Furthermore, operating mechanisms, together with the relationship between microstructure and wear resistance, and between microstructure and corrosion resistance will be described. Finally, the articles that have been reported in the literature dealing with tribocorrosion of HEAs will be reviewed. The results of this study are expected to guide potential researchers and provide them with the sum of current trends in HEAs in terms of corrosion resistance, wear resistance and the synergy of both, in the hope of helping them to make the right decision to design and develop new HEAs or improve the research on the existing ones.
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  • 文章类型: Meta-Analysis
    背景:高达3%的患者可能会出现胃带侵蚀。内窥镜介入由于其微创性质而变得越来越多地被利用。这项研究的目的是进行系统评价和荟萃分析,以检查内镜下去除侵蚀胃带的作用。
    方法:为PubMed开发了个性化搜索策略,EMBASE,WebofScience,和Cochrane图书馆数据库符合PRISMA和MOOSE指南。成果包括技术成功,临床成功,程序持续时间,不良事件,和手术转换。使用随机效应模型分析集合比例。使用Egger和Begg检验,通过I2统计量和漏斗图不对称性评估异质性和发表偏倚。还通过内镜工具进行Meta回归比较结果。
    结果:10项研究(n=282例患者)纳入本荟萃分析。平均年龄为40.68±7.25岁,平均条带放置时间为38.49±19.88个月。术前BMI为42.76±1.06kg/m2,带蚀治疗时BMI为33.06±3.81kg/m2。在240/282例(85.11%)的病例中尝试了内窥镜切除。内镜治疗的技术和临床成功率分别为86.08%(95%CI:79.42-90.83;I2=28.62%)和85.34%(95%CI:88.70-90.62;I2=38.56%),分别。内镜下切除的平均手术时间为46.47±11.52min,术中不良事件发生率为4.15%(95%CI:1.98-8.51;I2=0.00%)。术后相关不良事件发生率为7.24%(CI:4.46-11.55;I2=0.00%)。在10.54%(95%CI:6.12-17.54)的病例中发生了剖腹手术/腹腔镜检查。
    结论:内镜介入治疗胃束带糜烂是一种非常有效和安全的方法。
    BACKGROUND: Gastric band erosion may be seen in up to 3% of patients. Endoscopic intervention has become increasingly utilized due to its minimally invasive nature. The purpose of this study was to perform a systematic review and meta-analysis to examine the role of endoscopic removal for eroded gastric bands.
    METHODS: Individualized search strategies were developed for PubMed, EMBASE, Web of Science, and Cochrane Library databases in accordance with PRISMA and MOOSE guidelines. Outcomes included technical success, clinical success, procedure duration, adverse events, and surgical conversion. Pooled proportions were analyzed using random effects models. Heterogeneity and publication bias was assessed with I2 statistics and funnel plot asymmetry using Egger and Begg tests. Meta-regression was also performed comparing outcomes by endoscopic tools.
    RESULTS: Ten studies (n=282 patients) were included in this meta-analysis. Mean age was 40.68±7.25 years with average duration of band placement of 38.49±19.88 months. Pre-operative BMI was 42.76±1.06 kg/m2 with BMI of 33.06±3.81 kg/m2 at time of band erosion treatment. Endoscopic removal was attempted in 240/282 (85.11%) of cases. Pooled technical and clinical success of the endoscopic therapy was 86.08% (95% CI: 79.42-90.83; I2=28.62%) and 85.34% (95% CI: 88.70-90.62; I2=38.56%), respectively. Mean procedure time for endoscopic removal was 46.47±11.52 min with an intra-operative adverse event rate of 4.15% (95% CI: 1.98-8.51; I2=0.00%). Post-procedure-associated adverse events occurred in 7.24% (CI: 4.46-11.55; I2=0.00%) of patients. Conversion to laparotomy/laparoscopy occurred in 10.54% (95% CI: 6.12-17.54) of cases.
    CONCLUSIONS: Endoscopic intervention is a highly effective and safe modality for the treatment of gastric band erosion.
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  • 文章类型: Case Reports
    在大多数情况下,建议迅速去除侵蚀的阴茎假体。然而,在没有败血症迹象的患者中,可以考虑保存和重新植入侵蚀的植入物,术前评估和手术探查期间局部感染或坏死。值得注意的是,在这种情况下,密切的术后监测至关重要。
    Prompt removal of eroded penile prostheses is recommended in most cases. However, saving and reimplanting eroded implants may be considered in patients without signs of sepsis, local infection or necrosis during preoperative evaluations and surgical exploration. Notably, close postoperative surveillance is crucial in this setting.
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  • 文章类型: Review
    腹腔镜可调节胃束带术(LAGB)通常用于治疗病态肥胖。然而,临床应用和长期随访,这个程序的缺点也暴露出来了,导致手术相关的并发症包括吞咽困难,胃内束带迁移,打滑,和胃束带侵蚀。下食管和胃瘘是LAGB术后罕见但危险的并发症。我们描述了在腹腔镜束带手术12年后发生的食管胃瘘的病例,并以多学科和分阶段的方式成功治疗。接下来是对文献的简短回顾。
    Laparoscopic adjustable gastric banding (LAGB) is commonly used in the treatment of morbid obesity. However, with clinical application and long-term follow-up, the shortcomings of this procedure were also exposed, bringing about surgery-related complications include dysphagia, intragastric band migration, slippage, and gastric band erosion. Lower esophageal and gastric fistula is a rare but dangerous complication after LAGB. We describe a case of esophagogastric fistula occurring twelve years after a laparoscopic band procedure and its successful management in a multidisciplinary and staged manner, followed by a short review of the literature.
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  • 文章类型: Review
    农田的水径流和土壤侵蚀导致植物生长可用的水流失,表土流失和植物保护产品(PPPs)运输,因此构成到邻近地表水的污染物路径。使用了几种缓解措施,包括小土坝或凹陷,被称为微型水坝。自1930年代以来,这种做法已在世界范围内得到应用。在PPP注册的监管暴露评估中,在PRZM模型中使用径流曲线数(CN)来量化径流和缓解措施的效果。对相关文献进行了概述,以扩大知识库,为将实践纳入PPP的监管暴露评估提供了强有力的建议。在这里收集了有关微型水坝的文献,以回顾从径流方面的田间试验报告的结果,侵蚀,和PPP运输缓解。对选定的数据进行了进一步评估,以得出径流CN。从21项研究和252项个人设置和试验中,我们得出径流的几何平均减少了62%(42%-90%);玉米和马铃薯的结果仅分别为62%(53%-73%)和81%(71%-93%),分别。侵蚀减少了73%(60%-90%;玉米:75%[63%-88%];马铃薯89%[83%-97%])。从19项研究和246项个人设置和试验中,CN减少的几何平均值为11%(4%-25%;玉米:7%[3%-17%],土豆:14%[6%-36%])。对于PPP运输(5项研究;10种不同的PPP),几何平均减少67%(48%-94%)(玉米:56%[38%-81%;3项研究;10项PPP];马铃薯:91%[1项研究;4项PPP])。微坝的应用提供了相当大的减少量,因此可以通过使用径流减少百分比来考虑环境暴露评估,侵蚀,和PPP运输或在数值模拟中降低径流CN。
    Water runoff and soil erosion by water from agricultural fields lead to a loss of water available for plant growth, loss of topsoil and transport of plant protection products (PPPs), hence constituting contaminant pathways to adjacent surface water. Several mitigation measures are used, including small earthen dams or depressions, referred to as micro-dams. This practice has been applied worldwide since the 1930s. In the regulatory exposure assessment for the registration of PPPs, runoff curve numbers (CNs) are used in the PRZM model to quantify runoff and the effect of mitigation measures. An overview of the pertinent literature is presented to enlarge the knowledge base to give robust recommendations for the inclusion of the practice in the regulatory exposure assessment of PPPs. Literature on micro-dams was collected here in a review of the reported results from field trials in terms of runoff, erosion, and PPP transport mitigation. Selected data were further evaluated to derive runoff CNs. From 21 studies with 252 individual setups and trials, we derived a geometric mean reduction of runoff of 62% (42%-90%); results for maize and potatoes only were 62% (53%-73%) and 81% (71%-93%), respectively. Erosion was reduced by 73% (60%-90%; maize: 75% [63%-88%]; potatoes 89% [83%-97%]). From 19 studies with 246 individual setups and trials, the geometric mean of the CN reduction is 11% (4%-25%; maize: 7% [3%-17%], potatoes: 14% [6%-36%]). For PPP transport (5 studies; 10 different PPP), a geometric mean reduction of 67% (48%-94%) was derived (maize: 56% [38%-81%; 3 studies; 10 PPP]; potatoes: 91% [1 study; 4 PPP]). The application of micro-dams provides considerable reductions and can therefore be factored into the environmental exposure assessment by using percent reductions of runoff, erosion, and PPP transport or lowering the runoff CN in numerical modelling.
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  • 文章类型: Systematic Review
    背景:牙齿磨损(TW)的患病率很高并且在增加,并且对患者的生活质量具有重要影响。了解危险因素对促进诊断至关重要,预防策略,及时拦截治疗。许多研究已经确定了TW的危险因素。
    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。
    BACKGROUND: Tooth wear (TW) prevalence is high and increasing and has important consequences on the patient\'s quality of life. Knowledge of risk factors is crucial to promote diagnosis, prevention strategies and timely interceptive treatment. Many studies have identified TW risk factors.
    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.
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