目的:侵蚀性牙齿磨损是一种多因素条件。本系统评价和荟萃分析的目的是确定恒牙糜烂牙齿磨损的关键风险因素。
方法:观察性研究报告了糜烂牙齿磨损的记忆障碍危险因素。使用改良的纽卡斯尔-渥太华量表进行横断面研究,评估方法学质量和偏倚风险。风险因素在热图中直观地呈现,在可能的情况下,对危险因素的比值比(ORs)进行随机效应荟萃分析.
方法:电子数据库(MEDLINE,Embase,Scopus,和WebofScience)和2023年2月的手动搜索。该方案在PROSPERO(CRD4202339776)中注册。
方法:本系统综述共纳入报告71项研究的87篇出版物。这些研究检查了各种遗忘风险因素(n=80),这些因素分为十个领域(社会人口统计学,社会经济学,一般健康,口腔疾病,药物,口腔卫生,食物,饮料,饮食习惯和休闲相关的危险因素)。荟萃分析显示,糜烂牙齿磨损与男性之间存在显着关联(padj。<0.001;OR=1.30,95%CI:1.16-1.44),返流(padj.=0.033;OR=2.27,95%CI:1.41-3.65),消化系统疾病(padj.<0.001;OR=1.81,95%CI:1.48-2.21),酸性食物的消费(padj.=0.033;OR=2.40,95%CI:1.44-4.00),调味酱(padj.=0.003;OR=1.28,95%CI:1.13-1.44),营养补充剂(padj.=0.019;OR=1.73,95%CI:1.28-2.35),和碳酸饮料(padj.=0.019;OR=1.43,95%CI:1.17-1.75)。大多数纳入研究显示低偏倚风险。
结论:观察性研究调查了侵蚀牙齿磨损的各种记忆障碍风险因素。未来的研究应该采用经过验证的问卷,特别是考虑到最重要的风险因素。
结论:牙齿磨损是一种普遍的情况。在筛查有糜烂牙齿磨损风险的患者时,临床医生应主要关注胃食管反流疾病的症状和饮食因素。
Erosive tooth wear is a multifactorial condition. The aim of this systematic review and meta-analysis was to identify key risk factors for erosive tooth wear in permanent dentition.
Observational studies reporting anamnestic risk factors for erosive tooth wear. Methodological quality and risk of bias were assessed using the modified Newcastle-Ottawa scale for cross-sectional studies. Risk factors were visually presented in a heatmap, and where possible, random-effects meta-analyses were performed for the odds ratios (ORs) of risk factors.
Electronic databases (MEDLINE, Embase, Scopus, and Web of Science) and manual searches in February 2023. The protocol was registered in PROSPERO (CRD4202339776).
A total of 87 publications reporting on 71 studies were included in the systematic review. The studies examined a variety of anamnestic risk factors (n = 80) that were categorized into ten domains (socio-demographics, socio-economics, general health, oral diseases, medication, oral hygiene, food, beverages, dietary habits, and leisure-related risk factors). Meta-analyses revealed significant associations between erosive tooth wear and male gender (padj.<0.001; OR=1.30, 95 % CI: 1.16-1.44), regurgitation (padj.=0.033; OR=2.27, 95 % CI: 1.41-3.65), digestive disorders (padj.<0.001; OR=1.81, 95 % CI: 1.48-2.21), consumption of acidic foods (padj.=0.033; OR=2.40, 95 % CI: 1.44-4.00), seasoning sauces (padj.=0.003; OR=1.28, 95 % CI: 1.13-1.44), nutritional supplements (padj.=0.019; OR=1.73, 95 % CI: 1.28-2.35), and carbonated drinks (padj.=0.019; OR=1.43, 95 % CI: 1.17-1.75). Most included studies exhibited low bias risk.
Observational studies investigated a variety of anamnestic risk factors for erosive tooth wear. Future studies should employ validated questionnaires, particularly considering the most important risk factors.
Erosive tooth wear is a prevalent condition. Clinicians should concentrate primarily on symptoms of gastroesophageal reflux disease and dietary factors when screening patients at risk for erosive tooth wear.