在过去的二十年里,社会经济地位的变化趋势,饮食习惯,和个人的生活方式导致牙齿磨损作为口腔健康问题的出现。本研究旨在调查在UmmAl-Qura大学牙科学院门诊就诊的成年患者的便利样本中,牙齿磨损的患病率和相关病因。这项横断面研究是针对成年患者(18-40岁)前往牙科学院门诊部进行的,乌姆·库拉大学。两名经过培训的审查员使用Smith和Knight的牙齿磨损指数(TWI)对患者的牙齿磨损进行了视觉评估。在临床检查之后,患者填写了一份自我管理的问卷,详细说明了危险因素,如酸性食物和药物的摄入频率,一般健康,咀嚼习惯,饮食因素,与口腔健康相关的预防行为。使用统计产品和服务解决方案(SPSS,版本21;IBMSPSSStatisticsforWindows,Armonk,NY).牙齿磨损的总患病率为74%,记录的平均磨损评分(TWI)为0.380±0.386;前牙的磨损大于后牙。在人口统计学中,牙齿磨损与测试变量之间记录了许多关联,习惯,饮食,和药物,但大多数没有统计学意义。当刷牙习惯被探索时,在磨蚀牙齿结构中起重要作用的唯一因素是使用的刷毛类型(P值=0.026)和刷子更新的频率(P=0.043)。经常食用柑橘类水果和其他酸性食物的患者的磨损得分较高(分别为0.509±0.311和0.508±0.402)。尽管差异无统计学意义。当咀嚼发生在嘴的两侧时,与仅在右侧或左侧咀嚼相比,牙齿磨损较少(分别为0.371±0.260、0.422±0.273和0.520±0.419)。研究数据支持牙齿磨损与患者职业之间的关联,使用硬毛和新牙刷,食用柑橘和其他酸性食物,一边咀嚼,所有这些因素都增加了牙齿磨损的风险。
In the past two decades, changing trends in socioeconomic status, dietary habits, and individual lifestyles of individuals have led to the emergence of tooth wear as an oral health problem. The present study aimed to investigate the prevalence and the associated etiologies of tooth wear in a convenience sample of adult patients visiting outpatient clinics of the Faculty of Dentistry at Umm Al-Qura University. This cross-sectional study was conducted on adult patients (18-40 years old) visiting outpatient clinics of the Faculty of Dentistry, Umm Al-Qura University. Two trained examiners visually assessed patients\' tooth wear using Smith and Knight\'s Tooth Wear Index (TWI). Following the clinical examination, patients completed a self-administered questionnaire detailing risk factors such as the frequency of intake of acidic food and medicines, general health, chewing habits, dietary factors, and oral health-associated preventive behaviors. The resulting collected data were tabulated and statistically analyzed using Statistical Product and Service Solutions (SPSS, version 21; IBM SPSS Statistics for Windows, Armonk, NY). The total prevalence of tooth wear was 74%, and the recorded mean wear score (TWI) was 0.380 ± 0.386; anterior teeth exhibited greater wear than posterior teeth. Numerous associations were recorded between tooth wear and the tested variables in demographics, habits, diet, and medications, but most of them were not statistically significant. When toothbrushing habits were explored, the only factors to played a significant role in abrading the tooth structure were the type of brush bristles used (P-value = 0.026) and the frequency of brush renewal (P = 0.043). Patients who frequently ate citrus fruits and other acidic foods recorded high wear scores (0.509 ± 0.311 and 0.508 ± 0.402, respectively), although the difference was not statistically significant. When chewing occurred on both sides of the mouth, less tooth wear was recorded than if chewing was on the right or left side only (0.371 ± 0.260, 0.422 ± 0.273, and 0.520 ± 0.419, respectively). The study data support an association between tooth wear and patient occupation, use of hard-bristled and new toothbrushes, eating of citrus and other acidic food, and chewing on one side, as all of these factors increased the risk of tooth wear.