Erosive tooth wear among children in the United States: relationship to race/ethnicity and obesity. Int J Paediatr Dent 2009 Mar;19(2):91-8
Date
03/03/2009Pubmed ID
19250393DOI
10.1111/j.1365-263X.2008.00952.xScopus ID
2-s2.0-60649105340 (requires institutional sign-in at Scopus site) 53 CitationsAbstract
OBJECTIVE: The study aims were to estimate the prevalence of erosive tooth wear (ETW) in children and to specifically examine its association with race/ethnicity and obesity in the United States.
DESIGN: We analysed data from the National Health and Nutrition Examination Survey (NHANES), 2003-2004. ETW was measured using the modified Smith and Knight Tooth Wear Index derived from the 1998 United Kingdom Adult Health Survey.
RESULTS: This study shows that 45.9% of children aged 13-19 years had evidence of ETW in at least one tooth. The prevalence of ETW was bilaterally symmetrical in all teeth examined and was most prevalent in mandibular [corrected] teeth. Females had significantly lower rates of ETW of any tooth compared to males. African Americans had significantly lower rates of ETW (except in the canines), and Hispanics had similar rates compared to whites. Compared to 'healthy weight' children, those 'at risk for overweight' had lower rates of ETW and the 'overweight' groups had higher rates, but results were not significant.
CONCLUSIONS: Substantial proportions of children in the US are affected by ETW. Compared to whites, African American children had significantly lower rates of ETW. Although not significant, 'overweight' (obese) children had increased odds of having ETW and those at 'risk for overweight' had lower odds compared to 'healthy weight' children.
Author List
McGuire J, Szabo A, Jackson S, Bradley TG, Okunseri CAuthors
Christopher Okunseri DDS,MS Associate Professor and Director in the Clinical Services department at Marquette UniversityAniko Szabo PhD Professor in the Institute for Health and Equity department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentAge Distribution
Comorbidity
Dental Care
Dental Health Surveys
Female
Humans
Male
Multivariate Analysis
Nutrition Surveys
Obesity
Prevalence
Sex Distribution
Tooth Erosion
United States
Young Adult