Clinical Oral Investigations

, Volume 18, Issue 8, pp 1985–1990 | Cite as

Dental erosive wear assessment among adolescents and adults utilizing the basic erosive wear examination (BEWE) scoring system

  • Yuval VeredEmail author
  • A. Lussi
  • A. Zini
  • J. Gleitman
  • H. D. Sgan-Cohen
Original Article



To investigate erosive tooth wear and related variables among adolescents and adults in Israel, utilizing the new basic erosive wear examination (BEWE) scoring system, in an attempt to contribute to the ongoing review, evaluation, and further development of an international standardized index.

Material and methods

A cross-sectional, descriptive, and analytic survey was conducted among 500 subjects of five age groups. Dental erosion was measured according to the new BEWE scoring system. Independent variables included gender, age, origin, education, employment status, and diet. A backward stepwise linear regression model was applied to identify significantly associated variables.


Fifty percent of the survey subjects demonstrated erosive tooth wear; among them, 10 % had distinct erosion of over 50 % of the dental surface. Total BEWE score differences by age groups were statistically significant; as the age increased, the mean total BEWE scores increased (p < 0.001). The association between acidic foods and erosion was evident among the younger population (p = 0.038). In a multiple regression model, age (p < 0.001) and diet (p = 0.044) achieved statistical significance as variables associated with dental erosive wear.


Our study is one of the first to use the BEWE scoring system in an epidemiological survey among adolescents and adults. It was found that the BEWE index is straightforward, easy to conduct, and comfortably accepted by the examinees.

Clinical Relevance

The present findings, together with further international research, should contribute toward continued evaluation of the BEWE system as an international standard and thereby, toward more optimal understanding, evidence-based treatment, and prevention of dental erosive wear.


Dental erosion Dental erosive wear BEWE Epidemiology 



This study was supported with a grant from the GABA International. The supporters had no role in data collection and analysis.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Yuval Vered
    • 1
    Email author
  • A. Lussi
    • 2
  • A. Zini
    • 1
  • J. Gleitman
    • 3
  • H. D. Sgan-Cohen
    • 1
  1. 1.Department of Community Dentistry, Faculty of Dental MedicineHebrew University—Hadassah School of Dental MedicineJerusalemIsrael
  2. 2.Department of Preventive, Restorative and Pediatric Dentistry, School of Dental MedicineUniversity of BernBernSwitzerland
  3. 3.Department of Oral Rehabilitation, Faculty of Dental MedicineHebrew University—Hadassah School of Dental MedicineJerusalemIsrael

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