Clinical Oral Investigations

, Volume 23, Issue 2, pp 715–723 | Cite as

Relationship between erosive tooth wear and beverage consumption among a group of schoolchildren in Mexico City

  • Álvaro Edgar González-Aragón Pineda
  • Socorro Aída Borges-YáñezEmail author
  • María Esther Irigoyen-Camacho
  • Adrian Lussi
Original Article



To assess the association between erosive tooth wear (ETW) and consumption of different kinds of beverages in a group of schoolchildren 11–14 years old in Mexico City.


Cross-sectional study in a sample of students (n = 512) in Mexico City. The Basic Erosive Wear Examination (BEWE) was used to quantify ETW. Beverage consumption (BC) was determined using a frequency questionnaire; beverages included pure water, natural fruit juices, milk, hot beverages, and soft drinks. Ordinal logistic regression model was used to evaluate the association between the presence of ETW and BC.


In total, 45.7% of the schoolchildren showed an initial loss of surface texture (BEWE = 1) and 18.2% a distinct defect involving loss of dental tissue (BEWE ≥ 2) in at least one tooth. For each glass (350 ml) of milk/week, the odds of not having erosive wear (BEWE = 0) versus having an initial loss of surface texture (BEWE = 1) or of having an initial loss of surface texture versus the presence of a defect involving the loss of dental tissue (BEWE ≥ 2) decreased 4% (OR = 0.96, 95% CI 0.93–0.99, p = 0.008); for each portion of sweet carbonated beverage consumed (350 ml), the odds increased 3% (OR = 1.03, 95% CI 1.001–1.07, p = 0.046).


The intake of milk and milk-based products could be a dietary means of helping prevent ETW, especially if their consumption could replace sweet carbonated drink consumption.

Clinical relevance

Knowing the impact of beverage consumption on ETW helps to provide suitable recommendations for the prevention and control of ETW in order to promote tooth longevity.


Erosive tooth wear Tooth erosion Sweet carbonated beverages Prevention and control 


Funding information

This research was partially funded by the National Council of Science and Technology (Consejo Nacional de Ciencia y Tecnología, CONACYT).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the Dentistry School’s Committee on Ethics and Investigation at the Autonomous National University of Mexico and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Carvalho TS, Colon P, Ganss C, Huysmans MC, Lussi A, Schlueter N, Schmalz G, Shellis PR, Bjorg Tveit A, Wiegand A (2016) Consensus report of the European Federation of Conservative Dentistry: erosive tooth wear diagnosis and management. Swiss dental journal 126(4):342–346Google Scholar
  2. 2.
    Lussi A, Carvalho TS (2014) Erosive tooth wear: a multifactorial condition of growing concern and increasing knowledge. Erosive Tooth Wear: From Diagnosis Therapy 25:360163Google Scholar
  3. 3.
    Lussi A, Megert B, Shellis RP, Wang X (2012) Analysis of the erosive effect of different dietary substances and medications. Br J Nutr 107(2):252–262. CrossRefGoogle Scholar
  4. 4.
    Shellis RP, Featherstone JD, Lussi A (2014) Understanding the chemistry of dental erosion. Monogr Oral Sci 25:163–179. CrossRefGoogle Scholar
  5. 5.
    Schlueter N, Tveit AB (2014) Prevalence of erosive tooth wear in risk groups. Monogr Oral Sci 25:74–98. CrossRefGoogle Scholar
  6. 6.
    Sovik JB, Skudutyte-Rysstad R, Tveit AB, Sandvik L, Mulic A (2015) Sour sweets and acidic beverage consumption are risk indicators for dental erosion. Caries Res 49(3):243–250. CrossRefGoogle Scholar
  7. 7.
    Salas MM, Nascimento GG, Vargas-Ferreira F, Tarquinio SB, Huysmans MC, Demarco FF (2015) Diet influenced tooth erosion prevalence in children and adolescents: results of a meta-analysis and meta-regression. J Dent 43(8):865–875. CrossRefGoogle Scholar
  8. 8.
    Aidi HE, Bronkhorst EM, Huysmans MC, Truin GJ (2011) Factors associated with the incidence of erosive wear in upper incisors and lower first molars: a multifactorial approach. J Dent 39(8):558–563. CrossRefGoogle Scholar
  9. 9.
    Aimutis WR (2004) Bioactive properties of milk proteins with particular focus on anticariogenesis. J Nutr 134(4):989s–995sCrossRefGoogle Scholar
  10. 10.
    Barbour ME, Shellis RP, Parker DM, Allen GC, Addy M (2008) Inhibition of hydroxyapatite dissolution by whole casein: the effects of pH, protein concentration, calcium, and ionic strength. Eur J Oral Sci 116(5):473–478. CrossRefGoogle Scholar
  11. 11.
    Cassiano LP, Charone S, Souza JG, Leizico LC, Pessan JP, Magalhaes AC, Buzalaf MA (2016) Protective effect of whole and fat-free fluoridated milk, applied before or after acid challenge, against dental erosion. Caries Res 50(2):111–116. CrossRefGoogle Scholar
  12. 12.
    Barquera S, Hernandez-Barrera L, Tolentino ML, Espinosa J, Ng SW, Rivera JA, Popkin BM (2008) Energy intake from beverages is increasing among Mexican adolescents and adults. J Nutr 138(12):2454–2461. CrossRefGoogle Scholar
  13. 13.
    Stern D, Piernas C, Barquera S, Rivera JA, Popkin BM (2014) Caloric beverages were major sources of energy among children and adults in Mexico, 1999–2012. J Nutr 144(6):949–956CrossRefGoogle Scholar
  14. 14.
    Taillie LS, Afeiche MC, Eldridge AL, Popkin BM (2015) Increased snacking and eating occasions are associated with higher energy intake among Mexican children aged 2-13 years. J Nutr 145(11):2570–2577. CrossRefGoogle Scholar
  15. 15.
    Guelinckx I, Iglesia I, Bottin JH, De Miguel-Etayo P, Gonzalez-Gil EM, Salas-Salvado J, Kavouras SA, Gandy J, Martinez H, Bardosono S, Abdollahi M, Nasseri E, Jarosz A, Ma G, Carmuega E, Thiebaut I, Moreno LA (2015) Intake of water and beverages of children and adolescents in 13 countries. Eur J Nutr 54(Suppl 2):69–79. CrossRefGoogle Scholar
  16. 16.
    Voronets J, Lussi A (2010) Thickness of softened human enamel removed by toothbrush abrasion: an in vitro study. Clin Oral Investig 14(3):251–256. CrossRefGoogle Scholar
  17. 17.
    Wiegand A, Schlueter N (2014) The role of oral hygiene: does toothbrushing harm? Monogr Oral Sci 25:215–219. CrossRefGoogle Scholar
  18. 18.
    Li H, Zou Y, Ding G (2012) Dietary factors associated with dental erosion: a meta-analysis. PLoS One 7(8):e42626. CrossRefGoogle Scholar
  19. 19.
    Moazzez R, Bartlett D (2014) Intrinsic causes of erosion. Monogr Oral Sci 25:180–196. CrossRefGoogle Scholar
  20. 20.
    Tenovuo J (1997) Salivary parameters of relevance for assessing caries activity in individuals and populations. Community Dent Oral Epidemiol 25(1):82–86CrossRefGoogle Scholar
  21. 21.
    González-Aragón Pineda ÁE, Borges-Yánez SA, Lussi A, Irigoyen-Camacho ME, Angeles Medina F (2016) Prevalence of erosive tooth wear and associated factors in a group of Mexican adolescents. J Am Dent Assoc 147(2):92–97. CrossRefGoogle Scholar
  22. 22.
    Eck LH, Klesges RC, Hanson CL, Slawson D, Portis L, Lavasque ME (1991) Measuring short-term dietary intake: development and testing of a 1-week food frequency questionnaire. J Am Diet Assoc 91(8):940–945Google Scholar
  23. 23.
    Shamah-Levy T, Villalpando-Hernández S, Rivera-Dommarco J (2006) Manual de procedimientos para proyectos de nutrición. Cuernavaca, México Instituto Nacional de Salud Pública, pp 39–49Google Scholar
  24. 24.
    Green J, Vermillion J (1960) The oral hygiene index: a method for classifying oral hygiene status. J Am Dent Assoc 61(172):10Google Scholar
  25. 25.
    Long JS, Freese J (2006) Regression models for categorical dependent variables using Stata. Stata pressGoogle Scholar
  26. 26.
    Saeedi P, Skeaff SA, Wong JE, Skidmore PM (2016) Reproducibility and relative validity of a short food frequency questionnaire in 9-10 year-old children. Nutrients 8(5).
  27. 27.
    Thompson FE, Byers T (1994) Dietary assessment resource manual. J Nutrition 124(11 Suppl):2245s–2317sGoogle Scholar
  28. 28.
    Hasselkvist A, Johansson A, Johansson AK (2016) A 4 year prospective longitudinal study of progression of dental erosion associated to lifestyle in 13-14 year-old Swedish adolescents. J Dent 47:55–62. CrossRefGoogle Scholar
  29. 29.
    Brusius CD, Alves LS, Susin C, Maltz M (2017) Dental erosion among South Brazilian adolescents: a 2.5-year longitudinal study. Community Dent Oral Epidemiol 46:17–23. CrossRefGoogle Scholar
  30. 30.
    Hara AT, Zero DT (2014) The potential of saliva in protecting against dental erosion. Monogr Oral Sci 25:197–205. CrossRefGoogle Scholar
  31. 31.
    Wang P, Zhou Y, Zhu YH, Lin HC (2011) Unstimulated and stimulated salivary characteristics of 12-13-year-old schoolchildren with and without dental erosion. Arch Oral Biol 56(11):1328–1332. CrossRefGoogle Scholar
  32. 32.
    Wang P, Lin HC, Chen JH, Liang HY (2010) The prevalence of dental erosion and associated risk factors in 12-13-year-old school children in Southern China. BMC Public Health 10:478. CrossRefGoogle Scholar
  33. 33.
    El Aidi H, Bronkhorst EM, Huysmans MC, Truin GJ (2011) Multifactorial analysis of factors associated with the incidence and progression of erosive tooth wear. Caries Res 45(3):303–312. CrossRefGoogle Scholar
  34. 34.
    Bartlett DW, Lussi A, West NX, Bouchard P, Sanz M, Bourgeois D (2013) Prevalence of tooth wear on buccal and lingual surfaces and possible risk factors in young European adults. J Dent 41(11):1007–1013. CrossRefGoogle Scholar
  35. 35.
    Lussi A, Lussi J, Carvalho TS, Cvikl B (2014) Toothbrushing after an erosive attack: will waiting avoid tooth wear? Eur J Oral Sci 122(5):353–359. CrossRefGoogle Scholar
  36. 36.
    O'Toole S, Bernabe E, Moazzez R, Bartlett D (2017) Timing of dietary acid intake and erosive tooth wear: a case-control study. J Dent 56:99–104. CrossRefGoogle Scholar
  37. 37.
    Alves LS, Brusius CD, Dame-Teixeira N, Maltz M, Susin C (2015) Dental erosion among 12-year-old schoolchildren: a population-based cross-sectional study in South Brazil. Int Dent J 65(6):322–330. CrossRefGoogle Scholar
  38. 38.
    Alvarez Loureiro L, Fabruccini Fager A, Alves LS, Alvarez Vaz R, Maltz M (2015) Erosive tooth wear among 12-year-old schoolchildren: a population-based cross-sectional study in Montevideo, Uruguay. Caries Res 49(3):216–225. CrossRefGoogle Scholar
  39. 39.
    Muller-Bolla M, Courson F, Smail-Faugeron V, Bernardin T, Lupi-Pegurier L (2015) Dental erosion in French adolescents. BMC Oral Health 15:147. CrossRefGoogle Scholar
  40. 40.
    Provatenou E, Kaklamanos EG, Kevrekidou A, Kosma I, Kotsanos N (2016) Erosive tooth wear and related risk factors in 8- and 14-year-old Greek children. Caries Res 50(4):349–362. CrossRefGoogle Scholar
  41. 41.
    Zhang S, Chau AM, Lo EC, Chu CH (2014) Dental caries and erosion status of 12-year-old Hong Kong children. BMC Public Health 14:7. CrossRefGoogle Scholar
  42. 42.
    Zhang J, Du Y, Wei Z, Tai B, Jiang H, Du M (2015) The prevalence and risk indicators of tooth wear in 12- and 15-year-old adolescents in Central China. BMC oral Health 15(1):120. CrossRefGoogle Scholar
  43. 43.
    Nahas Pires Correa MS, Nahas Pires Correa F, Nahas Pires Correa JP, Murakami C, Mendes FM (2011) Prevalence and associated factors of dental erosion in children and adolescents of a private dental practice. Int J Paediatric Dentistry / British Paedodontic Soc Int Assoc Dentistry Children 21(6):451–458. CrossRefGoogle Scholar
  44. 44.
    Manaf ZA, Lee MT, Ali NH, Samynathan S, Jie YP, Ismail NH, Bibiana Hui Ying Y, Wei Seng Y, Yahya NA (2012) Relationship between food habits and tooth erosion occurrence in Malaysian University students. Malaysian J Medical Sci : MJMS 19(2):56–66Google Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Facultad de Estudios Superiores IztacalaUniversidad Nacional Autónoma de MéxicoTlalnepantlaMexico
  2. 2.Dental Public Health Department, División de Estudios de Posgrado e Investigación, Facultad de OdontologíaUniversidad Nacional Autónoma de MéxicoMéxico CityMexico
  3. 3.Health Care DepartmentUniversidad Autónoma MetropolitanaMéxico CityMexico
  4. 4.School of Dental Medicine, Department of Preventive Restorative and Pediatric DentistryUniversity of BernBernSwitzerland

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