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The prevalence of non-carious cervical lesions (NCCLs) with or without erosive etiological factors among adults of different ages in Tokyo

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Abstract

Objectives

To evaluate the prevalence of non-carious cervical lesions (NCCLs) on teeth with or without erosive etiological factors across a broad range of ages of Japanese adults.

Materials and methods

The study sample consisted of a total of 1108 subjects aged 15 to 89 years in Tokyo, Japan. Two examiners evaluated NCCLs and dental erosion (DE) during a full-mouth examination. Subjects were asked to complete a self-administered daily diet, habits, and health condition questionnaire. Subjects who had frequent acid consumption or gastric reflux and at least one tooth with initial enamel wear were placed in the erosion present (EP) group, and the remainder of subjects were placed in the erosion not present (EN) group. Logistic regression analyses were carried out to identify etiological factors of NCCLs associated with DE.

Results

Overall prevalence of NCCLs was 60.2%; the prevalence increased with age. There were no statistical differences in the prevalence of NCCLs between the EP and EN groups, except for the 60–69 years group. Multiple logistic regression analysis showed the frequency of consumption of carbonated soft drinks, citrus juice, and acidic fruits such as oranges; tooth brushing pressure; and bruxism were associated with the presence of NCCLs.

Conclusion

There were no statistical differences in the prevalence of NCCLs with or without erosive etiological factors except for the 60–69 years group.

Clinical relevance

NCCL distribution increased with age, and erosive risk factors caused by change in dietary habits might affect the incidence of NCCLs for elders.

Trial registration

UMIN000041982

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Acknowledgements

The authors would like to thank all individual participants who took part in this study.

Funding

The work was supported by the Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.

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Authors and Affiliations

Authors

Contributions

Yuichi Kitasako participated in the research design, the performance of the research, the data analysis, and the writing of the manuscript. Masaomi Ikeda participated in the research design and the data analysis. Tomohiro Takagaki participated in the research design and the performance of the research. Michale F. Burrow participated in the research design and the writing of the manuscript. Junji Tagami participated in the research design and in the performance of the research. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Yuichi Kitasako.

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Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee 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.

Conflict of interest

The authors declare no competing interests.

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Kitasako, Y., Ikeda, M., Takagaki, T. et al. The prevalence of non-carious cervical lesions (NCCLs) with or without erosive etiological factors among adults of different ages in Tokyo. Clin Oral Invest 25, 6939–6947 (2021). https://doi.org/10.1007/s00784-021-03984-8

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  • DOI: https://doi.org/10.1007/s00784-021-03984-8

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