Abstract
Objectives
A scoring method for tooth erosion is needed to enable community-based assessments. The aim of this study was to evaluate the Basic Erosive Wear Examination (BEWE) scoring method, using data previously collected from two studies.
Materials and methods
In a national survey of erosion in children and adolescents, a representative, 20 % nationwide sample of 2,251 children, aged 6, 12 and 15 years, was examined. Erosion, recorded for all surfaces of permanent teeth, was converted to a BEWE score. For a group of referred patients, erosion was scored for 351 patients and then converted to a BEWE score.
Results
From the national survey, no erosion was seen in permanent teeth of 6 years old, but was present in 12 years old (19.9 % boys, mean BEWE of 0.22; 11.0 % girls, mean BEWE of 0.079; p < 0.001). Among 15 years old, erosion was seen in 30.7 % of subjects (38.3 % boys, mean BEWE of 1.00; 22.7 % girls, mean BEWE of 0.42; p < 0.001). For the referred patients, the BEWE score was 9.4 for subjects with gastric reflux symptoms but 6.0 for those without symptoms (p < 0.001).
Conclusions
The value of scoring with the BEWE methodology was clearly demonstrated, showing increasing severity of erosion between 12 and 15 years and gender differences in erosion severity. Intrinsic acid erosion clearly caused an increased BEWE score.
Clinical relevance
The BEWE scoring methodology appears valuable for assessing erosion in populations.
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References
Al-Dlaigan YH, Shaw L, Smith A (2001) Dental erosion in a group of British 14-year-old, school children. Part I: prevalence and influence of differing socioeconomic backgrounds. Br Dent J 190:145–149
Al-Majed I, Maguire A, Murray JJ (2002) Risk factors for dental erosion in 5–6 year old and 12–14 year old boys in Saudi Arabia. Community Dent Oral Epidemiol 30:38–46
Ágústsdóttir H, Gudmundsdottir H, Eggertsson H, Jonsson SH, Gudlaugsson JO, Saemundsson SR et al (2010) Caries prevalence of permanent teeth: a national survey of children in Iceland using ICDAS. Community Dent Oral Epidemiol 38:299–309
Árnadóttir IB, Rozier RG, Saemundsson SR, Sigurjóns H, Holbrook WP (1998) Approximal caries and sugar consumption in Icelandic teenagers. Community Dent Oral Epidemiol 26:115–121
Árnadóttir IB, Saemundsson SR, Holbrook WP (2003) Dental erosion in Icelandic teenagers in relation to dietary and lifestyle factors. Acta Odontol Scand 61:25–28
Árnadottir IB, Holbrook WP, Eggertsson H, Gudmundsdottir H, Jonsson SH, Gudlaugsson J et al (2010) Prevalence of dental erosion in children: a national survey. Community Dent Oral Epidemiol 38:521–526
Bardsley PF (2008) The evolution of tooth wear indices. Clin Oral Investig 12(Suppl 1):S15–S19
Bartlett D, Dugmore C (2008) Pathological or physiological erosion—is there a relationship to age? Clin Oral Investig 12(Suppl 1):S27–S31
Bartlett D, Ganss C, Lussi A (2008) Basic erosive wear examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Invest 12(Suppl 1):S65–S68
Dugmore CR, Rock WP (2004) The prevalence of tooth erosion in 12-year-old children. Br Dent J 196:279–282
El Aidi H, Bronkhorst EM, Truin GJ (2008) A longitudinal study of tooth erosion in adolescents. J Dent Res 87:731–735
Gudmundsson K, Kristleifsson G, Theodors A, Holbrook WP (1995) Tooth erosion, gastro-oesophageal reflux, and salivary buffer capacity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79:185–189
Holbrook WP, Ganss C (2008) Is diagnosing exposed dentine a suitable tool for grading erosive loss? Clin Oral Investig 12(Suppl 1):S33–S39
Holbrook WP, Furuholm J, Gudmundsson K, Theodórs A, Meurman JH (2009) Gastric reflux is a significant causative factor of tooth erosion. J Dent Res 88:422–426
Huysmans MCDNJM, Chew HP, Ellwood RP (2011) Clinical studies of dental erosion and erosive wear. Caries Res 45(Suppl 1):60–68
Jensdottir T, Arnadottir IB, Thorsdottir I, Bardow A, Gudmundsson K, Theodors A et al (2004) Relationship between dental erosion, soft drink consumption, and gastroesophageal reflux among Icelanders. Clin Oral Investig 8:91–96
Lussi A, Schaffner M, Hotz P, Suter P (1991) Dental erosion in a population of Swiss adults. Community Dent Oral Epidemiol 19:286–290
Milosevic A, Young PJ, Lennon MA (1994) The prevalence of tooth wear in 14-year-old school children in Liverpool. Community Dent Health 11:83–86
Mulic A, Tveit AB, Wang NJ, Hove LH, Espelid I, Skaare AB (2010) Reliability of two clinical scoring systems for dental erosive wear. Caries Res 44:294–299
Young A, Amaechi BT, Dugmore C, Holbrook P, Nunn J, Schiffner U et al (2008) Current erosion indices—flawed or valid? Clin Oral Investig 12(Suppl 1):S59–S63
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Holbrook, W.P., Árnadóttir, I.B., Hlöðversson, S.Ö. et al. The Basic Erosive Wear Examination (BEWE) applied retrospectively to two studies. Clin Oral Invest 18, 1625–1629 (2014). https://doi.org/10.1007/s00784-013-1144-7
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DOI: https://doi.org/10.1007/s00784-013-1144-7