Dental erosion and its association with eating disorders and gastroesophageal reflux disease in adolescent students
Main Article Content
Abstract
Introduction: Dental erosion is a common problem in adolescents and may be associated with eating disorders and Gastroesophageal Reflux Disease. Objective: To determine the prevalence of dental erosion and its association with the risk of eating disorders and symptoms of gastroesophageal reflux disease in adolescent students. Methods: This cross-sectional, analytical, school-based study had a sample of 430 students of both sexes, aged 10 to 19 years, from public schools in inland Brazil. Adolescents undergoing orthodontic treatment and those who had some type of disability that prevented their participation were excluded. A self-administered questionnaire was applied to the participants, consisting of sociodemographic characteristics, food attitudes test, and symptoms of gastroesophageal reflux disease, followed by the Basic Erosive Wear Examination (BEWE) for clinical diagnosis of dental erosion. Data were analyzed with Pearson's chi-square test, Fisher's exact test, and Mann-Whitney test, with a margin of error set at 5%. Results: Dental erosion was found in 46.3% of adolescents, and 24.7% were at risk for eating disorders. As for gastroesophageal reflux disease, the mean (5.38±6.68) and median (4.59±5.34) were higher in students with dental erosion, without a significant association. Conclusion: This study showed a high prevalence of dental erosion among adolescents, predominantly on enamel.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY) that allows others to share and adapt the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.References
1. Pereira T, Mocellin M, Curioni C. Association between ultraprocessed foods consumption, eating disorders, food addiction, and body image: a systematic review. BMJ Open. 2024;14(12):e091223. https://doi.org/10.1136/bmjopen-2024-091223
2. Li Q, Li H, Zhang G, Cao Y, Li, Y. Athlete Body Image and Eating Disorders: A Systematic Review of Their Association and Influencing Factors. Nutrients. 2024;16(16):2686. https://doi.org/10.3390/nu16162686
3. Lima RCA. Erosão dental em adolescentes com sintomas de transtornos alimentares [master's thesis]. [Recife]: Universidade Federal de Pernambuco; 2014.
4. Przydacz M, Chlosta M, Rajwa P, Chlosta P. Population-level prevalence, effect on quality of life, and treatment behavior for erectile dysfunction and premature ejaculation in Poland. Sci Rep. 2023;13(1):13168. https://doi.org/10.1038/s41598-023-39968-9
5. Souto DF, Costa BAO, Oliveira AMG, Flório FM, Zanin L. Risk behaviors related to eating disorders in adolescents and their association with dental erosion. Rev Odontol UNESP. 2017;46(2):66-71. https://doi.org/10.1590/1807-2577.05916
6. García LO, Olvera SD, Torres CSL. Main repercussions in the oral cavity of anorexic and bulimic patients. Rev. Odontol. Mexicana. 2008;12(1):46-54. https://doi.org/10.22201/fo.1870199xp.2008.12.1.15710
7. Hasan S, Ahmed S, Panigrahi R, Chaudhary P, Vyas V, Saeed S. Oral cavity and eating disorders: An insight into holistic health. J Family Med Prim Care. 2020;9(8):3890-7. https://doi.org/ 10.4103/jfmpc.jfmpc60820
8. Maret-Ouda J, Markar S, Lagergren J. Gastroesophageal Reflux Disease: a review. JAMA. 2020;324(24):2536-47. https://doi.org/10.1001/jama.2020.21360
9. Nasi A, Moraes-Filho JPP, Cecconello I. Gastroesophageal reflux disease: an overview. Arq Gastroenterol. 2006;43(4):334-41. https://doi.org/10.1590/S0004-28032006000400017
10. Mafla AC, Cerón-Bastidas XA, Munoz-Ceballos ME, Vallejo-Bravo DC, Fajardo-Santacruz MC. Prevalence and extrinsic risk factors for dental erosion in adolescents. J Clin Pediatr Dent. 2017;41(2):102-11. https://doi.org/10.17796/1053-4628-41.2.102
11. Lima DSM, Colares V, Grinfeld S, Holanda LCA, Coutinho VM. The Oral Health and eating disorders among adolescents. Rev Bras Odontol. 2013;69(2):190-3. http://dx.doi.org/10.18363/rbo.v69n2.p.190
12. Fontes CL, Luciano LCO, Ferreira MC, Paschoal MAB. Approach of dental erosion in pediatric dentistry clinic: Case reports. Rev Odontol UNICID. 2016;28(3):262-9. https://doi.org/10.26843/ro_unicid.v28i3.211
13. Silva GA, Ximenes RCC, Pinto TCC, Cintra JDS, Santos AV, Nascimento VS. Consumption of dietary substances and their association with risk of eating disorders in college students. J Bras Psiquiatr. 2018;67(4):239-46. https://doi.org/10.1590/0047-2085000000211
14. Fornari F, Gruber AC, Lopes AB, Cecchetti D, Barros SGS. Symptom questionnaire for gastroesophageal reflux disease. Arq Gastroenterol. 2004;41(4):263-7. https://doi.org/10.1590/S0004-28032004000400012
15. Provatenou E, Kaklamanos EG, Kevrekidou A, Kosma I, Kotsanos N. Erosive tooth wear and related risk factors in 8- and 14-year-old Greek children. Caries Res. 2016;50(4):349-62. https://doi.org/10.1159/000445980
16. Santana NMS, Silva DR, Paiva PRR, Cardoso AMR, Silva ACB. Prevalence of dental erosion and associated factors in a schoolchildren population. Rev Odontol UNESP. 2018;47(3):155-60. https://doi.org/10.1590/1807-2577.03518
17. Johansson AK, Norring C, Unell L, Johansson A. Eating disorders and oral health: A matched case-control study. Eur J Oral Sci. 2012;120(1):61-8. https://doi.org/10.1111/j.1600-0722.2011.00922.x
18. Pace F, Pallotta S, Tonini M, Vakil N, Bianchi Porro G. Systematic review: gastro-oesophageal reflux disease and dental lesions. Aliment Pharmacol Ther. 2008;27(12):1179-86. https://doi.org/10.1111/j.1365-2036.2008.03694.x
19. Luz Neto LM, Pinto TCC, Sougey EB, Dionisio WAS, Santos AV, Ximenes RCC. Risk of eating disorders, changes in salivary cortisol concentrations and nutritional status of adolescents. Eat Weight Disord. 2022;27:2415-23. https://doi.org/10.1007/s40519-022-01382-x
20. Mulic A, Skudutyte-Rysstad R, Tveit AB, Skaare AB. Risk indicators for dental erosive wear among 18-year-old subjects in Oslo, Norway. Eur J Oral Sci. 2012;120(6):531-38. https://doi.org/10.1111/j.1600-0722.2012.00997.x
21. Wild YK, Heyman MB, Vittinghoff E, Dalal DH, Wojcicki JM, Clark AL, et al. Gastroesophageal reflux is not associated with dental erosion in children. Gastroenterology. 2011;141(5):1605-11. https://doi.org/10.1053/j.gastro.2011.07.041
22. Solanki S, Gupta I, Prasad S, Chinmaya BR. Prevalence and severity of tooth wear in 12- to 15-year-old school children in the Gurgaon district, Haryana, India: A cross-sectional study. Arch Oral Res. 2013;9(2):193-9. https://doi.org/10.7213/archivesoforalresearch.09.002.AO07
23. Vargas-Ferreira F, Praetzel JR, Ardenghi TM. Prevalence of tooth erosion and associated factors in 11-14-year-old Brazilian schoolchildren. J Public Health Dent. 2011;71(1):6-12. https://doi.org/10.1111/j.1752-7325.2010.00194.x
24. Jarkander MS, Grindefjord M, Carlstedt K. Dental erosion, prevalence and risk factors among a group of adolescents in Stockholm County. Eur Arch Paediatr Dent. 2018;19(1):23-31. https://doi.org/10.1007/s40368-017-0317-5
25. Corrêa MCCSF, Lerco MM, Henry MACA. Estudo de alterações na cavidade oral em pacientes com doença do refluxo gastroesofágico. Arq Gastroenterol. 2008;45(2):132-6. https://doi.org/10.1590/S0004-28032008000200008
26. Ganesh M, Hertzberg A, Nurko S, Needleman H, Rosen R. Acid rather than nonacid reflux burden is a predictor of tooth erosion. J Pediatr Gastroentrol Nutr. 2016;62(2):309-13. https://doi.org/10.1097%2FMPG.0000000000000927
27. Holbrook WP, Furuholm J, Gudmundsson K, Theodórs A, Meuran JH. Gastric reflux is a significant causative factor of tooth erosion. J Dent Res. 2009;88(5):422-6. https://doi.org/10.1177/0022034509336530
28. Nota A, Pittari L, Paggi M, Abati S, Tecco S. Correlation between bruxism and gastroesophageal reflux disorder and their effects on tooth wear: A systematic review. J Clin Med. 2022;11(4):1107. https://doi.org/10.3390/jcm11041107