1. Erosive Tooth Wear and Associated Risk Indicators in Schoolchildren from Rural and Urban Areas of the State of Mexico: A Cross-Sectional Study.
- Author
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Jiménez-Núñez, José Cuauhtémoc, González-Aragón Pineda, Álvaro Edgar, Villanueva-Gutiérrez, Teresa, Longinos-Huerta, Rodrigo Leopoldo, Cruz-Hervert, Luis Pablo, Lussi, Adrian, and Borges-Yáñez, Socorro Aída
- Subjects
TOOTH erosion -- Risk factors ,TOOTH erosion ,CLINICAL medicine ,CROSS-sectional method ,RESEARCH funding ,CRONBACH'S alpha ,RECEIVER operating characteristic curves ,KEY performance indicators (Management) ,LOGISTIC regression analysis ,STATISTICAL sampling ,QUESTIONNAIRES ,AGE distribution ,DESCRIPTIVE statistics ,CHI-squared test ,MANN Whitney U Test ,MULTIVARIATE analysis ,STUDENTS ,ODDS ratio ,RURAL population ,INTRACLASS correlation ,MEDICAL records ,ACQUISITION of data ,STATISTICS ,FOOD habits ,CONFIDENCE intervals ,DATA analysis software ,SCHOOL health services ,CHILDREN - Abstract
Background and Objective: Limited access to health services and low educational levels are factors in the rural population that are associated with the development of oral pathologies. However, the specific risk indicators contributing to erosive tooth wear (ETW) in these populations remain unclear. The objective of this study was to identify risk indicators associated with the prevalence of erosive tooth wear (ETW) in schoolchildren aged 8–12 years from rural and urban areas in the State of Mexico. Methods: A cross-sectional study was carried out in public schools in rural and urban areas. The prevalence of ETW was evaluated using the Basic Erosive Wear Examination (BEWE). The risk indicators studied were gastroesophageal reflux, vomiting, vitamin C, food, beverages, dental hygiene, bruxism, and hyposalivation. Logistic regression models were used to calculate odds ratios (OR) and 95% confidence intervals (CI). Results: The prevalence of ETW was higher in the rural area (77.3%) compared to the urban area (51.2%) (p = 0.001). The odds of presenting ETW were more than twice in schoolchildren from rural areas compared to those from urban areas (OR: 2.25, 95% CI: 1.11–3.98). Risk indicators varied between rural and urban populations, with different factors such as the consumption of fresh tomato sauce, orange, tangerine, atole (artisanal corn-based drink), and teeth grinding in the rural area, and lemon, soft drink, fruit juice consumption, and the simplified oral hygiene index in the urban area (p < 0.05). Conclusions: To prevent ETW, strategies offering tailored dietary and hygiene advice should be proposed, considering the specific conditions of each geographic area. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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