Abstract
BackgroundEpidemiological studies of non-carious cervical lesions (NCCLs) are being conducted in all geographical regions, which is completely justified, considering the high frequency of these lesions and possible consequences. Data obtained from such studies are of great importance because, beside describing the extent and degree of lesions, they can also point to specific etiological factors. The purpose of this study was to analyze the frequency and distribution of NCCLs among the patients of Faculty of Dentistry in Pancevo, Serbia, and to investigate the impact of certain etiological factors on the frequency of NCCLs.Material and MethodsThe study included 394 patients, who were clinically examined for the presence of NCCLs and interviewed about potential etiological factors using specially designed questionnaire. Saliva samples were analyzed for 30 patients with multiple NCCLs (≥3) and 30 patients without signs of cervical lesions and restorations. Subject – level logistic regression was used to analyze the association of potential etiological factors and presence of NCCLs and Wilcoxon test for the quantity and quality of saliva.ResultsNCCLs were diagnosed at 68.5% from total number of respondents, 15% from all present teeth were affected. The highest prevalence was recorded on premolars. Presence of lesions significantly increased with age. Frequent consumption of citrus fruit was associated with the presence of NCCLs. Significantly lower frequency of NCCLs was recorded among subjects who frequently chew gums. Significantly lower pH values of unstimulated and stimulated saliva were recorded in the group of patients with multiple NCCLs compared to control group.ConclusionsThis study showed high frequency of NCCLs among subjects of different age. Premolars were the most frequently affected. Age, frequent consumption of citrus fruit and lower salivary pH value were associated with an increased occurrence of NCCLs. Chewing gums habit was associated with an decreased occurrence of NCCLs. Key words:NCCL, abrasion, erosion, abfraction, saliva.
Highlights
Non-carious cervical lesion (NCCL) can be defined as the loss of tooth structure at the cemento-enamel junction that is unrelated to dental caries [1]
The highest frequency of patients with NCCLs was recorded in age group older than 55 years (94.7%), while NCCLs were the least represented in the youngest age group (35.2%) (Table 1)
Higher percentage of multiple NCCLs was recorded among male subjects
Summary
Non-carious cervical lesion (NCCL) can be defined as the loss of tooth structure at the cemento-enamel junction that is unrelated to dental caries [1]. Epidemiological studies of NCCLs are being conducted in all geographical regions, which is completely justified, considering the high frequency of these lesions and possible consequences. Epidemiological studies of non-carious cervical lesions (NCCLs) are being conducted in all geographical regions, which is completely justified, considering the high frequency of these lesions and possible consequences. Data obtained from such studies are of great importance because, beside describing the extent and degree of lesions, they can point to specific etiological factors. Frequent consumption of citrus fruit was associated with the presence of NCCLs. Significantly lower frequency of NCCLs was recorded among subjects who frequently chew gums. Chewing gums habit was associated with an decreased occurrence of NCCLs
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