Abstract
BackgroundThis study aimed to evaluate the prevalence of tooth wear among preschool children in Jakarta, Indonesia, and examine the risk factors associated with its occurrence.MethodsAn epidemiological survey was conducted with a cross-sectional study design. The participants were recruited via cluster sampling. Tooth wear was clinically assessed by one examiner using the Basic Erosive Wear Examination (BEWE) criteria. The children’s caries experience was also recorded. The parents of the participating children completed a self-administered questionnaire to answer demographic questions about the children and gather information about the children’s diet and oral health behaviors as well as the parents’ dental health-related knowledge. The data were analyzed using the Chi-square test and binary logistic regression.ResultsA total of 752 five-year-old children were invited to participate, with 691 (92%) enrolling in the study. Tooth wear occurred in 23% (161/691, BEWE > 0) of the participants, in which 78% (125/161) had at least one moderate tooth wear status (BEWE = 2). The consumption of citrus drinks, fruit juice, and vitamin C supplement drinks, together with the child’s caries experience, the father’s education level, and the family’s socioeconomic status, were significantly associated with tooth wear.ConclusionsThe five-year-old preschool children in Jakarta had a relatively low prevalence of tooth wear. Those consuming more acidic drinks, those with a higher socioeconomic status, and those with an absence of caries experience had a higher risk of tooth wear.
Highlights
This study aimed to evaluate the prevalence of tooth wear among preschool children in Jakarta, Indonesia, and examine the risk factors associated with its occurrence
An epidemiological survey performed in Greece reported that 98.4%, of preschool children presented with tooth wear [5]
Overall, 752 children from 33 kindergartens were invited to participate in the study; of these, 61 children were excluded because they did not provide a complete consent form or questionnaire or did not receive an oral examination due to uncooperative behavior
Summary
This study aimed to evaluate the prevalence of tooth wear among preschool children in Jakarta, Indonesia, and examine the risk factors associated with its occurrence. Tooth wear is described as the irreversible loss of dental hard tissue due to the chemical influence of extrinsic acid (including acid from diet and medications) and intrinsic acid (including acid from gastroesophageal reflux and vomiting) without bacterial involvement [1, 2]. This leads to the loss of the chemically softened oral tissue by abrasive forces [3]. The potential for tooth wear depends on chemical factors including pH, titratable acidity, mineral content, and the calcium-chelating properties of the dental tissue. Tooth wear was prevalent in 18% of five-year-old children in Hong Kong [8], while in China, the prevalence of tooth
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