Fastovets, Olena (2018) Prevalence, clinical features and factors associated with tooth wear in the Ukrainian young adult population. In: Development trends in medical science and practice: the experience of countries of Eastern Europe and prospects of Ukraine. Вaltija Publishing, Riga, Latvia, pp. 189-206. ISBN 978-9934-571-31-2
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Abstract
Tooth wear in young individuals has increased significantly in recent years. Thus, the purpose of the present study is to estimate the prevalence and to learn clinical features and factors associated with tooth wear in the Ukrainian adult population age to 40 years. Methodology. Data on clinical investigation were collected in a survey of 2053 employees of ore mining enterprise aged 18-40 years. It has been studied the prevalence and clinics of tooth wear depending on age and sex, and also taking into account influencing of the working-environment harmful and other etiological factors. The investigation involved the analysis of tooth contacts on working and balancing sides and the definition of type of intercuspidation which is described by occlusal concepts. Results. According to the obtained data, the prevalence of tooth wear was 27.6 ± 1.0 %. The process was the most severe in spreading and depth of loss in the presence of working-environment harmful factors (32.1 ± 1.5 % vs. 23.4 ± 1.3 %, p < 0.05). The absence of any strong correlation between progressive tooth wear and such etiological factors as age (r = 0.48; p < 0.05), work experience in harmful production (r = 0.61; p < 0.05), the dust content in air of the working zone (r = 0.63; p < 0.05), the presence of background pathology of the gastrointestinal tract (r = 0.42; p <0.05) and endocrine diseases (r = 0, 18, p > 0.05), the presence of local factors (r = 0.38; p <0.05), excessive oral hygiene (r = 0.12; p <0.05), use of carbonated drinks (r = 0.32; p <0.05) suggested the impossibility of providing a leading trigger mechanism for the development of the tooth wear. As a result of the clinical study of dental contacts in lateral occlusion, it was found that 30.0 ± 3.7 % persons had canines’ contacts and 70.0 ± 3.7 % had group contacts of canines, premolars and molars under physiological tooth wear. Otherwise, in the group of pathological (increased) tooth wear, canines’ contact on the working side was established in 23.5 ± 4.2 % of cases, group contacts – 76.5 ± 4.2 %. Thus, significant differences between the prevalence of occlusal concepts in the research group had not been found (p > 0.05). Intercuspidation on balancing side was found in 36.0 ± 3.9% of persons who have physiological tooth wear, and 63.3 ± 4.8% – pathological one (p < 0.05). Significant difference between the prevalence of bilateral balancing occlusion in research groups demonstrated that these occlusal contacts promoted increased wear of occlusal surfaces, especially chewing segments of dentition. Thus, dispensary observation of patients with tooth wear should take into account the clinical and pathogenetic features of the disease, comply with the principles of complexity of medical and diagnostic measures, fulltime care, stage and preventive direction. Conclusion. Tooth wear is a prevalent condition in this population. Significantly higher prevalence and severity of tooth wear was associated with the exposure of harmful factors of dust-gas mixture from the production. In addition, other etiological factors contribute to the development of the pathological process in enamel and dentine, among which peculiarities of occlusal contacts, described as “occlusal concepts”. To reduce the prevalence and intensity of tooth wear, in particular in the adult population age to 40 years, there is a need for dispensary, which involves early diagnosis, regular examinations, prophylaxis and treatment, aimed at preventing complications.
| Item Type: | Book Section |
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| Additional Information: | DOI: http://dx.doi.org/10.30525/978-9934-571-31-2_11 |
| Subjects: | General dentistry |
| Divisions: | Departments > Department of Orthopedic Dentistry |
| Depositing User: | Елена Шрамко |
| Date Deposited: | 31 Oct 2018 14:27 |
| Last Modified: | 31 Oct 2018 14:27 |
| URI: | http://repo.dma.dp.ua/id/eprint/3460 |
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