Association of salivary parameters and erosive tooth wear in preschool children

Abstract The aims of this study were to 1) assess the association between erosive tooth wear (ETW) according to the BEWE (Basic Erosive Wear Examination) scoring system and salivary parameters and 2) compare salivary parameters according to ETW severity in the subgroup of children with ETW. This cro...

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Main Authors: Mayra Manoella PEREZ, Ana Clara Magalhães LUS, Priscila Hernandez CAMPOS, Stella Ferreira do AMARAL, Adrian LUSSI, Michele Baffi DINIZ, Renata Oliveira GUARÉ
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2023-10-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242023000100276&lng=en&tlng=en
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author Mayra Manoella PEREZ
Ana Clara Magalhães LUS
Priscila Hernandez CAMPOS
Stella Ferreira do AMARAL
Adrian LUSSI
Michele Baffi DINIZ
Renata Oliveira GUARÉ
author_facet Mayra Manoella PEREZ
Ana Clara Magalhães LUS
Priscila Hernandez CAMPOS
Stella Ferreira do AMARAL
Adrian LUSSI
Michele Baffi DINIZ
Renata Oliveira GUARÉ
author_sort Mayra Manoella PEREZ
collection DOAJ
description Abstract The aims of this study were to 1) assess the association between erosive tooth wear (ETW) according to the BEWE (Basic Erosive Wear Examination) scoring system and salivary parameters and 2) compare salivary parameters according to ETW severity in the subgroup of children with ETW. This cross-sectional study included 52 preschool children aged 5 years paired by sex. A calibrated examiner assessed ETW using BEWE criteria, and stimulated saliva was collected to determine salivary flow, osmolality, pH, and buffering capacity. The children were divided into two groups: without ETW (n=26; BEWE score 0) and with ETW (n=26; BEWE scores 1 and 2). Logistic regression analysis was used to determine the magnitude of the association between ETW and salivary parameters and estimates of odds ratios (OR). In the unadjusted analysis, the ETW group was more likely to have lower salivary flow (OR = 0.079; 95%CI = 0.013–0.469; p = 0.005) and lower osmolality (OR = 0.993; 95%CI = 0.985–1.000; p = 0.049). In the adjusted analysis, salivary flow remained significantly associated with ETW (OR = 0.087; 95%CI = 0.014–0.533; p = 0.008). Lower salivary osmolality values were observed in ETW, especially in preschool children with more severe ETW (BEWE score 2). Receiver operating characteristic (ROC) determined a salivary osmolality cutoff point of < 201 for the presence of ETW. In conclusion, salivary flow rate was significantly associated with ETW prevalence. Lower values of salivary osmolality were observed in preschool children with distinct erosive lesions with significant loss of tooth structure (BEWE 2).
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spelling doaj.art-1618fec7920a449e8b0b3ba7f861dc182023-10-10T07:45:30ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072023-10-013710.1590/1807-3107bor-2023.vol37.0093Association of salivary parameters and erosive tooth wear in preschool childrenMayra Manoella PEREZhttps://orcid.org/0000-0002-2268-7646Ana Clara Magalhães LUShttps://orcid.org/0000-0002-1522-2947Priscila Hernandez CAMPOShttps://orcid.org/0000-0003-0655-3485Stella Ferreira do AMARALhttps://orcid.org/0000-0003-2869-4086Adrian LUSSIhttps://orcid.org/0000-0002-0426-3364Michele Baffi DINIZhttps://orcid.org/0000-0002-0693-2162Renata Oliveira GUARÉhttps://orcid.org/0000-0001-5749-0651Abstract The aims of this study were to 1) assess the association between erosive tooth wear (ETW) according to the BEWE (Basic Erosive Wear Examination) scoring system and salivary parameters and 2) compare salivary parameters according to ETW severity in the subgroup of children with ETW. This cross-sectional study included 52 preschool children aged 5 years paired by sex. A calibrated examiner assessed ETW using BEWE criteria, and stimulated saliva was collected to determine salivary flow, osmolality, pH, and buffering capacity. The children were divided into two groups: without ETW (n=26; BEWE score 0) and with ETW (n=26; BEWE scores 1 and 2). Logistic regression analysis was used to determine the magnitude of the association between ETW and salivary parameters and estimates of odds ratios (OR). In the unadjusted analysis, the ETW group was more likely to have lower salivary flow (OR = 0.079; 95%CI = 0.013–0.469; p = 0.005) and lower osmolality (OR = 0.993; 95%CI = 0.985–1.000; p = 0.049). In the adjusted analysis, salivary flow remained significantly associated with ETW (OR = 0.087; 95%CI = 0.014–0.533; p = 0.008). Lower salivary osmolality values were observed in ETW, especially in preschool children with more severe ETW (BEWE score 2). Receiver operating characteristic (ROC) determined a salivary osmolality cutoff point of < 201 for the presence of ETW. In conclusion, salivary flow rate was significantly associated with ETW prevalence. Lower values of salivary osmolality were observed in preschool children with distinct erosive lesions with significant loss of tooth structure (BEWE 2).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242023000100276&lng=en&tlng=enSalivaChildTooth ErosionTooth, Deciduous
spellingShingle Mayra Manoella PEREZ
Ana Clara Magalhães LUS
Priscila Hernandez CAMPOS
Stella Ferreira do AMARAL
Adrian LUSSI
Michele Baffi DINIZ
Renata Oliveira GUARÉ
Association of salivary parameters and erosive tooth wear in preschool children
Brazilian Oral Research
Saliva
Child
Tooth Erosion
Tooth, Deciduous
title Association of salivary parameters and erosive tooth wear in preschool children
title_full Association of salivary parameters and erosive tooth wear in preschool children
title_fullStr Association of salivary parameters and erosive tooth wear in preschool children
title_full_unstemmed Association of salivary parameters and erosive tooth wear in preschool children
title_short Association of salivary parameters and erosive tooth wear in preschool children
title_sort association of salivary parameters and erosive tooth wear in preschool children
topic Saliva
Child
Tooth Erosion
Tooth, Deciduous
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242023000100276&lng=en&tlng=en
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