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An investigation of risk factors associated with tooth surface loss: a pilot study
Author(s) -
Kosalram K.,
Whittle T.,
Byth K.,
Klineberg I.
Publication year - 2014
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1111/joor.12186
Subject(s) - tooth loss , medicine , tooth surface , weight loss , logistic regression , dentistry , odds ratio , incidence (geometry) , oral health , obesity , physics , optics
Summary Few prospective studies have investigated risk factors associated with severe tooth surface loss. This case–control study assessed the possible association between medical history, diet, psychological profile and salivary pH and flow [Delongis 1982, Johansson 1993] with the incidence of severe tooth surface loss. A total of 80 subjects (40 cases and 40 age‐ and gender‐matched controls) aged 25–85 years were recruited. Cases were subjects with severe tooth surface loss, and controls with mild tooth surface loss. Conditional logistic regression analysis estimated the odds of severe tooth surface loss to be 15·4 times higher for those with cardiovascular disease and 16 times for gastrointestinal disturbances. Most domains of the psychological profile were associated with elevated risk of severe tooth surface loss, particularly the effects of finance and health. Recreational drug use and prescription medications were also associated with severe tooth surface loss. There was no association between salivary flow and severe tooth surface loss. Although not statistically significant, the pH was slightly lower in the severe tooth surface loss group.