Gastroesophageal reflux disease and dietary habits linked to erosive tooth wear, reveals study

Erosive tooth wear is a multifactorial condition. This systematic review and meta-analysis aimed to identify key risk factors for erosive tooth wear in permanent dentition.

Methodological quality and risk of bias were assessed using the modified Newcastle-Ottawa scale for cross-sectional studies. Risk factors were visually presented in a heatmap, and where possible, random-effects meta-analyses were performed for the odds ratios (ORs) of risk factors. A total of 87 publications reporting on 71 studies were included in the systematic review. The studies examined a variety of anamnestic risk factors (n = 80) that were categorized into ten domains (socio-demographics, socio-economics, general health, oral diseases, medication, oral hygiene, food, beverages, dietary habits, and leisure-related risk factors). Meta-analyses revealed significant associations between erosive tooth wear and male gender (padj.<0.001; OR=1.30, 95 % CI: 1.16–1.44), regurgitation (padj.=0.033; OR=2.27, 95 % CI: 1.41–3.65), digestive disorders (padj.<0.001; OR=1.81, 95 % CI: 1.48–2.21), consumption of acidic foods (padj.=0.033; OR=2.40, 95 % CI: 1.44–4.00), seasoning sauces (padj.=0.003; OR=1.28, 95 % CI: 1.13–1.44), nutritional supplements (padj.=0.019; OR=1.73, 95 % CI: 1.28–2.35), and carbonated drinks (padj.=0.019; OR=1.43, 95 % CI: 1.17–1.75). Most included studies exhibited low bias risk. Observational studies investigated a variety of anamnestic risk factors for erosive tooth wear. Future studies should employ validated questionnaires, particularly considering the most important risk factors. Erosive tooth wear is a prevalent condition. Clinicians should concentrate primarily on symptoms of gastroesophageal reflux disease and dietary factors when screening patients at risk for erosive tooth wear.

Reference:

Felix Marschner, Philipp Kanzow, Annette Wiegand. Anamnestic risk factors for erosive tooth wear: Systematic review, mapping, and meta-analysis. Journal of Dentistry, Volume 144,

2024, 104962, ISSN 0300-5712, https://doi.org/10.1016/j.jdent.2024.104962.

(https://www.sciencedirect.com/science/article/pii/S0300571224001325)

Keywords:

Gastroesophageal, reflux disease, dietary habits, erosive, tooth wear,Journal of Dentistry,Felix Marschner, Philipp Kanzow, Annette Wiegand, Erosive tooth wear; Risk factors; Permanent dentition; Meta-analysis