IADR Abstract Archives
Prevalence of Dental Erosion among Children and Adolescents: A Meta-analysis
Objectives: Given the possible sequelae of dental erosion (DE) in the permanent dentition of loss of tooth structure, sensitivity, and pulp exposure, and the impact of DE over a lifetime, data on the prevalence are essential. The aim of this systematic review is to estimate the global prevalence of DE in permanent teeth of children and adolescents.
Methods: Indexed databases (PubMed, Cochrane, Web of Science, Embase, Science direct, and Virtual Health Library) were searched without language restriction up to and including October 2019. Eligibility criteria included observational studies reporting original data that allowed the calculation of prevalence rates of DE in the permanent dentition of children and adolescents. We abstracted data on metrics including demographics, sample size, erosion indices used and tooth surfaces examined. The estimated prevalence of erosive wear was determined using OpenMeta v5.26.14 software.
Results: The literature search generated 2527 records, and 157 full-text articles were reviewed. Eighty-one articles comprising over 70,000 individuals fulfilled the aforementioned selection criteria and were included in the meta-analysis. The estimated global prevalence of DE among children and adolescents in permanent teeth was 39% (95% confidence interval (CI); 31-47%) with significant heterogeneity between studies. The estimated pooled prevalence of DE in Europe was 39% (95%CI; 32-45%), in South America was 29% (95%CI; 21-37%), in the Middle East was 52% (95%CI; 36-68%), in Asia was 43% (95%CI; 20-67%), in Africa was 57% (95%CI; 24-89%), and in North America was 24% (95%CI; 3-46%).
Conclusions: Within the limitations of this study, the available evidence suggests that the prevalence of DE in the permanent dentition of children and adolescents is considerably high. There is a tremendous variation in the available data with a wide span, even within one country. Information is not available from each country; in particular, data from Asia, Africa, North America and Middle East are unavailable.
Methods: Indexed databases (PubMed, Cochrane, Web of Science, Embase, Science direct, and Virtual Health Library) were searched without language restriction up to and including October 2019. Eligibility criteria included observational studies reporting original data that allowed the calculation of prevalence rates of DE in the permanent dentition of children and adolescents. We abstracted data on metrics including demographics, sample size, erosion indices used and tooth surfaces examined. The estimated prevalence of erosive wear was determined using OpenMeta v5.26.14 software.
Results: The literature search generated 2527 records, and 157 full-text articles were reviewed. Eighty-one articles comprising over 70,000 individuals fulfilled the aforementioned selection criteria and were included in the meta-analysis. The estimated global prevalence of DE among children and adolescents in permanent teeth was 39% (95% confidence interval (CI); 31-47%) with significant heterogeneity between studies. The estimated pooled prevalence of DE in Europe was 39% (95%CI; 32-45%), in South America was 29% (95%CI; 21-37%), in the Middle East was 52% (95%CI; 36-68%), in Asia was 43% (95%CI; 20-67%), in Africa was 57% (95%CI; 24-89%), and in North America was 24% (95%CI; 3-46%).
Conclusions: Within the limitations of this study, the available evidence suggests that the prevalence of DE in the permanent dentition of children and adolescents is considerably high. There is a tremendous variation in the available data with a wide span, even within one country. Information is not available from each country; in particular, data from Asia, Africa, North America and Middle East are unavailable.