西安市青少年牙酸蚀症患病情况及相关因素分析-现代医学

西安市青少年牙酸蚀症患病情况及相关因素分析

作者：姜荟荟¹ 2 刘岩³ 樊晓宇¹ 2 高震¹ 2 郭凯心¹ 2 阮建平¹ 2 黄瑞哲¹ 2

单位：1. 西安交通大学口腔医院/陕西省颅颌面精准医学研究重点实验室, 陕西西安 710004;
2. 西安交通大学口腔医院预防保健中心, 陕西西安 710004;
3. 徐州医科大学口腔医学院, 江苏徐州 221004

分类号：R780.1

出版年·卷·期（页码）：2023·51·第十一期（1554-1558）

摘要：

目的：了解西安市青少年牙酸蚀症患病情况并对其相关因素进行分析，以期为酸蚀症的防治提供理论支持。方法：采用多阶段分层抽样法，随机抽取西安市两个城区的青少年共720人。采用口腔检查和问卷调查收集数据，基本酸蚀磨耗指数(BEWE)评价酸蚀程度，OriginPro8软件分析牙齿酸蚀部位，单因素和二元Logistic回归分析风险因素。结果：西安市青少年牙酸蚀症患病率为39.6%，男女患病率分别为37.5%和41.7%。好发牙位及牙面为上下颌前牙区，且以下前牙区为重。单因素分析结果显示喝咖啡的频率、食管炎、咬硬的食物、不自觉的紧咬牙、胃返酸、胃炎/消化性溃疡、刷牙频率为青少年牙酸蚀症的危险因素(P<0.1)，二元Logistic回归分析显示不自觉的紧咬牙(OR=4.196,P<0.001)、刷牙频率(OR=2.013,P<0.001)为西安市青少年牙酸蚀症的独立影响因素。结论：西安市青少年牙酸蚀症的患病率处于较高水平，且与日常行为习惯有关，应引起更多关注。

Objective: To understand the prevalence of the dental erosion in adolescents in Xi'an, and analyze its related influencing factors in order to provide theoretical support for the prevention and treatment of acid erosion. Methods: A total of 720 adolescents were randomly selected from two urban districts of Xi'an by using the multi-stage stratified sampling method. Data were collected through oral examinations and questionnaires and the basic erosive wear examination(BEWE) was utilized to evaluate the degree of dental erosion. The software OriginPro8 was employed to analyze the affected areas of dental erosion, while both the single-factor and binary logistic regression analyses were conducted to identify the contributing risk factors. Results: The prevalence of dental erosion in adolescents in Xi'an was 39.6% with the rate of 37.5% in males and 41.7% in females. The most affected tooth positions and surfaces were the anterior areas of the upper and lower jaws, particularly in anterior region. Results from the single-factor analysis indicated that the frequency of coffee consumption, esophagitis, biting hard foods, unconscious teeth grinding, gastric acid reflux, gastritis/gastric ulcers, and brushing frequency were all the risk factors for dental erosion in adolescents(P<0.1). Binary logistic regression analysis revealed that unconscious teeth grinding(OR=4.196, P<0.001) and brushing frequency(OR=2.013, P<0.001) were independent risk factors for dental erosion in adolescents in Xi'an. Conclusion: The prevalence of dental erosion in adolescents in Xi'an remains higher, which is closely related to their daily behavior habits, and more attentions should be paid to it.

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