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Tooth Wear and Associated Risk Factors

Evaluation of Tooth Wear and Associated Risk Factors: a Matched Case-control Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03197727
Enrollment
100
Registered
2017-06-23
Start date
2014-11-28
Completion date
2016-01-18
Last updated
2017-06-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Tooth Wear

Keywords

Tooth wear, risk factors, saliva, diet, oral hygiene

Brief summary

This study compares the associated risk factors between adults with tooth wear and age- and sex-matched controls without tooth wear.

Detailed description

Some people are at greater risk due to their eating and brushing habits. Poor oral health behaviors and malnutrition are the leading causes of tooth surface loss in adults. Fluid consumption trends have changed, and the increased consumption of carbonated drinks coincides with a decline in the consumption of dairy products and increases in the use of packaged products. Frequent and faulty brushing with abrasive oral hygiene products can also increase TW. Individuals unhappy with the color of their teeth may also frequently use whitening toothpaste. Saliva is considered the biological factor with the greatest potential to modify the progression of TW. There are several potential mechanisms by which saliva may protect enamel from dietary acid erosion. Saliva protection mechanisms include the dilution of erosive agents in the mouth, neutralization, effects of calcium and phosphate ions, and slowing of the rate of enamel dissolution. The loss of dental tissue can lead to the character's loss of precision and form, and in advanced stages the dentin surface can be exposed. TW is initially painless and unrecognizable. In the next stage, complaints often include tenderness and non-aesthetic factors. It is difficult to recognize the signs of TW and very important to avoid premature diagnosis, as TW can often be diagnosed by a dentist. Correct diagnosis is an important part of the treatment and will help the dentist determine recommendations for the patient.

Interventions

DIAGNOSTIC_TESTGC Saliva-Check BUFFER

Evaluating the saliva flow rate, saliva pH and saliva buffering capacity

Sponsors

Hacettepe University
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

Subject is in good health. Subject is able to understand and read the questionnaire.

Exclusion criteria

Wearing orthodontic appliances, Having crowns or partial dentures Using any medications.

Design outcomes

Primary

MeasureTime frameDescription
Saliva test1 dayHighly acidic saliva will be in the red section, pH 5.0 - 5.8. Moderately acidic saliva will be found in the yellow section, pH 6.0 - 6.6. Healthy saliva will be in the green section pH 6.8 - 7.8.

Secondary

MeasureTime frameDescription
Tooth wear1 dayScoring the tooth wear, Smith and Knight's index (0=No loss of enamel surface characteristics, 1=Loss of enamel surface characteristics, 2=Loss of enamel exposing dentine for less than one third of surface, 3=Loss of enamel exposing dentine for more than one third of the surface, 4=Complete enamel loss, pulp exposure, secondary dentine exposure

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026