Prevalence of erosive tooth wear in risk group patients: systematic review

• Ano de defesa: 2024
• Autor(a) principal: Dallavilla, Gabriela Guarda
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: eng
• Instituição de defesa: Biblioteca Digitais de Teses e Dissertações da USP
• Palavras-chave em Português: Dental erosion; Desgaste dentário erosivo; Erosão dentária; Erosive tooth wear; Estudos de prevalência; Grupos de risco; Meta-análise; Meta-analysis; Prevalence studies; Revisão sistemática; Systematic review; Tisk groups
• Link de acesso: https://www.teses.usp.br/teses/disponiveis/25/25148/tde-30072024-095006/

This systematic review investigates the prevalence of erosive tooth wear in individuals classified as risk groups, including those with gastroesophageal reflux disease, eating disorders, those on special diets or consuming acidic beverages, those who excessively use drugs and alcohol, consume legal drugs and medications, or are exposed to acids in an occupational context. Registration in the PROSPERO protocol CRD42021270150. Two comprehensive literature searches were conducted using PubMed/MEDLINE, Embase, Cochrane Library, LILACS/BVS, SciELO, Scopus, Science Direct, Open Grey, and Web of Science on April 12, 2024. Grey literature was also employed, based on a manual search of relevant study reference lists and the use of the Brazilian Digital Library of Theses and Dissertations, Google Scholar, and ProQuest. Observational studies conducted in children and adults falling into the previously mentioned high-risk groups that provided the necessary prevalence data were included, with no date or language restrictions. A narrative synthesis of the included study results was conducted, structured around the investigated condition (erosive tooth wear) and characteristics of the target population (gastroesophageal reflux, eating disorders, acidic beverages, special diets, drug and alcohol abuse, legal drugs or medications, and occupational or sports exposure). The methodological quality of the included studies was assessed using the Joanna Briggs Institute\'s (JBI) Prevalence Data Critical Appraisal Tool. Data were meta-analyzed using a random-effects model, with a significance level of 5%. The results for each at-risk group showed higher prevalences of erosive tooth wear in these patients in general. Subgroup analysis was not possible for all at-risk groups due to the heterogeneity of the indices found; however, for the groups where it was possible, subgroup analysis supported the results obtained in the overall prevalence. In conclusion, the Legal drugs and Medications risk group showed lower overall prevalence values (30.3%), while the Eating Disorder risk group obtained higher values (68.8%), which highlights that risk groups are indeed at significant risk for the development of ETW and greater preventive care and dental monitoring are needed.