Prevalence of tooth wear on buccal and lingual surfaces and possible risk factors in young European adults

Bartlett, David W; Lussi, Adrian; West, Nicola; Bouchard, Phillipe; Sanz, Mariano; Bourgeois, Denis (2013). Prevalence of tooth wear on buccal and lingual surfaces and possible risk factors in young European adults. Journal of dentistry, 41(11), pp. 1007-1013. Elsevier Science 10.1016/j.jdent.2013.08.018

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To assess the prevalence of tooth wear on buccal/facial and lingual/palatal tooth surfaces and identify related risk factors in a sample of young European adults, aged 18-35 years. Calibrated and trained examiners measured tooth wear, using the basic erosive wear examination (BEWE) on in 3187 patients in seven European countries and assessed the impact of risk factors with a previously validated questionnaire. Each individual was characterized by the highest BEWE score recorded for any scoreable surface. Bivariate analyses examined the proportion of participants who scored 2 or 3 in relation to a range of demographic, dietary and oral care variables. The highest tooth wear BEWE score was 0 for 1368 patients (42.9%), 1 for 883 (27.7%), 2 for 831 (26.1%) and 3 for 105 (3.3%). There were large differences between different countries with the highest levels of tooth wear observed in the UK. Important risk factors for tooth wear included heartburn or acid reflux, repeated vomiting, residence in rural areas, electric tooth brushing and snoring. We found no evidence that waiting after breakfast before tooth brushing has any effect on the degree of tooth wear (p=0.088). Fresh fruit and juice intake was positively associated with tooth wear. In this adult sample 29% had signs of tooth wear making it a common presenting feature in European adults.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry

UniBE Contributor:

Lussi, Adrian and West, Nicola


600 Technology > 610 Medicine & health




Elsevier Science




Eveline Carmen Schuler

Date Deposited:

24 Feb 2014 09:00

Last Modified:

24 Apr 2017 15:23

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

Diet, Erosion, Prevalence, Risk factors, Tooth wear




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