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

J Dent. 2013 Nov;41(11):1007-13. doi: 10.1016/j.jdent.2013.08.018. Epub 2013 Sep 1.


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.

Keywords: Diet; Erosion; Prevalence; Risk factors; Tooth wear.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Beverages / statistics & numerical data
  • Cross-Sectional Studies
  • Educational Status
  • Energy Drinks / statistics & numerical data
  • Europe / epidemiology
  • Feeding Behavior
  • Female
  • Fruit
  • Gastroesophageal Reflux / epidemiology
  • Heartburn / epidemiology
  • Humans
  • Male
  • Oral Hygiene / statistics & numerical data
  • Prevalence
  • Risk Factors
  • Rural Health / statistics & numerical data
  • Snoring / epidemiology
  • Social Class
  • Tooth / pathology*
  • Tooth Erosion / epidemiology
  • Tooth Wear / epidemiology*
  • Toothbrushing / instrumentation
  • Toothbrushing / statistics & numerical data
  • Vomiting / epidemiology
  • Young Adult