Prevalence of tooth wear and its associated risk factors among industrial workers in Daman, India: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20175318Keywords:
Industry, Prevalence, Risk factor, Tooth wear, WorkersAbstract
Background: Tooth wear is an ever increasing problem. Therefore, the aim of the present study was to assess the prevalence of tooth wear and its associated risk factors among industrial workers in Daman, India.
Methods: This cross sectional study was conducted among 613 industrial workers selected using simple random sampling. The clinical assessment of tooth wear was done using tooth wear index (TWI) developed by Smith & Knight. A specifically designed questionnaire was used to seek information on risk factors of tooth wear. Data were analyzed using Pearson’s chi-square test, ANOVA and a multiple logistic regression model.
Results: The overall prevalence of tooth wear was found to be greater in mandible (86.8%) as compared to maxilla (61.7%). In both maxilla and mandible, the most frequently affected teeth were incisors (55.8% and 83.7%) followed by canines (52.2% and 81.2%), pre molars (38.5% and 42.1%) and molars (37.8% and 38.8%). Among the risk factors, consumption of hard or acidic foods (p=0.01, OR=1.73) and use of hard toothbrush bristles (p=0.04, OR=0.04) in maxilla and clenching or grinding of teeth (p=0.01, OR=3.96) in mandible were significantly associated with tooth wear. However, work environment involving dust or acid gas was the only risk factor associated with tooth wear in both maxilla (p=0.004, OR=0.53) and mandible (p<0.001, OR=0.35).
Conclusions: There is a high prevalence of tooth wear among industrial workers. Thus, efforts should be made by dentists to increase awareness about tooth wear and plan a three-level prevention program based on analysis of risk assessment.
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References
Daly RWR, Wan Zaripah Wan Bakar, Adam Husein, Noorliza Mastura Ismail, Bennet T. Amaechi. The study of tooth wear patterns and their associated aetiologies in adults in Kelantan, Malaysia. Arch Orofac Sci. 2010;5(2):47-52.
Al-Zarea BK. Tooth Surface Loss and Associated Risk Factors in Northern Saudi Arabia. ISRN Dentistry. 2012:161565. doi:10.5402/2012/161565.
Fung A, Messer LB. Tooth wear and associated risk factors in a sample of Australian primary school children. Aust Dent J. 2013;58:235–45.
Sun K, Wang W, Wang X, Shi X, Yan Si, Zheng S. Tooth wear: a cross-sectional investigation of the prevalence and risk factors in Beijing, China. BDJ Open. 2017;3:16012.
Wei Z, Du Y, Zhang J, Tai B, Du M, Jiang H. Prevalence and Indicators of Tooth Wear among Chinese Adults. PLoSONE. 2016;11(9):e0162181.
Cunha-Cruz J, Pashova, H, Packard, JD Zhou L, Hilton T. Tooth wear: prevalence and associated factors in general practice patients. Community Dent Oral Epidemiol. 2010;38:228–34.
Liu B, Zhang M, Chen Y, Yao Y. Tooth wear in aging people: an investigation of the prevalence and the influential factors of incisal/ occlusal tooth wear in northwest China. BMC Oral Health. 2014;14:65.
Solanki S, Gupta I, Prasad S, Chinmaya BR. Prevalence and severity of tooth wear in 12 to 15 year old school children in the Gurgaon district, Haryana, India: a cross-sectional study. Arch Oral Res. 2013;9(2):193-9.
Deshpande S. Investigation of Tooth Wear and its Associated Etiologies in Adult Patients Visiting Dental Institute in India. Dentistry. 2015;5:271.
Hegde MN, Hegde P, D’souza SP, Attavar A. Prevalence of tooth wear in south west coastal population of India. Int J Primary Health Care. 2016;6(4):47-56.
Arora D, Marya CM, Menon I, Oberoi SS, Dhingra C, Anand R. Cross sectional survey on association between alcohol, betel- nut, cigarette consumption and health promoting behavior of industrial workers in Ghaziabad. Asian Pac J Cancer Prev. 2015;16(1):139-44.
Sudhanshu S, Pankaj A, Sorabh J, Nidhi S. Dental Diseases of Acid Factory Workers Globally- Narrative Review Article. Iranian J Publ Health. 2014;43(1):1-5.
Lopez-Frias FJ, Castellanos-Cosano L, Martin-Gonzalez J, Llamas-Carreras JM, Segura-Egea JJ: Clinical measurement of tooth wear: tooth wear indices. J Clin Exp Dent. 2012;4(1):48–53.
Chaturvedi P, Bhat N, Asawa K, Tak M, Bapat S, Gupta VV. Assessment of Tooth Wear Among Glass Factory Workers: WHO 2013 Oral Health Survey. J Clin Diagn Res. 2015;9(8):63-6.
Gupta VV, Asawa K, Bhat N, Tak M, Bapat S, Chaturvedi P, et al. Assessment of oral hygiene habits, oral hygiene practices and tooth wear among fertilizer factory workers of Northern India: A Cross sectional study. J Clin Exp Dent. 2015;7(5):649-55.
Kontaxopoulou I, Alam S. Risk assessment for tooth wear. Prim Dent J. 2015;4(2):25-9.
