Tooth Wear in Older Adults: A Review of Clinical Studies
Abstract
:1. Introduction
2. Literature Search
3. Aetiology
4. Clinical Signs and Symptoms
5. Risk Factors
5.1. Aging
5.2. Medical Conditions
5.3. Hyposalivation
5.4. Dietary Habits
5.5. Oral Hygiene Habits
5.6. Bruxism
5.7. Occlusal Factors
5.8. Risk Assessment
6. Tooth Wear Management in Older Adults
6.1. Control of All Potential Aetiological and Risk Factors
6.2. Non-Restorative Treatment
6.3. Restorative Management
6.4. Monitoring Tooth Wear
7. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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MeSH Words | Non-MeSH Words |
---|---|
tooth wear; aged | tooth surface loss; elderly; older adults |
Database | Search Terms | Results |
---|---|---|
Scopus | ((TITLE-ABS-KEY (“tooth wear”) OR TITLE-ABS-KEY (“tooth surface loss”))) AND ((TITLE-ABS-KEY (“aged”) OR TITLE-ABS-KEY (“elderly”) OR TITLE-ABS-KEY (“older adults”))) | 160 |
Pubmed | (“tooth wear” OR “tooth surface loss”) AND (“aged” OR “elderly” OR “older adults”) | 109 |
Embase |
| 38 |
Study Type (Author, Year) | Title | Findings |
---|---|---|
Prevalence | ||
Cross-sectional study (Salih et al., 2022) [21] | “Oral health status and associated factors among Sudanese older adults: A cross-sectional study” | Tooth wear was found in 46.2% of the older adult participants. |
Cross-sectional study (Theodoridis et al., 2022) [18] | “Tooth wear epidemiology and its associated periodontal health and sociodemographic factors in a cluster of senior citizens in Northern Greece” | Almost all senior citizens in Northern Greece presented with signs of tooth wear. |
Cross-sectional study (Kitasako et al., 2021) [23] | “The prevalence of non-carious cervical lesions (NCCLs) with or without erosive etiological factors among adults of different ages in Tokyo” | NCCL distribution increased with age, and erosive dietary risk factors might affect the incidence of NCCLs for elders. |
Cross-sectional study (Stangvaltaite-Mouhat et al., 2020) [19] | “Erosive tooth wear among adults in Lithuania: a cross-sectional national oral health study” | Erosive tooth wear was found in 63% of older adults. Males, residency in peri-urban/rural areas, older age, and presence of acid reflux were associated with higher odds of erosive tooth wear. |
Cross-sectional study (Kaklamanos et al., 2020) [16] | “Tooth wear in a sample of community-dwelling elderly Greeks” | Severe wear was more prevalent with advanced age, more extensive occlusal/incisal surfaces in males, and those with fewer than 20 remaining teeth. |
Impact of tooth wear on older adults | ||
Cross-sectional study (Kanaan et al., 2022) [24] | “Tooth wear and oral-health-related quality of life in dentate adults” | Distal and proximal indicators for tooth wear were mediators for impaired oral-health-related quality of life and treatment needs. |
Cross-sectional study (Mehta et al., 2020) [11] | “An investigation into the impact of tooth wear on the oral health related quality of life amongst adult dental patients in the United Kingdom, Malta and Australia” | Higher levels of tooth wear were significantly associated with a deteriorating oral-health-related quality of life amongst the participants. |
Cross-sectional study (Levartovsky et al., 2020) [25] | “The effect of tooth wear, age and sex on facial height assessed by soft tissue analysis” | The proportion of the upper to lower facial segments was constant and was not affected by age or tooth wear. |
Risk factors | ||
Cross-sectional study (Kanaan et al., 2022) [20] | “Non-biological and biological risk indicators for tooth wear outcomes in adults” | Medical conditions and consumption of acidic beverages were moderate and weak risk indicators, respectively, for tooth wear. |
Cross-sectional study (Kalsi et al., 2021) [26] | “Quality of life and other psychological factors in patients with tooth wear” | Increased severity of tooth wear was correlated with older age and worse generic and condition-specific quality of life. |
Cross-sectional study (Penoni et al., 2021) [27] | “Factors associated with noncarious cervical lesions in different age ranges: a cross-sectional study” | Elderly people with harmful toothbrushing habits had a greater mean NCCL. |
Cross-sectional study (Kamal et al., 2020) [28] | “Obesity and tooth wear among American adults: the role of sugar-sweetened acidic drinks” | Obesity was positively associated with tooth wear and this association was only partially accounted for by the consumption of sugar-sweetened acidic drinks, a common risk factor for both conditions. |
Cross-sectional study (Sehgal et al., 2019) [29] | “Tooth wear in patients treated with HIV anti-retroviral therapy” | HIV +ve patients on anti-retroviral therapy had significant tooth wear. |
Management | ||
Longitudinal study (Edelhoff et al., 2023) [30] | “Pressable lithium disilicate ceramic versus CAD/CAM resin composite restorations in patients with moderate to severe tooth wear: Clinical observations up to 13 years” | Single-tooth restorations of both materials can be recommended for permanent use in patients with severe tooth wear. |
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Chan, A.K.Y.; Tsang, Y.C.; Lai, E.H.-H.; Chu, C.H. Tooth Wear in Older Adults: A Review of Clinical Studies. Geriatrics 2024, 9, 12. https://doi.org/10.3390/geriatrics9010012
Chan AKY, Tsang YC, Lai EH-H, Chu CH. Tooth Wear in Older Adults: A Review of Clinical Studies. Geriatrics. 2024; 9(1):12. https://doi.org/10.3390/geriatrics9010012
Chicago/Turabian StyleChan, Alice Kit Ying, Yiu Cheung Tsang, Eddie Hsiang-Hua Lai, and Chun Hung Chu. 2024. "Tooth Wear in Older Adults: A Review of Clinical Studies" Geriatrics 9, no. 1: 12. https://doi.org/10.3390/geriatrics9010012
APA StyleChan, A. K. Y., Tsang, Y. C., Lai, E. H. -H., & Chu, C. H. (2024). Tooth Wear in Older Adults: A Review of Clinical Studies. Geriatrics, 9(1), 12. https://doi.org/10.3390/geriatrics9010012