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Oudkerk J, Grenade C, Davarpanah A, Vanheusden A, Vandenput S, Mainjot AK. Risk factors of tooth wear in permanent dentition: A scoping review. J Oral Rehabil 2023; 50:1110-1165. [PMID: 37147932 DOI: 10.1111/joor.13489] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 03/20/2023] [Accepted: 04/22/2023] [Indexed: 05/07/2023]
Abstract
BACKGROUND Tooth wear (TW) prevalence is high and increasing and has important consequences on the patient's quality of life. Knowledge of risk factors is crucial to promote diagnosis, prevention strategies and timely interceptive treatment. Many studies have identified TW risk factors. OBJECTIVE This scoping review aims to map and describe suspected available factors associated with TW in permanent dentition based on quantitative measurement. METHODS The scoping review was conducted using the PRISMA extension of the Scoping Reviews checklist. The search was conducted in October 2022 from the Medline® (PubMed® interface) and Scopus® databases. Two independent reviewers selected and characterised the studies. RESULTS 2702 articles were identified for assessment of titles and abstracts, and 273 articles were included in the review. The results show a need to standardise TW measurement indices and the study design. The included studies highlighted various factors, classified into nine domains: sociodemographic factors, medical history, drinking habits, eating habits, oral hygiene habits, dental factors, bruxism and temporomandibular disorders, behavioural factors, and stress. Results related to chemical TW (erosion) risk factors underline the importance of eating disorders, gastroesophageal reflux and lifestyle, particularly drinking and eating behaviours, which supports developing public health information campaigns and interventions. Besides chemical, this review identifies evidence of several mechanical TW risk factors, such as toothbrushing and bruxism; the influence of this last factor needs to be further explored. CONCLUSIONS TW management and prevention require a multidisciplinary approach. Dentists are in the first line to detect associated diseases such as reflux or eating disorders. Consequently, practitioners' information and guideline diffusion should be promoted, and a TW risk factors checklist (the ToWeR checklist) is proposed to help diagnostic approaches.
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Affiliation(s)
- Julie Oudkerk
- Dental Biomaterials Research Unit (d-BRU), Institute of Dentistry, University of Liège (ULiège), Liège, Belgium
- Department of Fixed Prosthodontics, Institute of Dentistry, University of Liège Hospital (CHU), Liège, Belgium
| | - Charlotte Grenade
- Dental Biomaterials Research Unit (d-BRU), Institute of Dentistry, University of Liège (ULiège), Liège, Belgium
- Department of Fixed Prosthodontics, Institute of Dentistry, University of Liège Hospital (CHU), Liège, Belgium
| | - Anoushka Davarpanah
- Dental Biomaterials Research Unit (d-BRU), Institute of Dentistry, University of Liège (ULiège), Liège, Belgium
| | - Alain Vanheusden
- Dental Biomaterials Research Unit (d-BRU), Institute of Dentistry, University of Liège (ULiège), Liège, Belgium
- Department of Fixed Prosthodontics, Institute of Dentistry, University of Liège Hospital (CHU), Liège, Belgium
| | | | - Amélie K Mainjot
- Dental Biomaterials Research Unit (d-BRU), Institute of Dentistry, University of Liège (ULiège), Liège, Belgium
- Department of Fixed Prosthodontics, Institute of Dentistry, University of Liège Hospital (CHU), Liège, Belgium
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Daher R, Krejci I, Ardu S. Time-and cost-effective 3-dimensional-printing workflow to rehabilitate worn dentitions: A clinical report. J Prosthet Dent 2023:S0022-3913(23)00123-3. [PMID: 36959005 DOI: 10.1016/j.prosdent.2023.02.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 02/08/2023] [Accepted: 02/08/2023] [Indexed: 03/25/2023]
Abstract
Current restorative methods of restoring worn or eroded dentition present drawbacks that may deter dentists or patients from pursuing complete mouth rehabilitation. A novel additive manufacturing approach using 3D-printed definitive composite resin restorations is described as a less technique-sensitive and more cost-effective alternative. These restorations are straightforward to repair, modify, or replace.
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Affiliation(s)
- René Daher
- Senior Lecturer, Division of Cariology and Endodontology, Clinique Universitaire de Médecine Dentaire (CUMD), University of Geneva, Geneva, Switzerland.
| | - Ivo Krejci
- Full Professor and Chairman, Division of Cariology and Endodontology, Clinique Universitaire de Médecine Dentaire (CUMD), University of Geneva, Geneva, Switzerland
| | - Stefano Ardu
- Senior Lecturer, Division of Cariology and Endodontology, Clinique Universitaire de Médecine Dentaire (CUMD), University of Geneva, Geneva, Switzerland
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Fernández CE, Brandao ACS, Bícego-Pereira EC, Del Bel Cury AA, Cury JA, Tenuta LMA. Effect of pH and titratable acidity on enamel and dentine erosion. Clin Oral Investig 2022; 26:5867-5873. [PMID: 35588021 DOI: 10.1007/s00784-022-04544-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 05/11/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVES The relative effect of pH and titratable acidity on tooth erosion remains unclear. We determined the effect of both properties on in vivo salivary pH recovery and on enamel and dentine early erosion in situ. METHODS Solutions simulating acidic beverages with different pHs (2.5 or 3.5) and titratable acidities (0, 25, or 100 mM citric acid) were tested. In an in vivo study (n = 20 participants), the salivary pH was determined before, during, and up to 2 min after exposure to the tested solutions. In situ, 12 participants exposed enamel and root dentine slabs to the tested solutions simulating a beverage consumption; early erosion was assessed by percentage of surface hardness loss (%SHL). Groups were compared by ANOVA (p < 0.05). RESULTS Saliva pH was lower after exposure to solutions at pH 2.5, irrespective of titratable acidity; pH recovery took longer for solutions with higher titratable acidities, irrespective of their pHs. In situ, the highest %SHL was observed for the solution with lower pH and higher titratable acidities. The addition of citric acid increased the %SHL by 2.5-3 times in enamel, and at least 5 times in dentine. CONCLUSIONS Both pH and titratable acidity may play a role on the erosive potential of acidic beverages. CLINICAL RELEVANCE Acidic beverages with lower pHs promote erosion by an initial acid etching of the surface; those with a higher titratable acidity slow down the salivary pH recovery. Both properties contribute to the overall erosive potential.
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Affiliation(s)
- Constanza E Fernández
- Cariology Unit, Department Oral Rehabilitation, Faculty Health Sciences, University of Talca, Talca, Chile
| | | | | | | | - Jaime A Cury
- Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Livia M A Tenuta
- Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, 1011 N. University Ave. Room 5223, MI, 48109-1078, Ann Arbor, USA.
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Escalante-Otárola WG, Castro-Núñez GM, Leandrim TP, Alencar CM, de Albuquerque Jassé FF, Kuga MC. Effects of Remineralizing Agents Based on Calcium Phosphate, Sodium Phosphate, or Sodium Fluoride on Eroded Cervical Dentin. Oper Dent 2021; 46:E296-E306. [PMID: 34919731 DOI: 10.2341/20-209-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/27/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To evaluate the effect of remineralizing agents on collagen matrix pattern, precipitate formation, and dentinal tubule obliteration in eroded cervical dentin. METHODS AND MATERIALS One hundred bovine cervical dentin specimens were previously eroded (0.6% hydrochloric acid, pH 2.3, 5 minutes) and then randomized into five groups (n=20): G1, control (without treatment); G2, Desensibilize Nano P (FGM); G3, MI Paste Plus (Recaldent); G4, Regenerate (NR-5); and G5, Desensibilize KF 2% (FGM). These treatments were applied in four sessions with 7-day intervals. During this period, the samples were subjected to an erosive challenge with orange juice (pH 3.8, 5 minutes). The specimens were analyzed by polarized light microscopy with picrosirius red staining, scanning electron microscopy (SEM), and energy-dispersive X-ray spectroscopy (EDX). RESULTS The G3 showed a higher concentration of type I collagen than G2 and G5 (p<0.05). The G3 showed greater formation of surface precipitates than that of G1 and G5 (p<0.05). In addition, G4 and G5 showed a greater number of open dentinal tubules than that of G3 (p<0.05). CONCLUSIONS Calcium phosphate-based remineralizing agents have shown to be a promising alternative treatment for preventing deleterious effects on the eroded dentin collagen matrix. In addition, they promoted precipitate formation and dentinal tubule obliteration on the eroded dentin.
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Affiliation(s)
- W G Escalante-Otárola
- Wilfredo Gustavo Escalante-Otárola, DDS, MS, PhD, NCCL Research Group, School of Dentistry, Faculty of Health Sciences, Jorge Basadre Grohmann National University - UNJBG, Tacna, Perú; Department of Restorative Dentistry, Araraquara School of Dentistry, Paulista State University - UNESP, Araraquara, SP, Brazil
| | - G M Castro-Núñez
- Gabriela Mariana Castro-Núñez DDS, MS, PhD, School of Dentistry, Faculty of Health Sciences, Jorge Basadre Grohmann National University - UNJBG, Tacna, Perú
| | - T P Leandrim
- Thaís Piragine Leandrim DDS, MS, PhD student, Department of Restorative Dentistry, Araraquara School of Dentistry, Paulista State University - UNESP, Araraquara, SP, Brazil
| | - C M Alencar
- Cristiane de Melo Alencar DDS, MS, PhD student, Department of Restorative Dentistry, Araraquara School of Dentistry, Paulista State University - UNESP, Araraquara, SP, Brazil
| | - F F de Albuquerque Jassé
- Fernanda Ferreira de Albuquerque Jassé DDS, MS, PhD, School of Dentistry, Federal University of Para, Belém, PA, Brazil
| | - M C Kuga
- *Milton Carlos Kuga DDS, MS, PhD, Department of Restorative Dentistry, Araraquara School of Dentistry, Paulista State University - UNESP, Araraquara, SP, Brazil
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Entezami S, Peres KG, Li H, Albarki Z, Hijazi M, Ahmed KE. Tooth wear and socioeconomic status in childhood and adulthood: Findings from a systematic review and meta-analysis of observational studies. J Dent 2021; 115:103827. [PMID: 34600044 DOI: 10.1016/j.jdent.2021.103827] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Revised: 09/16/2021] [Accepted: 09/22/2021] [Indexed: 01/11/2023] Open
Abstract
OBJECTIVES To evaluate the association and level of evidence between socioeconomic status (SES) and tooth wear (TW) in children, adolescents, and adults. DATA Eligibility criteria comprised population-based observational studies assessing the association between SES and TW in permanent dentition of adolescents and adults. Interventional and descriptive studies or those without an internal comparison between exposed and nonexposed groups were excluded. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were applied where applicable. Risk of bias (RoB) was assessed using the Newcastle-Ottawa scale. Meta-analyses were conducted to estimate the pooled effect measures. Q-statistic, I2statistic, subgroup and sensitivity analyses assessed study heterogeneity. SOURCES PubMed/Medline, Embase, Scopus, Web of Science, LILACS, SciELO, Cochrane Library, and Google Scholar databases were searched for articles published in English between 1st January 1980 and 31st March 2021. RESULTS Sixty-five studies were included, involving 63,893 participants in over 30 countries. A positive association was found between TW and education (OR=1.25 [0.96; 1.62]), family income (OR=1.18 [0.91; 1.53]), and private school (OR= 1.24 [0.90; 1.72]) among adolescents. Higher educated adults had a lower risk for TW (OR=0.70 [0.52; 0.93]). Most included studies had a moderate RoB. Limitations relating to population representation and assessment methodologies were identified in the included studies. CONCLUSIONS SES was associated with TW with its direction depending on the individuals' age. The overall quality of evidence was moderate. CLINICAL SIGNIFICANC SES should be included as part of the routine screening and risk assessment for tooth wear.
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Affiliation(s)
- Sheema Entezami
- School of Medicine and Dentistry, Griffith University, Gold Coast, Australia
| | - Karen Glazer Peres
- National Dental Research Institute Singapore, National Dental Centre Singapore, Oral Health ACP, Health Services and Systems Research Programme, Duke-NUS Medical School, Singapore.
| | - Huihua Li
- National Dental Centre, ACP Research Office, Duke-NUS Medical School, Centre for Quantitative Medicine, Singapore.
| | - Zahra'a Albarki
- School of Medicine and Dentistry, Griffith University, Gold Coast, Australia
| | - Mariam Hijazi
- School of Medicine and Dentistry, Griffith University, Gold Coast, Australia
| | - Khaled E Ahmed
- School of Medicine and Dentistry, Griffith University, Gold Coast, Griffith Health Centre (G40), Office 7.59, QLD 4222, Australia.
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Scotti N, Ionescu A, Comba A, Baldi A, Brambilla E, Vichi A, Goracci C, Ciardiello R, Tridello A, Paolino D, Botto D. Influence of Low-pH Beverages on the Two-Body Wear of CAD/CAM Monolithic Materials. Polymers (Basel) 2021; 13:2915. [PMID: 34502955 DOI: 10.3390/polym13172915] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 08/21/2021] [Accepted: 08/23/2021] [Indexed: 01/21/2023] Open
Abstract
The aim of this in vitro study is to evaluate the effect of different acidic media on volumetric wear and surface roughness of CAD/CAM monolithic materials. Forty-eight rectangular specimens were prepared using different CAD/CAM monolithic materials: nanohybrid composite (Grandio Blocks, Voco), resin-based composite (Cerasmart, GC), lithium disilicate (E-Max, Ivoclar), and high-translucency zirconia (Katana STML, Kuraray Noritake). After storage in distilled water at 37 °C for two days, the specimens were tested using a chewing machine with a stainless-steel ball as an antagonist (49N loads, 250,000 cycles). Testing was performed using distilled water, Coca-Cola, and Red Bull as abrasive media. Wear and surface roughness analyses of the CAD/CAM materials were performed using a 3D profilometer and analyzed with two-way analysis of variance and post hoc pairwise comparison procedures. Worn surfaces were examined using scanning electron microscopy. Resin-based materials suffered higher volumetric wear than ceramics (p = 0.00001). Water induced significantly less volumetric wear than the other tested solutions (p = 0.0014), independent of the material tested. High-translucency zirconia showed less surface roughness than all the other materials tested. The selection of monolithic CAD/CAM materials to restore worn dentition due to erosive processes could impact restorative therapy stability over time. Resin-based materials seem to be more influenced by the acidic environment when subjected to a two-body wear test.
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Hermont AP, Pordeus IA, Ramos-Jorge J, Paiva SM, Auad SM. Acidic food choice among adolescents with bulimic symptomatology: a major risk factor for erosive tooth wear? Eat Weight Disord 2021; 26:1119-1127. [PMID: 32929621 DOI: 10.1007/s40519-020-01008-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 09/02/2020] [Indexed: 01/08/2023] Open
Abstract
PURPOSE Evaluate dietary habits and the presence of erosive tooth wear (ETW) among female adolescents with varying severity of bulimic symptomatology. METHODS An explanatory study was conducted with 72 female school adolescents with bulimic symptomatology, aged 15-18 years in Southeastern Brazil. Dietary habits were evaluated through a food frequency questionnaire. Bulimic symptomatology was evaluated and classified (mild, moderate and severe) according to the Bulimic Investigatory Test of Edinburgh. ETW examinations were performed. Data analysis involved descriptive statistics, bivariate analysis, Kruskal-Wallis/Mann-Whitney tests and Poisson regression. Ethical approval and informed consents were obtained. RESULTS The final population consisted of 62 participants. The prevalence of ETW differed among adolescents with mild, moderate and severe bulimic symptomatology (p = 0.001), corresponding to 5.9%, 8.0% and 45.0%, respectively. Adolescents with severe bulimic symptomatology presented higher daily consumption of acidic food: citric fruits (p < 0.005), diet soda (p < 0.009) and ketchup (p = 0.004). No difference related to vomiting practices was observed between groups (p = 0.060). The adjusted regression model showed that a higher prevalence of ETW was associated with self-induced vomit at least once a week (PR = 2.42, 95% CI = 1.00-5.86, p = 0.05) and higher frequencies of consumption of citric fruits (PR = 7.96, 95% CI = 1.50-42.11, p = 0.015) and diet soda (PR = 2.32, 95% CI = 1.09-4.91, p = 0.029). CONCLUSION It was the food choices (acidic food) and not purging practices that differed among adolescents with varying severity of bulimic symptomology. Likewise, higher consumption of citric fruits was the main factor associated with higher prevalence of ETW. LEVEL OF EVIDENCE III case-control analytic study.
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Affiliation(s)
- Ana Paula Hermont
- Department of Pediatric Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
| | - Isabela Almeida Pordeus
- Department of Pediatric Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Joana Ramos-Jorge
- Department of Pediatric Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Saul Martins Paiva
- Department of Pediatric Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Sheyla Márcia Auad
- Department of Pediatric Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Martignon S, Bartlett D, Manton DJ, Martinez-Mier EA, Splieth C, Avila V. Epidemiology of Erosive Tooth Wear, Dental Fluorosis and Molar Incisor Hypomineralization in the American Continent. Caries Res 2021; 55:1-11. [PMID: 33440378 DOI: 10.1159/000512483] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Accepted: 10/18/2020] [Indexed: 11/19/2022] Open
Abstract
Non-carious dental lesions such as developmental defects of enamel (DDE) and erosive tooth wear (ETW) are the subject of intensive research. This paper aims to give perspectives on both DDE, including dental fluorosis and molar incisor hypomineralization (MIH), and ETW, presenting epidemiological data from the Americas and associated diagnostic aspects. Besides, it is important to present evidence to guide the clinical assessment process, supporting the clinicians' management decisions towards better oral health of their patients. The overall increase in the worldwide prevalence of non-carious lesions discussed in this this paper may reflect the need of perceptual changes. Although the number of publications related to these conditions has been increasing in the last years, there is still a need for clinical diagnostic and management awareness to include these conditions in routine dental practice. Besides, it is important to provide recommendations for standardized clinical assessment criteria, improving the process and helping clinicians' adherence. In this sense, this paper discusses the most commonly implemented indices for each condition. Thus, despite the wide range of diagnostic indices, BEWE is proposed to be the index recommended for ETW assessment, Dean or Thylstrup & Fejerskov indices for fluorosis and preferably the EAPD criteria (or modified DDE index) for MIH. Overall, non-carious lesions are a growing concern, and it is important to implement preventive measures that control their severity and progression, and accurate diagnosis by the dental clinician.
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Affiliation(s)
- Stefania Martignon
- UNICA - Caries Unit Research, Research Department, Universidad El Bosque, Bogotá, Colombia,
| | - David Bartlett
- Centre for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom
| | - David J Manton
- Centrum voor Tandheelkunde en Mondzorgkunde, UMCG, University of Groningen, Groningen, The Netherlands.,Melbourne Dental School, University of Melbourne, Melbourne, Victoria, Australia
| | - E Angeles Martinez-Mier
- Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Christian Splieth
- Section of Preventive and Pediatric Dentistry, University of Greifswald, Greifswald, Germany
| | - Viviana Avila
- UNICA - Caries Unit Research, Research Department, Universidad El Bosque, Bogotá, Colombia
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Panda A, Rath H, Mahapatra S, Mishra M. Association between consumption of carbonated beverages and dental erosion – A systematic review. J Indian Assoc Public Health Dent 2021. [DOI: 10.4103/jiaphd.jiaphd_17_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Chan AS, Tran TTK, Hsu YH, Liu SYS, Kroon J. A systematic review of dietary acids and habits on dental erosion in adolescents. Int J Paediatr Dent 2020; 30:713-733. [PMID: 32246790 DOI: 10.1111/ipd.12643] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Revised: 03/02/2020] [Accepted: 03/22/2020] [Indexed: 12/22/2022]
Abstract
BACKGROUND Dental erosion is the dissolution of dental hard tissues caused by acids of a non-bacterial origin. Dietary acids are considered the predominant and most controllable factor. AIM To synthesise the literature on the effects of dietary acids and habits on dental erosion in the permanent dentition of 10- to 19-year-old adolescents. MATERIALS AND METHODS An electronic literature search was undertaken in Cochrane, MEDLINE, CINAHL, Dentistry & Oral Sciences Source via EBSCOhost, and Embase with no restriction on the date of publication. RESULTS The initial search identified 449 articles, and 338 remained after removal of duplicates. Seventy-seven articles remained after screening of titles and abstracts, and 52 were eligible for the full-text review. A considerable variety of beverages, food, and dietary habits were reported as risk factors for dental erosion. The most consistent findings implicated the erosive potential of carbonated beverages and the consumption of acidic drinks at bedtime. CONCLUSIONS Although results were not consistent between cohort and cross-sectional studies, this review suggests certain dietary risk factors may contribute to dental erosion in adolescents. There is a need for more high-quality cohort studies to establish more conclusive evidence on the role of dietary acids and habits on dental erosion.
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Affiliation(s)
- Alex Simon Chan
- School of Dentistry and Oral Health, Griffith University, Southport, Qld, Australia
| | | | - Yi Hsuan Hsu
- School of Dentistry and Oral Health, Griffith University, Southport, Qld, Australia
| | | | - Jeroen Kroon
- School of Dentistry and Oral Health, Griffith University, Southport, Qld, Australia
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Sari Quoos AR, Noal FC, Assunção CM, Rodrigues JA, da Silva CS, Epifânio M, Casagrande L, Ferreira CT, de Araújo FB. Erosive Tooth Wear and Erosive Esophagitis in Children: An Observational Study in Porto Alegre, Brazil. Caries Res 2020; 54:266-273. [PMID: 32911465 DOI: 10.1159/000509460] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2019] [Accepted: 06/12/2020] [Indexed: 12/13/2022] Open
Abstract
The aim of this study was to establish and compare the prevalence and severity of erosive tooth wear (ETW) in children with and without erosive esophagitis. Children aged 5-12 years, scheduled for upper digestive endoscopy at the Pediatric Gastroenterology Service of the Children's Hospital Santo Antonio, Porto Alegre, Brazil, were eligible to participate in this study. Patients who presented erosive esophagitis at endoscopy were defined as gastroesophageal reflux disease (GERD) carriers, and the severity was described according to the Los Angeles classification. The oral cavity examination was performed by a trained and calibrated dentist and ETW was classified using the Basic Erosive Wear Examination (BEWE) index. Parents/guardians answered a questionnaire about the patients' diets and frequency of consumption of acidic foods and beverages. A total of 110 children were included in the study. Erosive esophagitis was observed in 24 patients (21.8%) and all of them (100%) presented ETW, showing a statistically significant association between these 2 conditions (p < 0.05). Among children who did not present with erosive esophagitis (n = 86), 54 (64.3%) had an ETW risk level of none according to their BEWE scores (0-2). The results of this study showed a statistically significant association between erosive esophagitis and ETW, thus it can be concluded that it is important to recognize groups at risk of ETW and act together with medical professionals to ensure adequate oral health for these patients.
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Affiliation(s)
| | - Fernanda Coradini Noal
- School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Cristiane Meira Assunção
- Department of Pediatric Dentistry, School of Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Jonas A Rodrigues
- School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Carolina Soares da Silva
- Pediatric Gastroenterology Unit of the Children's Hospital Santo Antonio, Santa Casa Hospital Complex, Porto Alegre, Brazil
| | - Matias Epifânio
- Pediatric Gastroenterology Unit of the Children's Hospital Santo Antonio, Santa Casa Hospital Complex, Porto Alegre, Brazil
| | - Luciano Casagrande
- School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Cristina Targa Ferreira
- Pediatric Gastroenterology Unit of the Children's Hospital Santo Antonio, Santa Casa Hospital Complex, Porto Alegre, Brazil
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Souza BMD, Vertuan M, GonÇalves IVB, MagalhÃes AC. Effect of different citrus sweets on the development of enamel erosion in vitro. J Appl Oral Sci 2020; 28:e20200182. [PMID: 32813839 PMCID: PMC7433862 DOI: 10.1590/1678-7757-2020-0182] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 06/24/2020] [Indexed: 11/22/2022] Open
Abstract
The increased consumption of citrus sweets can contribute to the development of erosive tooth wear (ETW).
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Affiliation(s)
- Beatriz Martines de Souza
- Laboratório de Bioquímica, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, São Paulo, Brasil
| | - Mariele Vertuan
- Laboratório de Bioquímica, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, São Paulo, Brasil
| | | | - Ana Carolina MagalhÃes
- Laboratório de Bioquímica, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, São Paulo, Brasil
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Abstract
Objective: To assess the prevalence and dental erosion risk factors in Mexican schoolchildren. Study design: A transversal and analytical study was conducted on 411 children aged 6 to 12 years old in a public primary school of Mexico City. The children's parents answered a standardized questionnaire about their risk factors, and the Smith and Knight index was applied to assess their dental erosion degree. Results: The prevalence of dental erosion was 62%. The odds ratio and X2 tests revealed that probiotic beverage consumption (OR 1.658; CI 95%: 1.106-2.485; p = 0.014), sports beverages (OR: 2.807; CI 95%: 1.129-6.983; p = 0.021), natural juices (OR: 3.344; CI 95%: 1.556-7.184; p = 0.003), fruits and snacks with hot peppers and lemon (OR: 1.594; CI 95%: 1.066-2.382; p = 0.023), and syrups (OR: 1.869; CI 95%: 1.060-3.296; p = 0.029) were all risk factors for dental erosion. Conclusions: This study indicated that a high existence of dental erosion, which mainly affects the primary molars, is related to the frequent consumption of beverages and foods with acidic pH levels.
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Scribante A, Dermenaki Farahani MR, Marino G, Matera C, Rodriguez Y Baena R, Lanteri V, Butera A. Biomimetic Effect of Nano-Hydroxyapatite in Demineralized Enamel before Orthodontic Bonding of Brackets and Attachments: Visual, Adhesion Strength, and Hardness in In Vitro Tests. Biomed Res Int 2020; 2020:6747498. [PMID: 32090106 DOI: 10.1155/2020/6747498] [Citation(s) in RCA: 53] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2019] [Revised: 01/08/2020] [Accepted: 01/11/2020] [Indexed: 12/30/2022]
Abstract
Dietary habits with high consumption of acidic food can induce in orthodontic patients an increased risk of demineralization lesions around orthodontic brackets and bands. The purpose of the present laboratory study is to assess the in vitro visual efficacy of a biomimetic nano-hydroxyapatite remineralizing solution in a hypomineralized enamel surface and its effect on adhesion of fixed orthodontic appliances and on enamel microhardness. Intact teeth were demineralized, and subsequently the areas of demineralization were visually recorded using a 0-100 scale. Subsequently, a remineralizing solution (Biorepair® Repair Shock Treatment) was applied for ten minutes once a day/for one week per month for a total remineralizing treatment of 3 months. Visual effects were recorded. Moreover, bond strength was recorded and adhesive remnant index scores were measured for both orthodontic brackets and composite attachments both before demineralization and after demineralization and application of remineralizing solution. Also, Vickers microhardness was measured. All data were submitted to statistical analysis. The application of remineralizing solution induced a significant in vitro reduction of demineralized areas after the first week of application. No significant differences between untreated enamel surfaces and remineralized surfaces were detected after 2 months of remineralizing treatment. Bond strength values were significantly reduced for both brackets and attachments after remineralizing treatment. However, attachments showed higher adhesion values than brackets in both conditions tested. Remineralized enamel showed significantly higher microhardness values than demineralized enamel and lower values than intact enamel.
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Racki DNDO, Dalla Nora Â, Comim LD, Zenkner JEDA, Alves LS. Erosive tooth wear among South Brazilian adolescents, and its association with sociodemographic variables. Braz Oral Res 2020; 33:e119. [PMID: 31939499 DOI: 10.1590/1807-3107bor-2019.vol33.0119] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Accepted: 10/15/2019] [Indexed: 12/26/2022] Open
Abstract
The aim of this study was to assess the occurrence of erosive tooth wear (ETW) among 15-19-year-old South Brazilian adolescents, regarding prevalence, extent, severity, intraoral distribution, and sociodemographic risk indicators. A population-based cross-sectional survey was conducted in Santa Maria, southern Brazil, and included a representative sample of 15-19-year-old adolescents. Data collection included the application of a questionnaire and a clinical examination. A questionnaire was sent to the parents/legal guardians of the selected students, containing questions on demographic information, socioeconomic characteristics, and living conditions. After tooth cleaning and drying, all erupted permanent teeth were clinically assessed by two calibrated examiners, and classified according to the Basic Erosive Wear Examination (BEWE). The association between explanatory variables and the outcomes (ETW prevalence and extent) was assessed using Poisson regression models (both unadjusted and adjusted). A total of 1,197 adolescents were included in the study (participation rate of 72.3%). The overall prevalence of ETW was 57%. Severe ETW affected 16% of the sample. Overall, this adolescent population presented 13.3 affected surfaces, and 8.34 affected teeth. In the risk assessment analysis, gender, skin color, socioeconomic status, and family income were significantly associated with ETW. Boys, white adolescents, and those with higher socioeconomic status were more affected by ETW. This population-based cross-sectional study revealed that the prevalence of ETW was high, and that it was associated with sociodemographic variables in this South Brazilian population of adolescents.
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Affiliation(s)
- Débora Nunes de Oliveira Racki
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Restorative Dentistry, Santa Maria, RS, Brazil
| | - Ângela Dalla Nora
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Stomatology, Santa Maria, RS, Brazil
| | - Letícia Donato Comim
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Restorative Dentistry, Santa Maria, RS, Brazil
| | | | - Luana Severo Alves
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Restorative Dentistry, Santa Maria, RS, Brazil
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Massignan C, Moro J, Moccelini B, de Vasconcelos FMT, Cardoso M, Bolan M. Socio-economic characteristics, acid drinking patterns and gastric alterations associated with erosive tooth wear in children: a cross-sectional study. Eur Arch Paediatr Dent 2019; 21:573-579. [PMID: 31808110 DOI: 10.1007/s40368-019-00498-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Accepted: 11/26/2019] [Indexed: 11/30/2022]
Abstract
AIMS Assessing the influence of socio-economic characteristics, acid drinking patterns and gastric alterations considering erosive tooth experience in children. METHODS Cross-sectional study to assess 08-10-year-old children enrolled in the primary education in public schools in Florianopolis, Brazil (n = 1085). Caregivers have answered questionnaires comprising independent variables (head of the household education frequency consumption of sports drinks, acid juice/soda, chewing gum, recurrent vomiting, gastric disorders and vomiting after overeating). Four trained dental surgeons have examined the children for the erosive tooth wear-dependent variable (O'Sullivan index), as well as collected dental caries (DMFT) and dental crowding (DAI index) information. A two-stage cluster-sampling plan was conducted. Unadjusted and adjusted logistic regression models were applied (Odds ratio, OR; 95% Confidence interval, CI and 5% significance level). RESULTS The prevalence of erosive tooth wear was 15.67%. Erosive tooth wear was positively associated with high consumption of sports drinks (OR 3.42; 95% CI: 1.18-9.23). Children whose caregivers' educational level was equal or less than four years of study were less likely to have erosive tooth wear (OR 0.39; 95% CI: 0.17-0.88). CONCLUSION High consumption of sports drinks is positively associated with erosive tooth wear. Children whose caregivers' educational level is low are less likely to present erosive tooth wear.
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Affiliation(s)
- Carla Massignan
- Department of Pediatric Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianópolis, SC, Brazil. .,Departamento de Odontologia, Universidade Federal de Santa Catarina, UFSC, Campus Universitário, CCS-ODT, Trindade Florianópolis, SC, 88040-900, Brazil.
| | - Juliana Moro
- Department of Pediatric Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Bárbara Moccelini
- Department of Pediatric Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | | | - Mariane Cardoso
- Department of Pediatric Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Michele Bolan
- Department of Pediatric Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianópolis, SC, Brazil
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Rezende G, Dos Santos NML, Stein C, Hilgert JB, Faustino-Silva DD. Asthma and oral changes in children: Associated factors in a community of southern Brazil. Int J Paediatr Dent 2019; 29:456-463. [PMID: 30807677 DOI: 10.1111/ipd.12487] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 02/06/2019] [Accepted: 02/20/2019] [Indexed: 02/04/2023]
Abstract
BACKGROUND Asthma is a chronic disease that involves several healthcare services that need attention in relation to its treatment and prevention. AIM The objective of this study was to evaluate caries, erosion, and enamel defects in children with and without asthma. DESIGN Cross-sectional study, with a sample of 228 children ages 6-12 years, stratified as asthmatic (n = 112) and non-asthmatic (n = 116), at two Primary Health Units of the Community Health Service, Brazil. The evaluation consisted of an oral examination and a structured interview with parents/guardians, in addition to data from medical records. Data were analysed by Poisson regression with a robust error variance, all of them at a level of significance of P < 0.05. RESULTS Of 112 asthmatic children, 63 (51.2%) had dental caries and 25 (53.2%) enamel defects. In the adjusted analysis, dental caries and use of salbutamol were associated (PR = 1.32, 95% CI = 1.01-1.72). In addition, children who performed oral hygiene more than three times a day showed a greater prevalence (PR = 2.36, 95% CI = 1.02-4.85) of dental erosion compared with children who performed it only once a day. CONCLUSIONS There is no evidence for an association between asthma, caries, erosion, and enamel defect in children aged from 6 to 12 years. There was, however, an association between dental caries and use of salbutamol.
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Affiliation(s)
- Gabriela Rezende
- Postgraduate Studies Program in Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | | | - Caroline Stein
- Postgraduate Studies Program in Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Juliana Balbinot Hilgert
- Department of Preventive and Social Dentistry - School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Daniel Demétrio Faustino-Silva
- Grupo Hospitalar Conceição - Community Health Service and Graduate Program Professional Masters Modality Assessment and Production of Technologies for the SUS, Porto Alegre, Rio Grande do Sul, Brazil
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Abdelwahed AG, Temirek MM, Hassan FM. Antierosive Effect of Topical Fluorides: A Systematic Review and Meta-Analysis of In Situ Studies. Open Access Maced J Med Sci 2019; 7:1523-1530. [PMID: 31198467 PMCID: PMC6542392 DOI: 10.3889/oamjms.2019.291] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2019] [Revised: 04/22/2019] [Accepted: 04/23/2019] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND: The effectiveness of the application of topical fluorides in prevention of erosive tooth wear has been an issue of controversy in the literature. The objective of this systematic review was to assess in situ studies investigating the effects of using topical fluorides on prevention of erosive tooth wear MATERIAL AND METHODS: Two electronic databases PubMed/MEDLINE and Cochrane Central Register of Controlled Trials were searched. Eligibility criteria included in situ-controlled studies that assessed the effect of the erosive process without additional tooth brushing. The search involved English-written articles only. A total of 684 potentially relevant titles and abstracts were found after removal of duplicates, of which 22 full-text articles were selected. Seventeen studies were included in the qualitative synthesis of which 6 studies included in the meta-analysis. The following data were obtained for each study: authors, year of publication, country, study design, periods of study, duration, blinding, interventions (type/concentration/form), tooth substrate, location of the intraoral appliance, number of samples attached to each appliance, type of acidic media used for erosive challenge, duration of erosive challenge, subjects (number/age/sex), reported side effects -if any-, measuring device, amounts of tissue loss. RESULTS: The risk of bias of the included studies was assessed using the Cochrane Collaboration tool for assessing the risk of bias. A meta-analysis of the present study was performed using Comprehensive Meta-Analysis version 2.2.048 software. CONCLUSION: The use of oral hygiene products containing AmF/NaF/SnCl2 or NaF may be effective in the prevention of erosive tooth wear.
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Affiliation(s)
- Ahmed Gamal Abdelwahed
- Conservative Dentistry Department, Faculty of Dentistry, October 6 University, Cairo, Egypt
| | - Marwa Mohamed Temirek
- Conservative Dentistry Department; Faculty of Dentistry, Fayoum University, Faiyum, Egypt
| | - Fayez Mohamed Hassan
- Conservative Dentistry Department, Faculty of Dentistry, Cairo University, Cairo, Egypt
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Wohlrab T, Flechtenmacher S, Krisam J, Saure D, Wolff D, Frese C. Diagnostic Value of the Basic Erosive Wear Examination for the Assessment of Dental Erosion on Patients, Dental Photographs, and Dental Casts. Oper Dent 2019; 44:E279-E288. [PMID: 31034351 DOI: 10.2341/18-127-c] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES The aim of this trial was to investigate the diagnostic value of the basic erosive wear examination (BEWE) in clinical use, on dental photographs, and on dental casts over a two-year follow-up period (2013-2015). According to the main hypothesis for longitudinal monitoring of dental erosion, the BEWE is equally reproducible by the three assessment methods. METHODS AND MATERIALS The clinical assessment included intraoral photographic documentation, dental impressions, oral examination, and assessment of BEWE. Clinical assessment of BEWE was done by one blinded examiner, whereas assessment on photographs and dental casts was performed by three calibrated examiners and repeated after 14 days. The three assessment methods were analyzed separately by longitudinal agreement and inter- and intrarater reliability (intraclass correlation coefficient) alongside 95% confidence intervals (CIs). RESULTS Comparing the longitudinal data of the years 2013-2015, clinical use and photographs showed no significant difference (p=0.0681-0.9963), whereas the statistical analysis showed a significant difference for dental casts by comparing data from 2013 vs 2014 (p=0.0266) as well as data from 2013 vs 2015 (p=0.0001). Statistical evaluation of overall BEWE showed an intrarater reliability of 0.79-0.91 for photographs and 0.60-0.87 for dental casts. The interrater reliability was 0.77 (95% CI=[0.69; 0.84]) for photographs and 0.63 (95% CI=[0.52; 0.72]) for dental casts. CONCLUSION This investigation showed that in longitudinal clinical monitoring, the assessment of the BEWE on patients and dental photographs yielded comparable results. In addition, based on these findings, the assessment of the BEWE on dental casts showed moderate reproducibility. Therefore, dental casts may be better used for laboratory assessment techniques.
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Schlueter N, Luka B. Erosive tooth wear – a review on global prevalence and on its prevalence in risk groups. Br Dent J 2018; 224:364-370. [DOI: 10.1038/sj.bdj.2018.167] [Citation(s) in RCA: 107] [Impact Index Per Article: 17.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/03/2017] [Indexed: 11/09/2022]
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