ANALYSIS OF RISK FACTORS OF THE DEVELOPMENT AND PROGRESSION OF NON-CARIOUS CERVICAL LEASIONS OF TEETH
DOI:
https://doi.org/10.35220/2523-420X/2025.2.13Keywords:
dietary habits, oral fluid, wedge-shaped defect, erosionAbstract
Purpose of the study. The purpose of the study was to identify and analyze risk factors (RF) for the development and progression of wedge-shaped defect (WSD) and erosion (E) of tooth enamel in young patients. Materials and methods of research. The study involved 272 patients (average age 24.3±6.9 years) who were comprehensively examined by a dentist. Biochemical and chemical indicators of oral fluid (OF), level of personal anxiety were determined in them. The patients filled out a survey/ questionnaire and gave a written informed consent to participate in the study. To assess the strength of the correlation between RF and the studied outcome, the indicator of relative risk (RR) was used for which the limits of the 95% confidence interval (95% CI) were calculated. Scientific novelty. The patient’s age over 25 years and the value of the calculus index are satisfactory while the development of RF, increase in the number and depth of WSD is worse. Their salivation rate less than 0.5 ml/min. increases RR development and depth of lesion by 1.68 and 3.41 times (95% CI [1.04–2.71] and CI [1.23–9.46]), respectively. The value of K/Na molar ratio of OF more than 5.32 (2.83, 95% CI [1.49–5.39]) is RF of the development of WSD of teeth. Taking vitamin C for more than two years and having more than two glasses of Coke and/or Pepsi per day increases RR of their progression. In the majority of cases of RR of the development of E enamel, there are complaints about systemic health, diseases of the digestive and circulatory systems and their combination. The patient’s daily intake of more than two glasses of green tea and two bananas, intensive use of floss, satisfactory and worse value of dental plaque index were determined as RF of the increase in the number of lesions and the active course of E, p<0.05. Conclusions. Timely detection of the development of RF and the increase in the number of WSD and E enamel will positively affect their prevalence, and correction of RF of their progression in depth and active course will increase the effectiveness of treatment and preventive measures.
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