Impact of tooth wear on oral health symptoms and quality of life: a population-based study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20260944Keywords:
Tooth wear, Oral health, Quality of lifeAbstract
Background: Tooth wear is an increasingly prevalent oral health condition with a multifactorial etiology, affecting functional performance as well as psychological and social well-being. The aim of the study was to determine the prevalence of tooth wear, identify associated behavioral risk factors, and assess its impact on oral health–related quality of life (OHRQoL).
Methods: A cross-sectional study was conducted at the dental unit of Chattogram Maa-O-Shishu Hospital Medical College between July and November 2025. A total of 150 patients attending the outpatient department were recruited. Data were collected using structured interviewer-administered questionnaires covering sociodemographic characteristics, oral health behaviors, clinical symptoms, and OHRQoL indicators. Statistical analyses were performed using SPSS version 25. Chi-square tests and logistic regression analyses were applied to evaluate associations between tooth wear and potential risk factors.
Results: The prevalence of tooth wear among participants was 85.3%. Significant associations were observed between tooth wear and aggressive tooth brushing (p<0.001), betel nut chewing (OR=3.54, p=0.013), and clenching or grinding of teeth (p=0.031). Participants with tooth wear reported significantly greater difficulties in social interaction (p=0.028), smiling or laughing (p=0.047), and performing major work activities (p=0.003) compared to those with no or minimal wear. Localized tooth sensitivity (70.6%) and fractured teeth (50.0%) were the most commonly reported clinical conditions.
Conclusions: Tooth wear was highly prevalent and had a significant negative impact on functional and psychosocial aspects of OHRQoL. Aggressive tooth brushing and betel nut chewing emerged as key modifiable risk factors, underscoring the need for targeted preventive strategies and early behavioral interventions.
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References
Mehta SB, Loomans BAC, van Sambeek RMF, Pereira-Cenci T, O'Toole S. Managing tooth wear with respect to quality of life: an evidence-based decision on when to intervene. Br Dent J. 2023;234:455-8. DOI: https://doi.org/10.1038/s41415-023-5620-4
Machado NA, Fonseca RB, Branco CA, Barbosa GA, Fernandes Neto AJ, Soares CJ. Dental wear caused by association between bruxism and gastroesophageal reflux disease: a rehabilitation report. J Appl Oral Sci. 2007;15:327-333. DOI: https://doi.org/10.1590/S1678-77572007000400016
Liu Y, Yin T, He M, Fang C, Peng S. The association of severely worn dentition resulting from betel nut chewing with temporomandibular disorders: a cross-sectional study. BMC Oral Health. 2023;23:459.
Carvalho TS, Colon P, Ganss C, Huysmans MC, Lussi A, Schlueter N, et al. Consensus report of the european federation of conservative dentistry: erosive tooth wear—diagnosis and management. Clin Oral Investig. 2015;19:1557-61. DOI: https://doi.org/10.1007/s00784-015-1511-7
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.
Cunha-Cruz J, Pashova H, Packard JD, Zhou L, Hilton TJ. Tooth wear: prevalence and associated factors in general practice patients. Community Dent Oral Epidemiol. 2010;38:228-34. DOI: https://doi.org/10.1111/j.1600-0528.2010.00537.x
Sterenborg BAMM, Bronkhorst EM, Wetselaar P, Lobbezoo F, Loomans BAC, Huysmans MDNJM. The influence of management of tooth wear on oral health-related quality of life. Clin Oral Investig. 2018;22(7):2567-73. DOI: https://doi.org/10.1007/s00784-018-2355-8
Papagianni CE, Meulen MJ, Naeije M, Lobbezoo F. Oral health-related quality of life in patients with tooth wear. J Oral Rehabil. 2013;40(3):185-90. DOI: https://doi.org/10.1111/joor.12025
Patel J, Baker SR. Is toothwear associated with oral health related quality of life in adults in the UK? Community Dent Health. 2020;37:216-21.
Nota A, Pittari L, Paggi M, Abati S, Tecco S. Correlation between bruxism and gastroesophageal reflux disorder and their effects on tooth wear: a systematic review. J Clin Med. 2022;11:1107. DOI: https://doi.org/10.3390/jcm11041107
Li Y, Yu F, Niu L, Hu W, Long Y, Tay FR, et al. Associations among bruxism, gastroesophageal reflux disease, and tooth wear. J Clin Med. 2018;7:417. DOI: https://doi.org/10.3390/jcm7110417
Kanaan M, Brabant A, Eckert GJ, Hara AT, Carvalho JC. Tooth wear and oral-health-related quality of life in dentate adults. J Dent. 2022;125:104269. DOI: https://doi.org/10.1016/j.jdent.2022.104269
Masood M, Newton T, Bakri NN, Khalid T, Masood Y. The relationship between oral health and oral health related quality of life among elderly people in united kingdom. J Dent. 2017;56:78-83. DOI: https://doi.org/10.1016/j.jdent.2016.11.002
Ahmed KE, Murray CA, Whitters CJ. A prospective survey of secondary care tooth wear referrals: demographics, reasons for concern and referral outcomes. Br Dent J. 2014;216:E9. DOI: https://doi.org/10.1038/sj.bdj.2014.179
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(10):1110-65. DOI: https://doi.org/10.1111/joor.13489
Liu Y, Yin T, He M, Fang C, Peng S. The association of severely worn dentition resulting from betel nut chewing with temporomandibular disorders: a cross-sectional study. BMC Oral Health. 2023;23(1):459. DOI: https://doi.org/10.1186/s12903-023-03160-2
Wahab A, Dalal K, Abedin M, Rakhshanda S, Rahman FN, Rahman AKMF, et al. Prevalence of betel nut chewing and its pattern of distribution across the bangladeshi socio-demographics. Sci Rep. 2025;15:25769. DOI: https://doi.org/10.1038/s41598-025-01460-x
Auluck A, Hislop G, Poh C, Zhang L, Rosin MP. Areca nut and betel quid chewing among south asian immigrants to western countries and its implications for oral cancer screening. Rural Remote Health. 2009;9:1118. DOI: https://doi.org/10.22605/RRH1118
Mengatto CM, Dalberto Cda S, Scheeren B, Barros SG. Association between sleep bruxism and gastroesophageal reflux disease. J Prosthet Dent. 2013;110:349-355. DOI: https://doi.org/10.1016/j.prosdent.2013.05.002
Liu XX, Tenenbaum HC, Wilder RS, Quock R, Hewlett ER, Ren YF. Pathogenesis, diagnosis and management of dentin hypersensitivity: an evidence-based overview for dental practitioners. BMC Oral Health. 2020;20:220. DOI: https://doi.org/10.1186/s12903-020-01199-z
Choudhury M, Bindra HS, Singh K, Singh AK, Nayak R. Antimicrobial polymeric composites in consumer goods and healthcare sector: A healthier way to prevent infection. Polym Adv Technol. 2022;33(7):1997-2024. DOI: https://doi.org/10.1002/pat.5660
Buzalaf MA, Magalhães AC, Rios D. Prevention of erosive tooth wear: targeting nutritional and patient-related risks factors. Br Dent J. 2018;224:371-8. DOI: https://doi.org/10.1038/sj.bdj.2018.173
Zelig R, Jones VM, Touger-Decker R, Hoskin ER, Singer SR, Byham-Gray L, et al. The eating experience: adaptive and maladaptive strategies of older adults with tooth loss. JDR Clin Trans Res. 2019;4:217-28. DOI: https://doi.org/10.1177/2380084419827532
Deng X, Wang YJ, Deng F, Liu PL, Wu Y. Psychological well-being, dental esthetics, and psychosocial impacts in adolescent orthodontic patients: a prospective longitudinal study. Am J Orthod Dentofacial Orthop. 2018;153:87-96. DOI: https://doi.org/10.1016/j.ajodo.2017.05.028
West NX, Lussi A, Seong J, Hellwig E. Dentin hypersensitivity: pain mechanisms and aetiology of exposed cervical dentin. Clinical oral investigations. 2013;17(1):9-19. DOI: https://doi.org/10.1007/s00784-012-0887-x
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