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      Tooth wear among five-year-old children in Jakarta, Indonesia

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          Abstract

          Background

          This study aimed to evaluate the prevalence of tooth wear among preschool children in Jakarta, Indonesia, and examine the risk factors associated with its occurrence.

          Methods

          An epidemiological survey was conducted with a cross-sectional study design. The participants were recruited via cluster sampling. Tooth wear was clinically assessed by one examiner using the Basic Erosive Wear Examination (BEWE) criteria. The children’s caries experience was also recorded. The parents of the participating children completed a self-administered questionnaire to answer demographic questions about the children and gather information about the children’s diet and oral health behaviors as well as the parents’ dental health-related knowledge. The data were analyzed using the Chi-square test and binary logistic regression.

          Results

          A total of 752 five-year-old children were invited to participate, with 691 (92%) enrolling in the study. Tooth wear occurred in 23% (161/691, BEWE > 0) of the participants, in which 78% (125/161) had at least one moderate tooth wear status (BEWE = 2). The consumption of citrus drinks, fruit juice, and vitamin C supplement drinks, together with the child’s caries experience, the father’s education level, and the family’s socioeconomic status, were significantly associated with tooth wear.

          Conclusions

          The five-year-old preschool children in Jakarta had a relatively low prevalence of tooth wear. Those consuming more acidic drinks, those with a higher socioeconomic status, and those with an absence of caries experience had a higher risk of tooth wear.

          Electronic supplementary material

          The online version of this article (10.1186/s12903-019-0883-5) contains supplementary material, which is available to authorized users.

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          Most cited references27

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          Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs

          A new scoring system, the Basic Erosive Wear Examination (BEWE), has been designed to provide a simple tool for use in general practice and to allow comparison to other more discriminative indices. The most severely affected surface in each sextant is recorded with a four level score and the cumulative score classified and matched to risk levels which guide the management of the condition. The BEWE allows re-analysis and integration of results from existing studies and, in time, should initiate a consensus within the scientific community and so avoid continued proliferation of indices. Finally, this process should lead to the development of an internationally accepted, standardised and validated index. The BEWE further aims to increase the awareness of tooth erosion amongst clinicians and general dental practitioners and to provide a guide as to its management.
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            Health and health-care systems in southeast Asia: diversity and transitions

            Summary Southeast Asia is a region of enormous social, economic, and political diversity, both across and within countries, shaped by its history, geography, and position as a major crossroad of trade and the movement of goods and services. These factors have not only contributed to the disparate health status of the region's diverse populations, but also to the diverse nature of its health systems, which are at varying stages of evolution. Rapid but inequitable socioeconomic development, coupled with differing rates of demographic and epidemiological transitions, have accentuated health disparities and posed great public health challenges for national health systems, particularly the control of emerging infectious diseases and the rise of non-communicable diseases within ageing populations. While novel forms of health care are evolving in the region, such as corporatised public health-care systems (government owned, but operating according to corporate principles and with private-sector participation) and financing mechanisms to achieve universal coverage, there are key lessons for health reforms and decentralisation. New challenges have emerged with rising trade in health services, migration of the health workforce, and medical tourism. Juxtaposed between the emerging giant economies of China and India, countries of the region are attempting to forge a common regional identity, despite their diversity, to seek mutually acceptable and effective solutions to key regional health challenges. In this first paper in the Lancet Series on health in southeast Asia, we present an overview of key demographic and epidemiological changes in the region, explore challenges facing health systems, and draw attention to the potential for regional collaboration in health.
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              Estimated prevalence of erosive tooth wear in permanent teeth of children and adolescents: an epidemiological systematic review and meta-regression analysis.

              The main purpose of this systematic review was to estimate the prevalence of dental erosion in permanent teeth of children and adolescents.
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                Author and article information

                Contributors
                +62 21 31930270 , +62 81 8164623 , anton_r@ui.ac.id
                Journal
                BMC Oral Health
                BMC Oral Health
                BMC Oral Health
                BioMed Central (London )
                1472-6831
                20 August 2019
                20 August 2019
                2019
                : 19
                : 192
                Affiliations
                [1 ]ISNI 0000000120191471, GRID grid.9581.5, Department of Preventive and Public Health Dentistry, Faculty of Dentistry, , Universitas Indonesia, ; Jalan Salemba No. 4, Jakarta, 10430 Indonesia
                [2 ]ISNI 0000 0000 9588 0960, GRID grid.285847.4, School of Stomatology, , Kunming Medical University, ; Yunnan, China
                [3 ]ISNI 0000000121742757, GRID grid.194645.b, Faculty of Dentistry, , The University of Hong Kong, ; Hong Kong, China
                Author information
                http://orcid.org/0000-0001-7836-9084
                Article
                883
                10.1186/s12903-019-0883-5
                6702728
                31429754
                354facfe-239e-489c-b48b-389584c44714
                © The Author(s). 2019

                Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 10 May 2019
                : 9 August 2019
                Funding
                Funded by: Universitas Indonesia
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2019

                Dentistry
                tooth wear,children,oral health behaviors,epidemiology
                Dentistry
                tooth wear, children, oral health behaviors, epidemiology

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