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15.12.2016 | Original Article | Ausgabe 7/2017 Open Access

Clinical Oral Investigations 7/2017

Prevalence of erosive lesions with respect to risk factors in a young adult population in Poland—a cross-sectional study

Clinical Oral Investigations > Ausgabe 7/2017
Izabela Strużycka, Adrian Lussi, Agnieszka Bogusławska-Kapała, Ewa Rusyan



The study was conducted to investigate the prevalence of erosive lesions and related risk factors in the population of 18-year-old young adults in Poland.

Materials and methods

Calibrated examiners measured erosive tooth wear according to Basic Erosive Wear Examination (BEWE) scoring system in 1869 patients and assessed the impact of risk factors with a questionnaire.


Erosion was present in 42.3% of the patients. Early damage to the enamel was the most frequent finding (BEWE 1)—28.9%. More advanced lesions (BEWE 2) were observed in 12% of the patients. Advanced damage to the teeth (BEWE 3) was diagnosed rarely—1.4% of the examined population. Acidic diet, hygienic habits, and medical conditions such as asthma, eating disorders, and esophageal reflux showed statistical significance, as associated with erosion in the examined population.


The present study indicates that dental erosion is a common oral disease in the 18-year-old population with prevalence of frequency and intensity in males. However, on the basis of observations carried out in recent years, it may be assumed that the prevalence of this type of lesion is increasing.

Clinical relevance

Present findings support other longitudinal studies toward evaluation of the BEWE system as a valuable standard for assessing erosive and related risk factors among different populations.

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