Risk factors for the presence of dental black stain in 82 children

doi:10.19439/j.sjos.2022.04.014

Abstract

Abstract: PURPOSE: To investigate the prevalence of dental black stain in children and analyze the risk factors of dental black stain. METHODS: We conducted this investigation through a case-control study. A total of 164 children (82 children with dental black stain and 82 children without dental black stain) were recruited from Shanghai Stomatological Hospital. Data regarding their oral hygiene habits, dietary habits, diseases and medication situations were collected by a questionnaire survey. Samples of saliva were collected for pH analysis. Statistical analysis were performed using SPSS 21.0 software package. RESULTS: Univariate analysis showed that the proportion of children in the black stain group who used bottled water as the main source of drinking water was lower than that in the control group (18.3% vs 35.4%), and the proportion of children who used Chinese herbs or eating more vegetables(≥2 times/day) was higher than that in the control group(23.2% vs 9.8%,29.3% vs 14.6%), the differences were statistically significant (P<0.05). Multivariate logistic regression analysis showed that taking Chinese herbal medicine and eating more vegetables(≥2 times/day) were risk factors for tooth black stains(P<0.05), and use of bottled water as the main source of drinking water was a protective factor. CONCLUSIONS: Taking Chinese herbal medicine and eating more vegetables(≥2 times/day) are risk factors for tooth pigmentation, while drinking more bottled water can reduce the risk of pigmentation.

Key words: Black tooth stains, Logistic regression analysis, Risk factors, Case-control study

CLC Number:

R788

YANG Bin, ZHANG Hao, ZHANG Ying. Risk factors for the presence of dental black stain in 82 children[J]. Shanghai Journal of Stomatology, 2022, 31(4): 410-413.

References

[1] Watts A, Addy M.Tooth discolouration and staining: a review of the literature[J]. Br Dent J, 2001, 190(6): 309-316.
[2] 陈曦, 芮昕, 陈恒恒, 等. 儿童乳牙龋和乳牙黑色素沉着关系研究[J].口腔医学, 2012, 32(3): 173-175.
[3] Reid JS, Beeley JA, MacDonald DG. Investigations into black extrinsic tooth stain[J]. J Dent Res, 1977, 56(8): 895-899.
[4] Chen X, Zhan JY, Lu HX, et al.Factors associated with black tooth stain in Chinese preschool children[J]. Clin Oral Investig, 2014, 18(9): 2059-2066.
[5] Zyla T, Kawala B, Antoszewska-Smith J, et al.Black stain and dental caries: a review of the literature[J]. Biomed Res Int, 2015, 2015: 469392.
[6] Koch MJ, Bove M, Schroff J, et al.Black stain and dental caries in schoolchildren in Potenza, Italy[J]. ASDC J Dent Child, 2001, 68(5-6): 353-355, 302.
[7] Gasparetto A, Conrado CA, Maciel SM, et al.Prevalence of black tooth stains and dental caries in Brazilian schoolchildren[J]. Braz Dent J, 2003,14(3):157-161.
[8] Li Y, Zhang Q, Zhang F, et al.Analysis of the microbiota of black stain in the primary dentition[J]. PLoS One, 2015, 10(9): e0137030.
[9] França-Pinto CC, Cenci MS, Correa MB, et al.Association between black stains and dental caries in primary teeth: findings from a Brazilian population-based birth cohort[J]. Caries Res, 2012, 46(2): 170-176.
[10] Prskalo K, Klaric Sever E, Aleric I, et al.Risk factors associated with black tooth stain[J]. Acta Clin Croat, 2017, 56(1): 28-35.
[11] Ortiz-López CS, Veses V, Garcia-Bautista JA, et al.Risk factors for the presence of dental black plaque[J]. Sci Rep, 2018,8(1):16752-16757.
[12] 吴海燕, 袁嘉璐, 葛文娟, 等. 学龄前儿童乳牙色素沉着与乳牙龋关系研究[J]. 实用口腔医学杂志, 2018, 34(2): 253-256.
[13] Zhang F, Li Y, Xun Z, et al.A preliminary study on the relationship between iron and black extrinsic tooth stain in children[J]. Lett Appl Microbiol, 2017, 64(6): 424-429.
[14] Garcia Martin JM, Gonzalez Garcia M, Seoane Leston J, et al.Prevalence of black stain and associated risk factors in preschool Spanish children[J]. Pediatr Int, 2013, 55(3): 355-359.
[15] Mesonjesi I.Are extrinsic black stains of teeth iron-saturated bovine lactoferrin and a sign of iron deficient anemia or iron overload?[J]. Med Hypotheses, 2012,79(2): 219-221.
[16] Mishra OP, Agarwal KN, Agarwal RM.Salivary iron status in children with iron deficiency and iron overload[J]. J Trop Pediatr, 1992, 38(2): 64-67.
[17] Surdacka A.Amount and pH of the saliva in children and adolescents with black tartar[J]. Czas Stomatol, 1989, 42(6): 381-386.
[18] Garan A, Akyüz S, Oztürk LK, et al.Salivary parameters and caries indices in children with black tooth stains[J]. J Clin Pediatr Dent, 2012, 36(3): 285-288.
[19] 蔡春琼, 经廷森. 儿童支气管哮喘治疗的研究进展[J]. 医学综述, 2020, 26(5): 970-974.