Stress and Tooth Structure Loss in Dental Students.

NCT05791175 | Not Yet Recruiting

• 1 other identifier: DresdenStressDentalStudents
• Study Type: observational
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

The study is designed as a pilot study. The primary objective of the current study is to collect data on the expression and progression of tooth structure loss in dental students under stressful conditions and different dietary habits using intraoral scanners (IOS). Stress levels will be evaluated using Percived Stress Scale (PSS-10). Eating habits will be queried using reflux and dietary questionnaires. The data obtained will later be used in the case-control design of a multicenter study on the same topic. Conducting the pilot study will allow for a critical evaluation of the study's design, participant retention rate, and recruitment process.

Conditions

Tooth Wear

Outcome Measures

Primary Outcomes (1)

• Evaluation of tooth structure loss and its' progression under stressfull conditons and diverse dietary habits.

  Tooth wear will be mesaured in micrometers (µm).

  2 years

Interventions

Teeth scan with intraoral scanner (Trios, 3 Shape, Denmark) DEVICE

Intraoral scanner will be use to monitor the changes of the teeth over time. Intraoral scanners are devices that capture three-dimensional images of teeth and are used as an alternative to conventional dental impressions.

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Study participants will be dental students enrolled in Dental Prosthetics Course I at the beginning of the observation period.

You may qualify if:

• At the time of the baseline examination of the study the participants must be dental students and participate in the Dental Prosthetics Course I in the summer semester 2023, at the Dental School of Medical Faculty Carl Gustav Carus at the Technical University of Dresden
• Presence of study teeth (at least one antagonist pair of first molars (16/46 or 26/36).
• Complete dentition, if necessary, dentition with complete gap closure up to the first molar in the maxilla and mandible
• Presence of a canine guidence
• Written informed consent of the participating persons

You may not qualify if:

• Age \<18 and \>40
• Study teeth restored with dentures
• Extensive restorations over 1/3 of the occlusal surface on the study teeth
• Removable dentures
• Ongoing orthodontic treatment
• Existing pregnancy/lactation
• Addiction or other medical conditions that do not allow the subject to understand the nature and scope and possible consequences of the clinical study
• Indications that the participant is unlikely to comply with the protocol.

Sponsors & Collaborators

• Technische Universität Dresden: lead

Study Sites (1)

Department of Dental Prosthetics, Dental Division of the University Hospital Carl Gustav Carus at the Technische Universität Dresden

Dresden, Saxony, 01307, Germany

Location

Related Publications (22)

• Abbasi SZ, Mubeen N, Ayub T, Khan MA, Abbasi Z, Baig N. Comparison of stress levels among medical and dental students in the clinical years of training and their coping strategies. J Pak Med Assoc. 2020 Jun;70(6):1006-1008. doi: 10.5455/JPMA.294959.

  PMID: 32810097 BACKGROUND

• Al-Khalifa KS. The Prevalence of Tooth Wear in an Adult Population from the Eastern Province of Saudi Arabia. Clin Cosmet Investig Dent. 2020 Nov 17;12:525-531. doi: 10.2147/CCIDE.S286500. eCollection 2020.

  PMID: 33235511 BACKGROUND

• Bartlett D, Ganss C, Lussi A. Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Investig. 2008 Mar;12 Suppl 1(Suppl 1):S65-8. doi: 10.1007/s00784-007-0181-5. Epub 2008 Jan 29.

  PMID: 18228057 BACKGROUND

• Bartlett DW, Coward PY, Nikkah C, Wilson RF. The prevalence of tooth wear in a cluster sample of adolescent schoolchildren and its relationship with potential explanatory factors. Br Dent J. 1998 Feb 14;184(3):125-9. doi: 10.1038/sj.bdj.4809560.

  PMID: 9524373 BACKGROUND

• Elani HW, Allison PJ, Kumar RA, Mancini L, Lambrou A, Bedos C. A systematic review of stress in dental students. J Dent Educ. 2014 Feb;78(2):226-42.

  PMID: 24489030 BACKGROUND

• Kuhn M, Turp JC. Risk factors for bruxism. Swiss Dent J. 2018 Feb 12;128(2):118-124. doi: 10.61872/sdj-2018-02-369.

  PMID: 29533049 BACKGROUND

• Mangano F, Gandolfi A, Luongo G, Logozzo S. Intraoral scanners in dentistry: a review of the current literature. BMC Oral Health. 2017 Dec 12;17(1):149. doi: 10.1186/s12903-017-0442-x.

  PMID: 29233132 BACKGROUND

• Marro ML, Aranguiz V, Ramirez V, Lussi A. Prevalence of erosive tooth wear in Chilean adults, 2016: A cross-sectional study. J Oral Rehabil. 2020 Apr;47(4):467-472. doi: 10.1111/joor.12922. Epub 2019 Dec 25.

  PMID: 31834944 BACKGROUND

• Mekhemar M, Attia S, Dorfer C, Conrad J. Dental Students in Germany throughout the COVID-19 Pandemic: A Psychological Assessment and Cross-Sectional Survey. Biology (Basel). 2021 Jul 1;10(7):611. doi: 10.3390/biology10070611.

  PMID: 34356466 BACKGROUND

• Milosevic A. The problem with an epidemiological index for dental erosion. Br Dent J. 2011 Sep 9;211(5):201-3. doi: 10.1038/sj.bdj.2011.722.

  PMID: 21904350 BACKGROUND

• Milosevic Markovic M, Latas MB, Milovanovic S, Poznanovic ST, Lazarevic MM, Karisik MJ, Dordevic J, Mandinic Z, Jovanovic S. Mental Health and Quality of Life among Dental Students during COVID-19 Pandemic: A Cross-Sectional Study. Int J Environ Res Public Health. 2022 Oct 28;19(21):14061. doi: 10.3390/ijerph192114061.

  PMID: 36360939 BACKGROUND

• Picos A, Badea ME, Dumitrascu DL. Dental erosion in gastro-esophageal reflux disease. A systematic review. Clujul Med. 2018 Oct;91(4):387-390. doi: 10.15386/cjmed-1017. Epub 2018 Oct 30.

  PMID: 30564013 BACKGROUND

• Polmann H, Reus JC, Massignan C, Serra-Negra JM, Dick BD, Flores-Mir C, Lavigne GJ, De Luca Canto G. Association between sleep bruxism and stress symptoms in adults: A systematic review and meta-analysis. J Oral Rehabil. 2021 May;48(5):621-631. doi: 10.1111/joor.13142. Epub 2021 Jan 28.

  PMID: 33377534 BACKGROUND

• Schlenz MA, Schlenz MB, Wostmann B, Jungert A, Ganss C. Intraoral scanner-based monitoring of tooth wear in young adults: 12-month results. Clin Oral Investig. 2022 Feb;26(2):1869-1878. doi: 10.1007/s00784-021-04162-6. Epub 2021 Sep 8.

  PMID: 34498100 BACKGROUND

• Shellis RP, Addy M. The interactions between attrition, abrasion and erosion in tooth wear. Monogr Oral Sci. 2014;25:32-45. doi: 10.1159/000359936. Epub 2014 Jun 26.

  PMID: 24993256 BACKGROUND

• Smith BG, Knight JK. An index for measuring the wear of teeth. Br Dent J. 1984 Jun 23;156(12):435-8. doi: 10.1038/sj.bdj.4805394. No abstract available.

  PMID: 6590081 BACKGROUND

• Son K, Lee WS, Lee KB. Effect of Different Software Programs on the Accuracy of Dental Scanner Using Three-Dimensional Analysis. Int J Environ Res Public Health. 2021 Aug 10;18(16):8449. doi: 10.3390/ijerph18168449.

  PMID: 34444195 BACKGROUND

• Travassos da Rosa Moreira Bastos R, Teixeira da Silva P, Normando D. Reliability of qualitative occlusal tooth wear evaluation using an intraoral scanner: A pilot study. PLoS One. 2021 Mar 25;16(3):e0249119. doi: 10.1371/journal.pone.0249119. eCollection 2021.

  PMID: 33765042 BACKGROUND

• Wetselaar P, Lobbezoo F. The tooth wear evaluation system: a modular clinical guideline for the diagnosis and management planning of worn dentitions. J Oral Rehabil. 2016 Jan;43(1):69-80. doi: 10.1111/joor.12340. Epub 2015 Sep 1.

  PMID: 26333037 BACKGROUND

• Wetselaar P, Manfredini D, Ahlberg J, Johansson A, Aarab G, Papagianni CE, Reyes Sevilla M, Koutris M, Lobbezoo F. Associations between tooth wear and dental sleep disorders: A narrative overview. J Oral Rehabil. 2019 Aug;46(8):765-775. doi: 10.1111/joor.12807. Epub 2019 May 12.

  PMID: 31038764 BACKGROUND

• Wetselaar P, Wetselaar-Glas MJM, Katzer LD, Ahlers MO. Diagnosing tooth wear, a new taxonomy based on the revised version of the Tooth Wear Evaluation System (TWES 2.0). J Oral Rehabil. 2020 Jun;47(6):703-712. doi: 10.1111/joor.12972. Epub 2020 May 14.

  PMID: 32274827 BACKGROUND

• Yu T, Tao DY, Lu HX, Zhu JL, Xie CY, Bartlett D, Feng XP. Prevalence and Associated Factors of Tooth Wear in Shanghai. Chin J Dent Res. 2021 Jun 23;24(2):95-103. doi: 10.3290/j.cjdr.b1530421.

  PMID: 34219442 BACKGROUND

MeSH Terms

Conditions

Tooth Wear

Condition Hierarchy (Ancestors)

Tooth Diseases; Stomatognathic Diseases

Study Officials

• Nicole Passia, Prof. Dr.

  Department of Dental Prosthetics, University Hospital at the Technische Universität Dresden

  STUDY DIRECTOR

Central Study Contacts

Elzbieta Pacek, Dr.

CONTACT

00493514585184; elzbieta.pacek@ukdd.de

Katarzyna Kresse-Walczak, Dr.

CONTACT

00493514583483; katarzyna.kresse-walczak@ukdd.de

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 17, 2023
• First Posted: March 30, 2023
• Study Start: March 20, 2023
• Primary Completion: December 31, 2025
• Study Completion (Estimated): December 31, 2026
• Last Updated: March 30, 2023

Record last verified: 2023-03

Locations

DE (1)