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A control group of 2,967 patients without ETW was randomly selected from the same timeframe. Data on demographic information, self-reported medical history, and oral health condition\/habits were extracted. Logistic regression analysis (\u03b1\u2009=\u20090.05) was used to evaluate associations between ETW and potential risk indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ETW was significantly associated with age (35\u201354 years: OR\u2009=\u20091.24;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03), male sex (OR\u2009=\u20091.43;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), parafunctional habits (OR\u2009=\u20091.44;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and eating disorders (OR\u2009=\u20091.90;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014). No significant associations were found for Social Deprivation Index (SDI), sleep apnea, dry mouth, toothbrushing frequency, alcohol use, or GERD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Within the limitations of this retrospective study, age (35\u201354 years), male sex, parafunctional habits (clenching, grinding or bruxism), and eating disorders (bulimia and\/or anorexia nervosa) were identified as significant risk indicators for erosive tooth wear. Recognition of these factors may support earlier diagnosis and tailored preventive strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical relevance<\/jats:title>\n                    <jats:p>Dental professionals should be particularly attentive to patients aged 35\u201354 years, males, and those with parafunctional habits or eating disorders, as they are more likely to present with erosive tooth wear. Early identification of these risk indicators can guide preventive counseling and individualized management to reduce the progression and long-term impact of the condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00784-026-06981-x","type":"journal-article","created":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T09:27:17Z","timestamp":1781342837000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Retrospective analysis of risk indicators for erosive tooth wear in patients from Midwest US"],"prefix":"10.1007","volume":"30","author":[{"given":"Danielle C","family":"Messias","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariene A","family":"Leme-Kraus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie E","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica C","family":"Teixeira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,13]]},"reference":[{"key":"6981_CR1","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1159\/000503308","volume":"54","author":"N Schlueter","year":"2020","unstructured":"Schlueter N, Amaechi BT, Bartlett D, Buzalaf MAR, Carvalho TS, Ganss C, Hara AT, Huysmans MDNJM, Lussi A, Moazzez R, Vieira AR, West NX, Wiegand A, Young A, Lippert F (2020) Terminology of erosive tooth wear: Consensus report of a workshop organized by the ORCA and the Cariology Research Group of the IADR. 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