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Research article
Chung-Ching Wang
Tri-Service General Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0003-2808-4763
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Acid mist can suspend in the air and enter the body via skin contact, the respiratory tract, or even oral intake, which pose various health hazards. Previous studies have shown that occupational exposure to acid mist or acidic solutions is a major risk factor for oral diseases. However, the findings are inconsistent and do not consider individual factors and lifestyles that may cause the same oral diseases. Therefore, we conducted a comprehensive oral health survey and collected detail information to confirm the effect of acidic solution exposure on worker’s oral health.
Methods: From 4 acidic solution factories, a total of 309 subjects (157 in control and 152 in exposed group) was enrolled. All participants competed oral examinations and self-report questionnaire, including the decayed, missing, and filled teeth (DMFT) index, community periodontal index (CPI), loss of attachment (LA) index, and tooth erosion. Multivariate logistic regression analysis was used to determine the association between the acidic solution exposure and oral health.
Results: The results showed that acid exposure was correlated with soft oral tissue injury rather than hard oral tissue in our survey. In the multivariate model (adjusted for sex, age, worked years, education level, mouthwash use, dental floss use, tooth brushing, mask use, smoking, drinking, chewing areca and dietary habits with acidic foods), significant relationships of acid exposure with LA score were observed (OR=2.32, 95% CI 1.03-5.26). However, the presence of acid exposure was not significantly associated with tooth erosion, DMFT, and CPITN.
Conclusion: Our study highlighted that occupational acid exposure was an independent risk factor for periodontal health, especially LA. It is important to strengthen occupational hazard control, educate workers on oral disease and related factors, and raise the awareness of oral hygiene.
Keywords
Acid mist, tooth erosion, CPITN, Loss of attachment
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CURRENT STATUS: Published
View the published article at BMC Public Health.
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Submission checks complete
On 04 Sep, 2020
Editorial decision: Accept
On 02 Sep, 2020
Version 3
Posted 13 Aug, 2020
No comments provided
Editor assigned
On 10 Aug, 2020
Submission checks complete
On 09 Aug, 2020
Editor invited
On 09 Aug, 2020
No comments provided
Editorial decision: Minor revision
On 03 Aug, 2020
Review #1 received
Received 20 Jul, 2020
Reviewer #2 agreed
On 06 Jul, 2020
Review #2 received
Received 06 Jul, 2020
Reviewers invited
Invitations sent on 03 Jul, 2020
Reviewer #1 agreed
On 03 Jul, 2020
Editor assigned
On 02 Jul, 2020
Submission checks complete
On 01 Jul, 2020
Editor invited
On 01 Jul, 2020
No comments provided
Editorial decision: Major revision
On 15 Jun, 2020
Review #3 received
Received 10 Jun, 2020
Review #2 received
Received 10 Jun, 2020
Reviewer #3 agreed
On 19 May, 2020
Reviewer #2 agreed
On 18 May, 2020
Review #1 received
Received 06 May, 2020
Reviewer #1 agreed
On 30 Apr, 2020
Reviewers invited
Invitations sent on 30 Apr, 2020
Editor assigned
On 14 Apr, 2020
Submission checks complete
On 13 Apr, 2020
Editor invited
On 13 Apr, 2020
First submitted
On 08 Apr, 2020
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Subject Areas
Occupational Medicine
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See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Chung-Ching Wang
Tri-Service General Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0003-2808-4763
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
No community comments so far
Submission checks complete
On 04 Sep, 2020
Editorial decision: Accept
On 02 Sep, 2020
Version 3
Posted 13 Aug, 2020
No comments provided
Editor assigned
On 10 Aug, 2020
Submission checks complete
On 09 Aug, 2020
Editor invited
On 09 Aug, 2020
No comments provided
Editorial decision: Minor revision
On 03 Aug, 2020
Review #1 received
Received 20 Jul, 2020
Reviewer #2 agreed
On 06 Jul, 2020
Review #2 received
Received 06 Jul, 2020
Reviewers invited
Invitations sent on 03 Jul, 2020
Reviewer #1 agreed
On 03 Jul, 2020
Editor assigned
On 02 Jul, 2020
Submission checks complete
On 01 Jul, 2020
Editor invited
On 01 Jul, 2020
No comments provided
Editorial decision: Major revision
On 15 Jun, 2020
Review #3 received
Received 10 Jun, 2020
Review #2 received
Received 10 Jun, 2020
Reviewer #3 agreed
On 19 May, 2020
Reviewer #2 agreed
On 18 May, 2020
Review #1 received
Received 06 May, 2020
Reviewer #1 agreed
On 30 Apr, 2020
Reviewers invited
Invitations sent on 30 Apr, 2020
Editor assigned
On 14 Apr, 2020
Submission checks complete
On 13 Apr, 2020
Editor invited
On 13 Apr, 2020
First submitted
On 08 Apr, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Occupational Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background: Acid mist can suspend in the air and enter the body via skin contact, the respiratory tract, or even oral intake, which pose various health hazards. Previous studies have shown that occupational exposure to acid mist or acidic solutions is a major risk factor for oral diseases. However, the findings are inconsistent and do not consider individual factors and lifestyles that may cause the same oral diseases. Therefore, we conducted a comprehensive oral health survey and collected detail information to confirm the effect of acidic solution exposure on worker’s oral health.
Methods: From 4 acidic solution factories, a total of 309 subjects (157 in control and 152 in exposed group) was enrolled. All participants competed oral examinations and self-report questionnaire, including the decayed, missing, and filled teeth (DMFT) index, community periodontal index (CPI), loss of attachment (LA) index, and tooth erosion. Multivariate logistic regression analysis was used to determine the association between the acidic solution exposure and oral health.
Results: The results showed that acid exposure was correlated with soft oral tissue injury rather than hard oral tissue in our survey. In the multivariate model (adjusted for sex, age, worked years, education level, mouthwash use, dental floss use, tooth brushing, mask use, smoking, drinking, chewing areca and dietary habits with acidic foods), significant relationships of acid exposure with LA score were observed (OR=2.32, 95% CI 1.03-5.26). However, the presence of acid exposure was not significantly associated with tooth erosion, DMFT, and CPITN.
Conclusion: Our study highlighted that occupational acid exposure was an independent risk factor for periodontal health, especially LA. It is important to strengthen occupational hazard control, educate workers on oral disease and related factors, and raise the awareness of oral hygiene.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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