Adequate preventive measures can only be initiated if the different risk factors and potential interactions between them are known. To diagnose erosion, dental professionals have to rely on clinical appearance, as there is no device available to detect it. Cda dental health education resource guide 4 objective 3 activities. To some extent, it is a physiological and age dependent process related to acid containing food intake. However, high levels were recorded in 35% of children in the asthma group and 65% in the erosion group. Most sports and energy drinks have a ph in the acidic range ph 34. This requires awareness of the clinical appearance of erosion compared to other forms of tooth wear. Dental erosion is commonly described as a progressive loss of hard dental tissue that is unrelated to bacterial activity. Dental erosion is a multifactorial condition, where different chemical. In this report we present a 25yearold man complaining with the.
It is defined as the irreversible loss of tooth structure due to chemical dissolution by acids not of bacterial origin. Journal of esthetic and restorative dentistry vol 23 no 4 205216 2011. Further, topics like extrinsic and intrinsic causes of dental erosion are covered and a chapter is devoted to dental erosion in children. The extrinsic causes of dental erosion can be grouped under the headings of environmental, diet, medications and lifestyle. One of the established aetiological factors for dental erosion by intrinsic acid is the gastrooesophageal reflux disease. Is this just a subjective impression or is there scientific evidence for. Risk factors, assessment and management of dental erosion in.
Dental erosion is the loss of substance that occurs in the hard tissues of the teeth without being related to a bacterial component as. Jun 02, 2015 influence of various acidic beverages on tooth erosion. The most important sources are dietary acids and gastric acid in patients with regurgitation and reflux disorders. But you can prevent erosion from getting worse with dental treatment and by. This can happen while clenching or grinding your teeth, for example in cases of bruxism bruxism is the excessive grinding of the teeth andor excessive clenching of the jaw, which often occurs involuntarily during sleep. Dental erosion associated with the use of alcopopa case. A fullmouth adhesive rehabilitation in case of severe dental erosion may present a challenge for both the clinician and the laboratory technician, not only for the multiple teeth to be restored, but also for their time schedule, difficult to be. Data were collected by means of a selfapplied questionnaire that was distributed among 298 participants. For effective management of dental erosion, the aetiology of each case must be.
This is the practice of swirling oil around your mouth and. The prevalence of dental erosion in preschool children in. Dental erosion and its clinical management bennett t. Dental erosion is a condition defined as tooth substance loss by exogenous or endogenous acids without bacterial involvement. Dental erosion due to intrinsic factors is caused by gastric acid reaching the oral cavity and the teeth as a result of vomiting or gastroesophageal reflux. Dietary acids, however, undoubtedly are the principal causative factor for extrinsic tooth ero sion 2023. Many materials are recommended to prevent dental erosion. Methods we performed computer searches of pubmed, cochrane library, ebsco, calis, et al. A case of dental erosion caused by excessive consumption of alcoholic soft drinks is described. Enamel erosion can cause symptoms like tooth stains and sensitivity. Depending on the origin of the acid, extrinsic usually caused by acids in food and intrinsic caused by endogenous acid erosion can be distinguished. Prevention of xerostomia related dental caries in irradiated cancer patients journal of dental research 56 2 99.
Dental erosion in patients with behavioral disorder. Dental erosion may lead to dental hypersensitivity, altered occlusion, eating difficulties, poor esthetics, pulp exposure and dental abscesses 5. Prevention of xerostomiarelated dental caries in irradiated cancer patients journal of dental research 562 99. The ideal way for management is fluoride treatment as it contributes to remineralization of enamel. Bulimics commonly had a low salivary flow rate, but other apparent risk factors of dental erosion did not differ from those of controls.
Boroditsky, dmd abstract this case report describes the almost complete loss of enamel by acid erosion, particularly from the anterior teeth, in a woman who swam daily for 2 weeks in an improperly. It can be prevented by elimination or reduction of the acid challenge. Dental erosion and diet remembered, however, that the evidence connecting fruit and juice consumption with erosion in humans is still largely circumstantial. Pdf dental erosion and its growing importance in clinical. Dental erosion is caused by acid softening the substance of tooth resulting in tooth wear. Fruit juice, sport drink and soda are the essential for creating the dental erosion because. Dental erosion occurs when the surface of your teeth is dissolved by exposure to acid. Interest in dental erosion and its role in tooth wear increased. Michael kitchens and barry owens 2007 effect of carbonated beverages, coffee, sports and high energy drinks, and bottled water on the in vitro erosion characteristics of dental enamel.
Dental erosion is preventable with proper diet, oral hygiene and regular dental care. Increasing the acid resistance against dental erosion. Dental erosion is the most common chronic disease of children ages 517, although it is only relatively recently that it has been recognised as a dental. American society for testing and materials, committee on standards.
Although sensitivity is not common, when present, discomfort may occur from the application of thermal, mechanical or. Reduce highly acidic foods and drinks from your diet and try to keep them to mealtimes. A comparison of acidic dietary factors in children with and without dental erosion. Todd belfbecker, dmd, journal of the massachusetts dental society, spring 2012 i would recommend this book to dental students and young practitioners as a handy guide to diagnose and prevent dental erosion in both adults and children, with plenty of information to broaden clinical skills in treating dental erosion. Understanding the chemistry of dental erosion 67 enamel and dentine composition dental enamel and dentine consist of mineral, protein, lipid and water. Pdf dental erosion and severe tooth decay related to soft. It is important to distinguish dental erosion from dental caries. Apr 05, 2017 enamel erosion can cause symptoms like tooth stains and sensitivity. Dental erosion is defined as the irreversible loss of dental hard tissues from acids, without the involvement of bacteria. The two tissues are very different in their structure, while at the same time having similar components. Rapid and severe tooth erosion from swimming in an. Severe dental erosion and dental caries were significantly commoner among bulimics than controls. This case report discusses one such presentation and as a result of the occlusal relationship, this serves to effectively demonstrate the.
There is some evidence that dental erosion is steadily spreading. J nunn and others, international journal of paediatric. Is there a relationship between asthma and dental erosion. The dentist may authorize the use of unsweetened tea for its nonerosive effect. Swimming pools with low ph due to inadequate maintenance have also been implicated. If the presence and exposure of a demineralising agent such as vitamin c is frequent and prolonged, it can lead to significant tooth wear. Dental erosion is the physical result of a chronic, pathologic, localized loss of dental hard tissue that is chemically etched away from the tooth surface by acid andor chelation without bacterial involvement. Environmental factors mainly involve exposure to acid fumes by workers in factories without proper safeguards. Dental practitioners are becoming aware that the problem of dental erosion, particularly in children, is an increasing one.
Placing an emphasis on publishing novel and highquality research papers, the journal aims to influence the practice of dentistry at clinician, research, industry and policymaker level on an international basis. The condition of dental erosion is defined as acidrelated loss of tooth structure which does not involve microorganisms. The degree of dental erosions may be influenced by any medical. The association of tooth wear, diet and dietary habits in adults aged 1830 years old. Etiology of dental erosion extrinsic factors zero 1996. Conservative management of dental erosion in adolescents. Occupational dental erosion from exposure to acidsa. The initial clinical diagnosis was necrotizing ulcerative periodontitis. Dental erosion has been considered a common condition limited to developed countries.
Remember, the frequency plays a higher role in dental erosion than the total intake. Dental erosion can be caused by either extrinsic or intrinsic acids or both. Tooth erosion is a chronic loss of dental hard tissues enamel and dentine caused by acids of intrinsic gastric or extrinsic dietary origin. Risk factors, assessment and management of dental erosion. Each is comprised of millions of tiny crystals laid down in a waterorganic matrix. Dental erosion and medical conditions an overview of. The low ph of the drinks and associated vomiting can cause substantial damage to the dentition. Dental erosion is an acidmediated tissue loss without bacterial involvement. The association of tooth wear, diet and dietary habits in. Dental erosion dental erosion is otherwise called as acid erosion. Dental erosion moss 1998 international dental journal.
For risk factors investigated in a comparative way, we computed pooled odds ratios ors using the mantel and haenszel method. Bartlett et al 38 found enamel erosion in 57% of 11 to 14yearolds in a cluster sample of adolescents. The journal of contemporary dental practice, volume 1, no. Besides erosion, other types of tooth wear can be described. Guorelationship between dental erosion and respiratory symptoms in patients with gastrooesophageal reflux disease. The aim of this crosssectional study was to assess awareness and attitudes related to tooth erosion among dental students, patients, and faculty members in a brazilian dental school. Severe erosion may require dental restorative treatment. The use of professionally applied products for the prevention and control. The inherent acids and sugars have both acidogenic and cariogenic potential, resulting in dental caries and potential enamel erosion. This handbook distils the most uptodate theory and practical information on dental erosion and dentin hypersensitivity into an accessible and practical clinical guide for general dental practitioners, dental students, dental educators, and other health professionals. This type of tooth wear is caused by natural tooth to tooth friction.
Tcp on dental erosion, the present study aimed to evaluate the antierosive effect of novel nanoparticles of betatricalcium phosphate. One hundred and six cases with erosion and 100 randomly selected controls from the same source population were involved in the study. Dental erosion and its growing importance in clinical practice. Dental erosion and medical conditions an overview of aetiology, diagnosis and management.
By consuming acidic food causes the dental erosion and will creates pain and sensitivity. Published with permission from the swedish dental journal. This study demonstrates that use of an otc dry mouth product specifically designed for use during sleep, such as oracoat xylimelts, may be of potential benefit in reducing stomach acid that causes dental erosion. It is the result of exposure of the enamel and dentin to nonbacterial acids of extrinsic and intrinsic origin, whereby mineral loss occurs from the surface of the tooth. Consensus has not been established regarding the integration of erosive tooth wear into core cariology curricula in north america. Erosion is the loss or wear of dental hard tissue by acids not caused by bacteria. The adequate intervention to dental erosion is prevention followed by management as it is irreversible. Definition, clrrssificutioii 153 longer subject to further decalcification, have prominent thick enamel borders and do not show a honeycomb enamel prism structure in shadowed replicas observed in the sem 20. Rapid and severe tooth erosion from swimming in an improperly chlorinated pool. Suhartono international journal of chemical engineering and applications, vol. Ask the class how many of them have been to see a dentist. T his case report chronicles the clinical presentation and unusual response to treatment of a patient with rapid gingival recession and dental erosion secondary to local cocaine application. But you can prevent erosion from getting worse with dental treatment and by taking care of. Aapd, guideline on behavior guidance for the pediatric dental patient, reference manual, american academy of pediatric.
Even if the prevalence rates vary substantially, it is evident that dental erosion is a. Dental erosion has arisen as a major new challenge for clinicians in recent years. Prevention and control of dental erosion by professionally. There was an association between dental erosion and the consumption of soft drinks, carbonated beverages and fresh fruits in all the three groups. Moderate to severe tooth wear poses a significant clinical challenge to dental practitioners and may. While it might seem odd that reflux can do enough damage to cause dental erosion, especially if you dont even feel the heartburn, research shows that there is a strong correlation between gerd and dental erosion. Palatal and facial veneers to treat severe dental erosion. The prevalence of dental erosion among children and adolescents is trending. Ana c mafla, ximena a ceronbastidas, maria e munozceballos, diana c vallejobravo, and maria c fajardosantacruz 2017 prevalence and extrinsic risk factors for dental erosion in adolescents. Acids that cause dental erosion originate mainly from the diet or the stomach and, to a lesser extent, the environment. Acid erosion of enamel is the chemical dissolution of the superficial layers of teeth without the presence of bacteria. In later stages of dental erosion, teeth begin to crack off and become coarse. Dental erosions from sports and energy drinks are of concern in children and adolescents.
Dental erosion, otherwise known as erosive tooth wear, is the loss of dental hard tissue through either chemical etching and dissolution by acids of non bacterial origin or chelation. In this report we present a 25yearold man complaining with the severe wornout of the front teeth during the past 3 years. Prevalence and extrinsic risk factors for dental erosion in. However, its place in dental curricula remains unclear. It is the cause of intrinsic and extrinsic acid on the enamel and dentine of the teeth. He had a history of drinking cola for more than 7 years and had a poor oral hygiene. Jun 05, 2015 the aetiology of tooth wear is attributed to four causes. In the final article in the bad science series, we examine oil pulling. Prevention should also aim at the remineralization of softened enamel by the enhancement of saliva remineralizing function through the use of fluoride formulations.
Pdf fullmouth adhesive rehabilitation in case of severe. Published with permission from the journal of the swedish dental. Saliva at rest and during stimulation differs significantly. There appeared to be no overall differences in diet between the groups.
Methods of assessment are presented and critically evaluated. The presence and severity of erosive defects depend on various parameters such as nutrition, saliva, general diseases. Published in the european journal of esthetic dentistry. One study compared dental erosion in children aged 3 to 12 years who had gerd to children in that age group without gerd. It is a surface phenomenon that occurs on occlusal and smooth surfaces. Etiology, diagnosis and management acta scientific. An investigation into the effects of sport supplement drinks on dental health. Emerging evidence from the diet suggests that for those susceptible to erosion they should restrict fruit and fruitbased drinks to meal times. Dec 18, 2017 dental erosion is a type of tooth wear that occurs when the tooth is exposed to acids. Dental erosion is a condition in which nonbacterial acids cause demineralization of dental hard tissues. Evidence based on case reports, clinical trials, epidemiological, cohort, animal, in. Underlying medical problems can contribute to influence the progress of tooth wear due to erosion and the patient may not be aware of these conditions.
In fact, dentists are often the first health care professional to identify gerd in patients because one major sign of the disease is dental erosion, or dissolving of tooth surfaces. Comparison of factors potentially related to the occurrence of dental erosion in high and lowerosion groups. The objective of this study was to describe the prevalence of dental erosion and possible associated factors, including socialeconomic status and dietary habits, in preschool children in the guangxi and the hubei provinces. Definition, diagnosis, prevalence, incidence and chemistry of dental erosion are discussed in the first part of the publication. Chisquare and fishers exact tests were used for statistical. Tcp functionalized with fluoride or with fluoride plus stannous on human enamel and dentin. Dental erosion occurs because the acidic juices in the stomach come into contact with the mouth and, over time, break down your. This study was carried out in the guangxi and hubei provinces in china. Dental erosion and factors affecting the risk of its occurrence were investigated with a casecontrol approach.
Therefore, dental erosion is a common manifestation in patients suffering from organic or psychosomatic disorders such as anorexia or bulimia nervosa or alcohol abuse. The aims of the present in vitro study were twofold. The prevalence of dental erosion is higher in older. Dental erosion is the most common chronic disease of children ages 517, although it is only relatively recently that it has been recognised as a dental health problem. Explain that each of these individuals is a dental helper. Excessive consumption of acidic drinks and foods contributes to tooth erosion. Due to its irreversible nature, recognizing the early signs is important to develop appropriate preventive strategies. Dental erosion is related to the consumption of certain types of tea or when tea is sweetened. Dental erosion may progress rapidly in the primary teeth compared to the permanent teeth due to the thinner enamel layer in primary teeth 3, 4.
The journal of dentistry is the leading international dental journal within the field of restorative dentistry. The childrens oral hygiene habits were assessed by a questionnaire. It was filled in by the preschool children parents at home and by the school chil. Comparison of factors potentially related to the occurrence of dental erosion in high and low erosion groups. A thorough differential diagnosis that eliminates the many other possible causes of enamel loss must be conducted.
Patients with bulimia and severe gerd are at great risk for enamel erosions, even at very young ages. Erosion needs to be differentiated from attrition, normal physiological wear of teeth, and abrasion which is the pathologic wear of teeth caused by an involuntary action that is teeth grinding 5, 10. Treatment of dental erosion may require dental care. Dental erosion occurs when gastric acid erodes dentin and enamel. Although the end result is similar, these two pathologies rarely occur simultaneously at the same. Erosion is generally considered to be the most prevalent cause of tooth wear in the uk and europe. Tooth erosion awareness in a brazilian dental school.
One hundred and six cases with erosion and 100 randomly selected controls from the sa. Dental erosion international dental journal 1998 48, 529539. Tooth enamel erosion is relatively rare and is easily misdiagnosed. Dental erosion has been defined as a chemical process that in volves the. Extrinsic erosion is the result of exogenous acids. Tooth wear is the surface loss of dental hard tissues from causes other than developmental causes, dental caries and trauma 4. Effect of carbonated beverages, coffee, sports and high. Dental erosion is the loss of the surface of your teeth due to acids you eat or drink, or. The prevalence of dental erosion among children and adolescents is trending higher in recent decades and is becoming a major concern. Conservative management of dental erosion in adolescents with.
1451 781 81 633 172 1162 1329 1009 94 534 457 1454 833 596 409 1037 861 1223 990 1386 603 145 1125 834 998 768 1283 310 1174 716 1313 364 1203 412 517 1134 343 653