Control of erosive tooth wear: possibilities and rationale.
Dental erosion is a type of wear caused by non bacterial acids or chelation. There is evidence of a significant increase in the prevalence of dental wear in the deciduous and permanent teeth as a consequence of the frequent intake of acidic foods and drinks, or due to gastric acid which may reach the oral cavity following reflux or vomiting episodes. The presence of acids is a prerequisite for dental erosion, but the erosive wear is complex and depends on the interaction of biological, chemical and behavioral factors. Even though erosion may be defined or described as an isolated process, in clinical situations other wear phenomena are expected to occur concomitantly, such as abrasive wear (which occurs, e.g, due to tooth brushing or mastication). In order to control dental loss due to erosive wear it is crucial to take into account its multifactorial nature, which predisposes some individuals to the condition.
Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil. mcserra@forp.usp.br
Mônica Campos
MC
Serra
Danielle Cristine Furtado
DC
Messias
Cecilia Pedroso
CP
Turssi
D000143:Acids / Q000737:chemistry; D003802:Dentifrices / Q000627:therapeutic use; D005247:Feeding Behavior; D005460:Fluorides, Topical / Q000627:therapeutic use; D005502:Food / Q000009:adverse effects; D006801:Humans; D009909:Oral Health; D012307:Risk Factors; D012463:Saliva / Q000737:chemistry / Q000502:physiology; D012648:Self Care; D017693:Sodium Bicarbonate / Q000627:therapeutic use; D014077:Tooth Erosion / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D014089:Tooth Remineralization
D000143:Acids; D003802:Dentifrices; D005460:Fluorides, Topical; D017693:Sodium Bicarbonate