Insights into preventive measures for dental erosion
Dental erosion is defined as the loss of tooth substance by acid exposure not involving bacteria. The etiology of erosion is related to different behavioral, biological and chemical factors. Based on an overview of the current literature, this paper presents a summary of the preventive strategies re...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
University of São Paulo
2009-04-01
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| Series: | Journal of Applied Oral Science |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000200002 |
| _version_ | 1819159077326946304 |
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| author | Ana Carolina Magalhães Annette Wiegand Daniela Rios Heitor Marques Honório Marília Afonso Rabelo Buzalaf |
| author_facet | Ana Carolina Magalhães Annette Wiegand Daniela Rios Heitor Marques Honório Marília Afonso Rabelo Buzalaf |
| author_sort | Ana Carolina Magalhães |
| collection | DOAJ |
| description | Dental erosion is defined as the loss of tooth substance by acid exposure not involving bacteria. The etiology of erosion is related to different behavioral, biological and chemical factors. Based on an overview of the current literature, this paper presents a summary of the preventive strategies relevant for patients suffering from dental erosion. Behavioral factors, such as special drinking habits, unhealthy lifestyle factors or occupational acid exposure, might modify the extent of dental erosion. Thus, preventive strategies have to include measures to reduce the frequency and duration of acid exposure as well as adequate oral hygiene measures, as it is known that eroded surfaces are more susceptible to abrasion. Biological factors, such as saliva or acquired pellicle, act protectively against erosive demineralization. Therefore, the production of saliva should be enhanced, especially in patients with hyposalivation or xerostomia. With regard to chemical factors, the modification of acidic solutions with ions, especially calcium, was shown to reduce the demineralization, but the efficacy depends on the other chemical factors, such as the type of acid. To enhance the remineralization of eroded surfaces and to prevent further progression of dental wear, high-concentrated fluoride applications are recommended. Currently, little information is available about the efficacy of other preventive strategies, such as calcium and laser application, as well as the use of matrix metalloproteinase inhibitors. Further studies considering these factors are required. In conclusion, preventive strategies for patients suffering from erosion are mainly obtained from in vitro and in situ studies and include dietary counseling, stimulation of salivary flow, optimization of fluoride regimens, modification of erosive beverages and adequate oral hygiene measures. |
| first_indexed | 2024-12-22T16:34:49Z |
| format | Article |
| id | doaj.art-e5f25cd25f1d488c9932f09f2813350a |
| institution | Directory Open Access Journal |
| issn | 1678-7757 1678-7765 |
| language | English |
| last_indexed | 2024-12-22T16:34:49Z |
| publishDate | 2009-04-01 |
| publisher | University of São Paulo |
| record_format | Article |
| series | Journal of Applied Oral Science |
| spelling | doaj.art-e5f25cd25f1d488c9932f09f2813350a2022-12-21T18:19:58ZengUniversity of São PauloJournal of Applied Oral Science1678-77571678-77652009-04-01172758610.1590/S1678-77572009000200002Insights into preventive measures for dental erosionAna Carolina MagalhãesAnnette WiegandDaniela RiosHeitor Marques HonórioMarília Afonso Rabelo BuzalafDental erosion is defined as the loss of tooth substance by acid exposure not involving bacteria. The etiology of erosion is related to different behavioral, biological and chemical factors. Based on an overview of the current literature, this paper presents a summary of the preventive strategies relevant for patients suffering from dental erosion. Behavioral factors, such as special drinking habits, unhealthy lifestyle factors or occupational acid exposure, might modify the extent of dental erosion. Thus, preventive strategies have to include measures to reduce the frequency and duration of acid exposure as well as adequate oral hygiene measures, as it is known that eroded surfaces are more susceptible to abrasion. Biological factors, such as saliva or acquired pellicle, act protectively against erosive demineralization. Therefore, the production of saliva should be enhanced, especially in patients with hyposalivation or xerostomia. With regard to chemical factors, the modification of acidic solutions with ions, especially calcium, was shown to reduce the demineralization, but the efficacy depends on the other chemical factors, such as the type of acid. To enhance the remineralization of eroded surfaces and to prevent further progression of dental wear, high-concentrated fluoride applications are recommended. Currently, little information is available about the efficacy of other preventive strategies, such as calcium and laser application, as well as the use of matrix metalloproteinase inhibitors. Further studies considering these factors are required. In conclusion, preventive strategies for patients suffering from erosion are mainly obtained from in vitro and in situ studies and include dietary counseling, stimulation of salivary flow, optimization of fluoride regimens, modification of erosive beverages and adequate oral hygiene measures.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000200002Dental erosionTooth wear |
| spellingShingle | Ana Carolina Magalhães Annette Wiegand Daniela Rios Heitor Marques Honório Marília Afonso Rabelo Buzalaf Insights into preventive measures for dental erosion Journal of Applied Oral Science Dental erosion Tooth wear |
| title | Insights into preventive measures for dental erosion |
| title_full | Insights into preventive measures for dental erosion |
| title_fullStr | Insights into preventive measures for dental erosion |
| title_full_unstemmed | Insights into preventive measures for dental erosion |
| title_short | Insights into preventive measures for dental erosion |
| title_sort | insights into preventive measures for dental erosion |
| topic | Dental erosion Tooth wear |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000200002 |
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