Dental Erosion and Medical Conditions: an Overview of Aetiology, Diagnosis and Management

Paryag, Amit; Rafeek, Reisha

doi:10.7727/wimj.2013.140

Cited by 23 publications

(26 citation statements)

References 7 publications

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“… 6 The less frequent cases of industrial and environmental erosion have been associated to exposure to processes in the work place (eg, battery factories), which produce acid fumes or droplets, and leisure activities, such as swimming in chlorinated pools. 31 …”

Section: Diagnosismentioning

confidence: 99%

Abfraction lesions: etiology, diagnosis, and treatment options

Nascimento¹,

Dilbone²,

Pereira³

et al. 2016

CCIDE

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Abfraction is a type of noncarious cervical lesion (NCCL) characterized by loss of tooth tissues with different clinical appearances. Evidence supports that abfraction lesions, as any NCCLs, have a multifactorial etiology. Particularly, the cervical wear of abfraction can occur as a result of normal and abnormal tooth function and may also be accompanied by pathological wear, such as abrasion and erosion. The interaction between chemical, biological, and behavioral factors is critical and helps to explain why some individuals exhibit more than one type of cervical wear mechanism than others. In an era of personalized dentistry, patient risk factors for NCCLs must be identified and addressed before any treatment is performed. Marked variations exist in dental practice concerning the diagnosis and management of these lesions. The lack of understanding about the prognosis of these lesions with or without intervention may be a major contributor to variations in dentists’ management decisions. This review focuses on the current knowledge and available treatment strategies for abfraction lesions. By recognizing that progressive changes in the cervical area of the tooth are part of a physiologically dynamic process that occurs with aging, premature and unnecessary intervention can be avoided. In cases of asymptomatic teeth, where tooth vitality and function are not compromised, abfraction lesions should be monitored for at least 6 months before any invasive procedure is planned. In cases of abfraction associated with gingival recession, a combined restorative-surgical approach may be performed. Restorative intervention and occlusal adjustment are not indicated as treatment options to prevent further tooth loss or progression of abfraction. The clinical decision to restore abfraction lesions may be based on the need to replace form and function or to relieve hypersensitivity of severely compromised teeth or for esthetic reasons.

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Section: Diagnosismentioning

confidence: 99%

Abfraction lesions: etiology, diagnosis, and treatment options

Nascimento¹,

Dilbone²,

Pereira³

et al. 2016

CCIDE

View full text Add to dashboard Cite

show abstract

“…2 A aparência clínica é a característica mais importante para profissionais de Odontologia diagnosticar a ED, o que é de particular importância para as ações de prevenção e tratamento da condição. 13 Algumas alterações são identificadas como uma concavidade no esmalte, cuja largura tem maior dimensão do que a profundidade. A perda da estrutura dentária na face vestibular deve ser distinguida das lesões em forma de cunha, localizadas próximas à junção esmalte-cemento, causadas por outros processos (Tabela 1).…”

Section: Revisão De Literaturaunclassified

Erosão dentária em paciente atleta: artigo de revisão

Souza¹

2017

Rev. Bras. Odontol.

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Objetivo: discutir a erosão dentária, sua prevalência e fatores de risco, ressaltando a responsabilidade do cirurgião-dentista diante deste quadro patológico, principalmente frente ao atendimento de atletas. Material e Métodos: a pesquisa incluiu os artigos indexados na base de dados MEDLINE/PubMed. Foram considerados apenas os artigos publicados a partir do ano 2000. A pesquisa foi realizada utilizando as seguintes palavras e possíveis combinações: erosão dentária (dental erosion); erosão dentária, prevalência (dental erosion, prevalence); erosão dentária, atleta (dental erosion, athlete). Resultados: a erosão dentária é um processo químico multifatorial que resulta na perda de tecido dentário. A correta avaliação é fundamental para o diagnóstico da patologia e dos seus fatores causais. O paciente atleta está sujeito a um maior número de fatores de risco, indicando a necessidade de conceitos odontológicos preventivos adaptados ao campo da odontologia esportiva. Conclusão: é importante para o cirurgião-dentista reconhecer os sinais clínicos e os sintomas da erosão dentária, para restabelecer a saúde bucal do paciente atleta.

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“…Common causes for the presence of the gastric acid in the oral cavity include gastroesophageal reflux disease (GORD), eating disorders, chronic vomiting, and persistent regurgitation and rumination [1]. In addition, the medical problems that cause a reduction in salivary flow include salivary gland excision, autoimmune disease, for example, Sjogren's syndrome, radiation to the head and neck region, and medications which can affect the degree of dental erosions [14].…”

Section: Introductionmentioning

confidence: 99%

Conservative Management of Dental Erosion in Adolescents with Medical Conditions

Nor

Harun

2018

Case Reports in Dentistry

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The prevalence of dental erosion among children and adolescents is trending higher in recent decades and is becoming a major concern. Dental erosion can be caused by either extrinsic or intrinsic acids or both. One of the established aetiological factors for dental erosion by intrinsic acid is the gastrooesophageal reflux disease. The degree of dental erosions may be influenced by any medical conditions that cause a reduction in salivary flow such as the salivary gland excision, autoimmune disease, radiation to the head and neck regions, and medications. If left untreated, the dental erosion can cause dentine hypersensitivity, loss of occlusal vertical height, and aesthetic problems. For effective management of dental erosion, the aetiology of each case must be determined, and its detection at an early stage is of prime importance. This case report illustrates the conservative management of dental erosion in two adolescent patients presented with their medical conditions and behaviour issues. The aim of the treatments was to preserve the vitality of the affected teeth. The treatments were successfully completed using a conservative approach, with the patients' medical conditions taken into consideration.

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Dental Erosion and Medical Conditions: an Overview of Aetiology, Diagnosis and Management

Abstract: ABSTRACT

Cited by 23 publications

References 7 publications

Abfraction lesions: etiology, diagnosis, and treatment options

Abfraction lesions: etiology, diagnosis, and treatment options

Erosão dentária em paciente atleta: artigo de revisão

Conservative Management of Dental Erosion in Adolescents with Medical Conditions

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