Restorative Therapy of Erosive Lesions

Peutzfeldt, Anne; Jaeggi, Thomas; Lussi, Adrian

doi:10.1159/000360562

Cited by 44 publications

(38 citation statements)

References 43 publications

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“…Disadvantages of restorative procedures are often overlooked and include the failure and/or fracture of the restorations and/or of the teeth their selves. As soon as the restorative cycle is started, it is always necessary to re‐restore the dentition, since restorations will not last for decades 26,27 . Therefore, it is important to postpone the start to an older age of the patient as much as possible.…”

Section: Treatment/management Decisionsmentioning

confidence: 99%

Diagnosing tooth wear, a new taxonomy based on the revised version of the Tooth Wear Evaluation System (TWES 2.0)

Wetselaar

Wetselaar‐Glas

Katzer

et al. 2020

J of Oral Rehabilitation

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Background: Tooth wear is a multifactorial condition, leading to the loss of dental hard tissues. Physiological tooth wear is a slow process that normally does not lead to any subjective symptoms. When the condition progresses, it can become pathological, and several signs and symptoms may occur. The Tooth Wear Evaluation System (TWES) was described to implement a systematic diagnostic and management approach. Recently, management guidelines were presented in a European Consensus Statement (ECS) as well.Objectives: To evaluate the TWES in practice and to integrate the principles described in the ECS in order to compose a renewed TWES 2.0 and a new taxonomy. Methods:The TWES and the recommendations of the ECS were used by dental clinicians, in order to test its applicability in practice.Results: Agreement was reached that the TWES 2.0 will use a stepwise approach, with a straightforward Tooth Wear Screening part and a more detailed Tooth Wear Status part. Also, the assessment of pathology from the ECS is incorporated in the TWES 2.0 (both classification and taxonomy). Conclusions:In the TWES 2.0 is described that tooth wear is pathological if moderate/severe/extreme tooth wear is present, in combination with one or several described signs and symptoms. Aetiology can be assessed by findings that indicate a chemical and/or a mechanical cause. The taxonomy may help to identify situations in which preventive (restorative) interventions in early stages of tooth wear can be indicated. The reliability and validity of the adapted parts must be proven. K E Y W O R D S classification, diagnosis, European Consensus Statement (ECS), management, pathological, physiological, taxonomy, tooth wear, Tooth Wear Evaluation System (TWES) How to cite this article: Wetselaar P, Wetselaar-Glas MMJ, Katzer LD, Ahlers MO. Diagnosing tooth wear, a new taxonomy based on the revised version of the Tooth Wear Evaluation System (TWES 2.0). J Oral Rehabil. 2020;47:703-712. https://doi.

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Section: Treatment/management Decisionsmentioning

confidence: 99%

Diagnosing tooth wear, a new taxonomy based on the revised version of the Tooth Wear Evaluation System (TWES 2.0)

Wetselaar

Wetselaar‐Glas

Katzer

et al. 2020

J of Oral Rehabilitation

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“…O amolecimento superficial e aumento da rugosidade do esmalte caracterizam-se, portanto, como manifestações precoces do processo de erosão 17 . Na fase tardia do seu desenvolvimento, quando ocorre perda de estrutura dentária 12 , o tratamento restaurador se faz necessário 18 , podendo esse ser oneroso para o paciente e desafiador para o profissional 9 . Os ácidos erosivos de origens intrínsecas são levados à cavidade bucal por meio de um fluxo atípico de conteúdo advindo do estômago 7 , como em casos de vômitos recorrentes em doentes que sofrem de distúrbios alimentares, a exemplo dos casos de anorexia, bulimia e refluxo gastroesofágico 6 e afetam, na maioria das vezes, as faces palatinas e oclusais dos dentes 11 .…”

Section: Resultados O Erosãounclassified

“…Por sua vez, os ácidos extrínsecos são introduzidos na boca por meio da alimentação, a exemplo da ingestão frequente de refrigerantes 19 , sucos cítricos 8 , alimentos ácidos, uso de produtos de higiene bucal ácidos 6 , de fatores ligados ao uso constante de medicamentos ácidos, como o ácido acetil salicílico e vitamina C 11 ou também devido à exposição ocupacional 20 , a exemplo dos degustadores de vinho e geralmente acometem inicialmente a face vestibular dos dentes anteriores 11 . Levando-se em consideração o poder destrutivo da erosão dentária e sua etiologia multifatorial, bem como a dificuldade da eliminação dos fatores causais, é apropriado identificá-la e intervir o mais precocemente possível 21 , por meio do desenvolvimento de medidas que controlem sua progressão 1 e que atuem preferencialmente na fase inicial desse agravo bucal, protegendo a dentição contra danos adicionais 18,21 , especialmente do desgaste dentário erosivo. Algumas das medidas possíveis para controlar a erosão são o aconselhamento nutricional 20 , a estimulação do fluxo salivar 22 , o uso regular de fluoreto 15 e a alteração na composição química de bebidas para diminuir seu potencial erosivo 23,24 .…”

Section: Resultados O Erosãounclassified

Utilização de pastas contendo fosfopeptídeo de caseína-fosfato de cálcio amorfo com e sem fluoreto na prevenção da erosão dentária: uma revisão da literatura

Fernandes¹,

Moura²,

Alencar³

et al. 2017

Arch Health Invest

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ResumoIntrodução: A erosão dentária caracteriza-se como uma perda progressiva de estrutura dentária em que ocorre dissolução localizada de minerais da superfície do dente, ocasionada devido a exposição a ácidos de origem não bacteriana. Esse agravo bucal tem ganhado destaque pelo aumento de sua prevalência, que tem ocorrido, principalmente, devido a mudança dos hábitos alimentares e no estilo de vida da sociedade moderna. Objetivo: Apresentar uma síntese da ação das pastas de CPP-ACP no controle da erosão dentária. Material e Método: Foi realizada uma revisão da literatura nas bases de dados eletrônicas: Pubmed, Scopus e Bireme, utilizando os termos Erosão Dentária, Tooth Erosion, Esmalte Dentário, Dental Enamel, Caseínas, Caseins, Fluoreto de Sódio, Sodium Fluoride e os operadores boleanos "AND" e "OR" para realização das buscas, não havendo restrição quanto ao ano ou idioma de publicação. Resultados: Diferentes condutas terapêuticas têm sido avaliadas como potenciais alternativas para o controle da erosão dentária, dentre os quais está o uso da caseína fosfopeptídeo -fosfato de cálcio amorfo (CPP-ACP). As pastas de CPP-ACP parecem ser o tipo de veículo com maior potencial preventivo, além disso, a literatura sugere também, que as abordagens adotadas previamente às exposições ácidas tendem a ser mais bem-sucedidas. Apesar disso, ainda não há um consenso sobre a eficácia desse recurso terapêutico, devido, principalmente a carência de estudos realizados sob protocolos in situ. Conclusão: A ação preventiva das pastas de CPP-ACP, suplementadas ou não pelo fluoreto, permanece incipiente na literatura. Descritores: Erosão Dentária; Esmalte Dentário; Caseínas; Fluoreto de Sódio. AbstractIntroduction: Dental erosion is characterized as a progressive loss of tooth structure in which localized dissolution of minerals from the tooth surface occurs due to exposure to acids of non-bacterial origin. This oral grievance has been highlighted by the increase in its prevalence, which has mainly occurred due to changes in eating habits and in the lifestyle of modern society. Objective: To present a synthesis of the action of CPP-ACP pulps in the control of dental erosion. Material and Methods: A literature review was carried out in the electronic databases: Pubmed, Scopus e Bireme, using the terms Erosion, Tooth Erosion, Dental Enamel, Dental Enamel, Caseins, Caseins, Sodium Fluoride, Sodium Fluoride and the Boolean operators "AND" and "OR" to carry out the searches, without restriction regarding the year or language of publication. Results: Different therapeutic approaches were evaluated as possible alternatives for the control of dental erosion, among them the use of phosphine casein -amorphous calcium phosphate (CPP-ACP). CPP-ACP pulps seem to be the type of vehicle with the greatest preventive potential, and the literature also suggests that approaches adopted prior to acid exposures tend to be more successful. Despite this, there is still no consensus on the efficacy of this therapeutic resource, due mainly to the lack of st...

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“…Restoration of lost tooth structure with increase in the durability of the tooth can be achieved as a result of reduction of stress, with restorative work that occurs in the cervical region to prevent dentin sensitivity causing pulpal damage (Blair et al, 2002;Peutzfeldt et al, 2014). In this case, eroded hard tissue of the teeth was mended with root canal therapy and post-core treatment.…”

Section: Discussionmentioning

confidence: 99%

Esthetic and functional rehabilitation of soft-drink eroded teeth with prosthodontic approach: A case report

Görler¹

2015

J. Dent. Oral Hyg.

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Dental caries and enamel erosion are among the several health problems related to unusual consuming of soft drinks as an extrinsic factor of dental erosion. In this report, a 27-year-old man complaining of severe worn-out of all his teeth was presented. He had a history of unusual drinking of cola (4 to 6 L daily) for 6 years and had a poor oral hygiene. Severe decays were present in the incisors, canines, premolars, and molars. Counseling about healthy nutrition and drinking was used as an important aspect of management plan. Conservative management of dental caries was performed and during 3-year follow-up including counseling about nutrition and oral hygiene, the patient had no complaint related to the dental management. To prevent dental erosions related to drinking, it is necessary to increase awareness of people about public health problem related to the adverse effect of excessive soft drink consumption. For the long-term success of dental restoration as the presented case, the maintenance of lifestyle changes and regular follow-up are the most important factors to prevent the detorioration of dental health.

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Restorative Therapy of Erosive Lesions

Cited by 44 publications

References 43 publications

Diagnosing tooth wear, a new taxonomy based on the revised version of the Tooth Wear Evaluation System (TWES 2.0)

Diagnosing tooth wear, a new taxonomy based on the revised version of the Tooth Wear Evaluation System (TWES 2.0)

Utilização de pastas contendo fosfopeptídeo de caseína-fosfato de cálcio amorfo com e sem fluoreto na prevenção da erosão dentária: uma revisão da literatura

Esthetic and functional rehabilitation of soft-drink eroded teeth with prosthodontic approach: A case report

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