The Dental Erosion Process

Shellis, R.P.

doi:10.1007/978-3-319-13993-7_2

Cited by 3 publications

(4 citation statements)

References 63 publications

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“…Saliva cannot protect the teeth when exposed to severe erosive factors. (6,9). Any decrease of pH or salivary flow increases the risk of erosion (10).…”

Section: Introductionmentioning

confidence: 99%

“…Dental erosion is a multifactorial process, caused by intrinsic and extrinsic factors. The main intrinsic etiological cause of dental erosion is the gastric fluid that, sometimes is present in the oral cavity in various conditions as eating disorders, gastroesophageal reflux disease (GORD), Bulimia nervosa, Chronic vomiting, Rumination and Persistent regurgitation (6). Extrinsic etiological factors of dental erosion come from different sources mainly medicaments, drinks, foods and acidic hygiene products (7).…”

Section: Introductionmentioning

confidence: 99%

“…This shift is among the most common causes that increase dental erosion (8). Saliva is considered the most important protector biological factor included in dental erosion, where it provides the teeth with calcium, phosphate and fluoride necessary for remineralization (6). It also helps the formation of acquired salivary pellicle, which can be formed on primary teeth over 24 hours, it prevents surface mineral loss and reduces surface roughness of enamel when exposed to acid.…”

Section: Introductionmentioning

confidence: 99%

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An in Vitro Evaluation of Erosive Effect of Some Commonly Prescribed Antibiotics on Primary Enamel Integrity

dawood,

hanno,

Wahba

et al. 2024

Alexandria Dental Journal

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INTRODUCTION:Children are frequently subjected to liquid medications, especially antibiotics. They are acidic, have low pH and high titratable acidity. This can erode enamel. AIM: This in vitro study aim to determine the correlation between antibiotics as regards their erosive effect and frequency of intake on primary enamel integrity. MATERIALS AND METHODS: Three commonly prescribed pediatric antibiotics groups: macrolides, cephalosporins and mixed composition were chosen. pH and titratable acidity of the selected antibiotics and artificial saliva were determined. Seventy seven human primary teeth, exfoliated or extracted for orthodontic reasons were randomly assigned to three antibiotics groups and a control group, 11specimens for each group. Specimens were immersed in fresh solutions of antibiotics for 1 minute over 3, 5and 10 days, depending on the type of antibiotic. All samples were preserved in artificial saliva in between immersion cycles. Enamel micro hardness was evaluated at baseline, 3& 5&10 days. RESULTS: Highest percent reduction was recorded for the mixed antibiotic (24.39 ±4.65) P<0.0001, followed by cephalosporin (13 . 79 ±4.37) P<0.0001 and macrolides (7.99 ±2.82) P<0.0001. Mixed type immersed for 10 days showed the highest reduction in microhardness (37.00 ±4.71). Macrolides for 3 days showed the lowest reduction (12.22 ±3.20). All the experimental groups recorded loss in microhardness with high significant difference P<0.0001. CONCLUSION: Tested antibiotics could erode enamel even when pH is above critical and low titratable acidity. Increasing duration and frequency of prescription, increases the erosive potential.

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“…Saliva cannot protect the teeth when exposed to severe erosive factors. (6,9). Any decrease of pH or salivary flow increases the risk of erosion (10).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An in Vitro Evaluation of Erosive Effect of Some Commonly Prescribed Antibiotics on Primary Enamel Integrity

dawood,

hanno,

Wahba

et al. 2024

Alexandria Dental Journal

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show abstract

“…27 Fluorapatite has a lower solubility in solution than hydroxyapatite, making the remineralized portion of enamel more resistant to acid challenges. 29 The professionally applied topical fluoride varnish is the easiest and quickest as it takes only 1-4 minutes for its application. 30…”

Section: Introductionmentioning

confidence: 99%

The Effect of Zamzam Water and ProShieldR Varnish on Microhardness of Eroded Primary Enamel Teeth Induced by Ironplus Syrup: An In Vitro Study

Altaee,

Qasim

2024

Pharmacogn J.

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Background:The objective of the current study was to evaluate the erosive adverse effect of paediatric Iron plus syrup and the remineralization effectualness of Zamzam Water and ProShield R Varnish on microhardness of primary teeth. Materials and method: Forty primary anterior teeth were randomly distributed into five groups, each group has eight samples (N=8) assigned as: group1: control negative, group2: control positive, group3: 5% Sodium Fluoride Varnish, group4: Zamzam water and group5: Zamzam water and 5% Sodium Fluoride Varnish. Excluding the control negative group from them, all samples were immersed in 100ml of Iron plus syrup and agitated for 2 min once a day for 14 days. Then those groups were treated with remineralizing agents of: 5% Sodium Fluoride Varnish for 24 hours, Zamzam water for 30 min every 12 h for 12 days and the combination therapy initiated by Zamzam water then after 30 min, 5% Sodium Fluoride Varnish was applied for 24hrs. Vickers Microhardness test and Polarized Light Microscope were two adopted tests that this study dependent upon. Results: There was a statistically significant difference in microhardness mean values when making a comparison between the baseline and Iron plus tested groups, furthermore ANOVA and Duncan's Multiple Range test showed that there was a highly significant statistical difference in microhardness mean values among baseline, demineralization and remineralization groups at P-Value ≤ 0.01. Conclusion: The surface microhardness of the primary enamel was reduced owing to the potential erosive efficacy of the used paediatric pharmaceutical preparations. On the other extreme, the previous readings had increased after being treated with remineralizing agents meaning that they have the capacity to battle against erosive potential reaching its highest capability in terms of reminerlization with the combination treatment group.

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Early diagnosis and daily practice management of erosive tooth wear lesions

et al. 2018

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This paper explores some of the most relevant questions faced by dental practitioners when diagnosing early erosive tooth wear (ETW) and implementing non-operative management of this condition over time. It focuses on the identification of clinical signs and common locations of ETW lesions, the assessment of individual risk and the implementation of non-operative management strategies, aiming to arrest and/or reduce the rate of ETW progression and avoid its advance to pathological stages. To this end, we present a novel and comprehensive approach that considers the whole dentition of patients rather than individual groups of teeth or dental surfaces only, illustrating it with a series of clinical photographs. Dental practitioners may find this approach particularly helpful as it closely simulates the clinical examinations of patients of all age groups carried out in daily practice. The clinical signs of early ETW lesions are subtle and often not perceived as relevant by unaware clinicians. However, the early diagnosis and implementation of non-operative management strategies, especially at younger ages, is fundamental for the proper control of ETW over time.

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The Dental Erosion Process

Cited by 3 publications

References 63 publications

An in Vitro Evaluation of Erosive Effect of Some Commonly Prescribed Antibiotics on Primary Enamel Integrity

An in Vitro Evaluation of Erosive Effect of Some Commonly Prescribed Antibiotics on Primary Enamel Integrity

The Effect of Zamzam Water and ProShieldR Varnish on Microhardness of Eroded Primary Enamel Teeth Induced by Ironplus Syrup: An In Vitro Study

Early diagnosis and daily practice management of erosive tooth wear lesions

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