Timing of dietary acid intake and erosive tooth wear: A case-control study

O’Toole, Saoirse; Bernabé, Eduardo; Moazzez, Rebecca; Bartlett, David

doi:10.1016/j.jdent.2016.11.005

Cited by 75 publications

(64 citation statements)

References 28 publications

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“…Increased consumption of acidic drinks is a risk for erosive tooth wear whether they are consumed between or with meals. In contrast, fruit consumption with meals was not associated with erosive tooth wear and fruit consumption between meals did represent increased risk [25]. It was also observed that one or less dietary acid intakes a day was not associated with erosive tooth wear [25].…”

Section: Frequency Of Dietary Acid Intakementioning

confidence: 96%

“…While the erosive potential of specific dietary acids is important, it is important to look at the overall pattern of consumption. The frequency of dietary acid intake has been recognised as one of the primary risk factors for erosive tooth wear progression [25]. A longitudinal study on 55 adults over 6 years observed that consumption of 4 + dietary acids per day to be associated with tooth wear progression [26].…”

Section: Frequency Of Dietary Acid Intakementioning

confidence: 99%

“…A longitudinal study on 55 adults over 6 years observed that consumption of 4 + dietary acids per day to be associated with tooth wear progression [26]. However, this was recently observed to be influenced by whether they were consumed with meals or between meals, particularly for acidic drinks [25]. Those who consumed acidic drinks twice a day between meals were over 11 times more likely to have moderate or severe erosive tooth wear.…”

Section: Frequency Of Dietary Acid Intakementioning

confidence: 99%

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The role of the diet in tooth wear

O’Toole

Mullan

2018

Br Dent J

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An acidic diet has been associated with erosive tooth wear. However, some people who consume dietary acids develop erosive tooth wear and some do not. This review paper provides an overview of the risk factors of dietary acid consumption which increase the likelihood of developing severe erosive tooth wear. Increased frequency of dietary acid consumption, particularly between meals appears to be the predominant risk factor. However, habitually drinking acidic drinks by sipping them slowly or swishing, rinsing or holding acidic drinks in the mouth before swallowing will also increase risk of progression. Consuming fruit over long time periods at a single sitting and dietary acids being served at increased temperatures have also been implicated. Additions of fruit or fruit flavourings to drinks and regular consumption of vinegars, pickles, acidic medications or acidic sugar-free sweets are potential hidden risk factors that should be discussed with patients at risk of erosive tooth wear progression. Behaviour change is difficult to achieve but specific, targeted behavioural interventions and offering alternatives may increase success.

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Section: Frequency Of Dietary Acid Intakementioning

confidence: 96%

Section: Frequency Of Dietary Acid Intakementioning

confidence: 99%

Section: Frequency Of Dietary Acid Intakementioning

confidence: 99%

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The role of the diet in tooth wear

O’Toole

Mullan

2018

Br Dent J

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“…We have known for some time that acids can cause erosive tooth wear. More recently, the highest risk has been identified as snacking between meals on dietary acids more than two times a day, on acidic beverages, fruit or fruit‐based products . Changing diets is a challenge but when successful it should result in the progression of tooth wear becoming part of the aging process and no longer compromising the longevity of the teeth …”

Section: Restorative Carementioning

confidence: 99%

Tooth wear and aging

Bartlett

O’Toole

2019

Australian Dental Journal

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Background: In an ageing population, tooth wear is likely to increase. It is increasing in prevalence in the younger population and a greater number of patients are retaining their teeth into old age. Methods: This paper is a narrative review of the clinical presentation, the epidemiology and the restorative intervention for erosive tooth wear. The dilemmas in managing this common condition with the aging dentition in mind are described. The paper discusses evidence-based prevention methods and highlights how preventive intervention may be preferable over extensive restorative care and high maintenance needs. Patient wishes, expectations and commitment to treatment and maintenance require consideration during clinical decision making. Conclusion: Successful management of erosive tooth wear in an ageing population depends on effective diagnosis, preventive intervention and holistic advice regarding restorative intervention.

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“…Furthermore, no clear patterns between timing of toothbrushing after breakfast and tooth hypersensitivity, which is strongly associated with the presence of erosion, were found in the same population . A recent case-control study could not detect any association between toothbrushing after meals and erosive tooth wear after adjusting for dietary risk factors either [O'Toole et al, 2017].…”

Section: Discussionmentioning

confidence: 91%

Comparison of Profilometric and Microindentation Analyses for Determining the Impact of Saliva on the Abrasion of Initially Eroded Enamel

et al. 2018

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The aim of this in vitro study was to investigate the impact of saliva on the abrasion of eroded enamel using two measuring methods. A total of 80 bovine enamel specimens from 20 bovine incisors were allocated to four experimental groups (n = 20 specimens per group). After baseline surface microhardness (SMH) measurements and profilometry all specimens were subjected to erosion (2 min, 1% citric acid, pH: 3.6, 37°C). SMH was determined again, and the depths of the Knoop indentations were calculated. Thereafter, specimens were incubated in human saliva (group 1 – no incubation/control, group 2 – 0.5 h, group 3 – 1 h, group 4 – 2 h) before toothbrush abrasion was performed. After final SMH measurements and profilometry, indentations were remeasured, and surface loss was calculated. SMH did not return to baseline values regardless of the length of saliva incubation. Further, an irreversible substance loss was observed for all specimens. With the indentation method, significantly (p < 0.05) more substance loss was found for controls (least square means ± standard error of 198 ± 19 nm) than for groups 2–4 (110 ± 10, 114 ± 11, and 105 ± 14 nm). Profilometric assessment showed significantly more substance loss for controls (122 ± 8 nm) than for group 4 (106 ± 5 nm). Intraclass correlation for interrater reliability between measurement methods was low (0.21, CI: 0.1–0.3), indicating poor agreement. Exposure of eroded enamel to saliva for up to 2 h could not re-establish the original SMH. The amount of measured substance loss depended on the measurement method applied.

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Timing of dietary acid intake and erosive tooth wear: A case-control study

Cited by 75 publications

References 28 publications

The role of the diet in tooth wear

The role of the diet in tooth wear

Tooth wear and aging

Comparison of Profilometric and Microindentation Analyses for Determining the Impact of Saliva on the Abrasion of Initially Eroded Enamel

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