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At least 397 records · Page 22Linked to original sources
PubMed1994

The distribution and severity of tooth wear and the relationship between erosion and dietary constituents in a group of children.

There is very little published information on the severity of tooth wear in children. The current investigation involved clinical examination of 101 children and an assessment of their dietary habits. Evidence of tooth wear was found in over 80% of maxillary incisor teeth, and 30% of primary molar teeth had some dentine exposed. There were 21 children who were regarded as having 'mild' erosion, 45 'moderate' erosion and 35 'severe' erosion. There were highly statistically significant differences between the three groups in relation to drinking habits; the mean number of carbonated drinks consumed per week by children in the 'mild', 'moderate' and 'severe' erosion groups was 3.9, 5.8 and 13.9 respectively, of fruit drinks 10.3, 16.4 and 18.3, and of all fruit-based drinks 17.9, 27.1 and 39.0. There were also highly significant differences in those having a fruit-based drink at bed-time; 14% in the 'mild' erosion group, 32% in the 'moderate' and 60% in the 'severe' group. Although fresh fruit and yoghurt consumption followed the same trend, this did not reveal statistically significant differences. It is important to identify children who exhibit clinical evidence of erosion so that advice can be given about consumption of acidic dietary constituents.

Adolescent↗
PubMed2001

Investigation of mineral waters and soft drinks in relation to dental erosion.

A range of still and sparkling mineral waters were assessed for their erosive potential together with comparator soft drinks using in vitro dissolution assays with extracted human teeth and powdered hydroxyapatite. Dissolution levels with all of the mineral waters were very low and for several still waters were undetectable. Sparkling mineral waters showed slightly greater dissolution than still waters, but levels remained low and were of the order of one hundred times less than the comparator soft drinks. De-gassing of a sparkling mineral water reduced its dissolution, but the total levels were still relatively low suggesting that carbonation of drinks may not be an important factor per se in respect of erosive potential. The complex and heterogeneous mineral compositions of mineral waters could influence the dissolution equilibrium of apatite in enamel and controlled addition of several ions to ultrapure deionized water was investigated. Calcium ions led to the greatest reduction in hydroxyapatite dissolution, but their effects were moderated by other ions including magnesium and sulphate. Thus, mineral waters appear to offer a safe alternative to more erosive acidic beverages and their complex mineral ion compositions may positively influence any dissolution processes at the tooth surface.

Apatites↗
PubMed2003

Dental erosion: part 1. Aetiology and prevalence of dental erosion.

Non-carious tooth tissue loss due to abrasion, attrition, abfraction and erosion has become a significant problem, occurring in up to 80 percent of children and in up to 43 percent of adults. Dental erosion is now recognised as an important cause of tooth tissue loss in both children and adults. It is caused by the presence of intrinsic or extrinsic acid of non-bacterial origin in the mouth. Intrinsic sources of acid include vomiting, regurgitation, gastro-oesophageal reflux or rumination. Extrinsic sources of acid are most commonly dietary acids. Medications, a patient's lifestyle choices and environment can also increase the risk of dental erosion. In this article we identify the prevalence of dental erosion and its main causative factors, and in Part II we will discuss the management of dental erosion.

Adult↗
PubMed1995

Dental erosion.

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Beverages↗
PubMed2003

Influence of fluoride on the prevention of erosive lesions--a review.

This review describes various forms of fluoride applications for reducing dental erosive lesions induced by acidic substances. Fluoride admixtures to acidic solutions in a concentration excluding toxicologically side-effects seem unable to arrest erosive lesions. By contrast, topical fluoride applications of toothpastes, oral rinses, gels or varnishes appear to be an effective agent for reducing demineralization by erosion. In particular, high-concentrated fluoride applications are able to increase abrasion resistance and decrease the development of erosions in enamel and dentin.

Fluorides↗
PubMed1979

Clinical evaluation of a glass ionomer cement for restoration of cervical erosion.

The following conclusions can be made: A glass ionomer cement mixed in preweighed capsules to restore anatomically deficient cervical contours demonstrated bonding of the total restoration to tooth tissue without undercutting or pinning the tooth or relying on geometric design of a cavity preparation in approximately 95% of 113 restorations observed postoperatively for six months. Seven restorations showed partial loss of material. Seven of the 113 restorations, showed some marginal discoloration although no stain penetrated the interface of the tooth and restoration. For most cervical restorations, the glass ionomer cement produced a mismatch in "color, shade, and/or translucency" in relationship to the tooth. The probable reason for this is the opacity of the cement. An acceptable surface of the glass ionomer cement restorations can be established at a later finishing appointment. There is little evidence that roughness increased slightly during the six months. Patients' sensitivity to temperature and direct tactile contact diminished or was eliminated after placement of the restoration.

Acrylic Resins↗
PubMed2006

Dentine hypersensitivity.

Dentine hypersensitivity is a common oral complaint, affecting the teeth of many individuals. The aetiology is multifactorial; however, over recent years the role of erosion has become more and more important. For dentine hypersensitivity to occur, the lesion must first be localised on the tooth surface and then initiated to exposed dentine tubules which are patent to the pulp. The short, sharp pain symptoms are thought to be derived from the hydrodynamic theory of pain. This episodic pain condition is likely to become a more frequent dental complaint in the future due to the increase in longevity of the dentition and the rise in tooth wear. However, conclusive evidence of successful treatment regimens still eludes us despite a multitude of products available for treatment. In explanation, pain studies are notoriously difficult to conduct due to the subjective nature of pain and the complexity of pain assessment. The basic principles of treatment are altering fluid flow in the dentinal tubules with tubule occlusion or modifying or blocking pulpal nerve response, chemically with agents like potassium or physically.

Dental Materials↗