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At least 19 recordsLinked to original sources
PubMed1997

Erosive tooth wear: prevalence and severity in Swedish winetasters.

Full-time Swedish winetasters test on average 20-50 different wines, nearly 5 days a week. As the pH of wines ranges from 3.0 to 3.6, there is a potential risk for tooth erosion. The aims of this study were to document the prevalence and severity of tooth erosion in qualified winetasters in relation to number of years of winetasting, salivary flow rate, and buffer capacity. The subjects comprised all 19 qualified winetasters (7 women and 12 men, aged 29-64 years employed in Stockholm by Vin & Sprit AB, the state-owned company marketing wines and spirits. At intraoral examination, tooth surface loss was registered and documented by photography. Salivary flow rate and buffer capacity of unstimulated and stimulated saliva were measured. Data on occupational background and dental and medical histories were collected. Fourteen subjects had tooth erosion, the severity varying from mild to extreme, mainly on the labio-cervical surfaces of maxillary incisors and canines. The severity of the erosion tended to increase with years of occupational exposure. Caries activity in all subjects was low. 14 subjects had low unstimulated salivary flow rates. It was concluded that full-time winetasting is an occupation associated with increased risk for tooth erosion.

Adult↗
PubMed2004

The prevalence of tooth erosion in 12-year-old children.

OBJECTIVES: To establish the prevalence of tooth erosion in a representative sample of 12-year-old children in Leicestershire and Rutland. To determine if gender, ethnic group, deprivation or caries experience influences the prevalence of erosion. METHODS: A random sample of 1,753 12-year-olds resident in Leicestershire and Rutland were examined in 62 schools; 906 were boys and 847 girls; 1,379 were Caucasian and 316 Asian. Tooth erosion was assessed using the index employed in the survey of Children's Dental Health in England and Wales (1993). The Townsend index was used to record deprivation. RESULTS: Tooth erosion was found in 59.7% of the children, with 2.7% exhibiting exposed dentine. Significantly more boys than girls; Caucasian than Asian children; and those with caries experience, had erosion present (chi-square for all P<0.01). Overall no significant difference was found between deprivation categories, however socio-economically advantaged Caucasian children had significantly less tooth erosion than other groups. CONCLUSIONS: There was a high prevalence of tooth erosion in 12-year-old children. Significantly more erosion occurred in boys than girls, and culture appeared to influence prevalence. Children with caries experience had a higher prevalence of erosion than those without caries, which may reflect a lower level of dietary care. Deprivation seemed to affect the prevalence of tooth erosion in Caucasian children.

Asian People↗
PubMed2003

Asthma and tooth erosion. Is there an association?

OBJECTIVES: To investigate whether there is an association between asthma and tooth erosion in a representative random sample of adolescents in the East Midlands. METHODS: A random sample of 1753 12-year-old children was examined in all schools in Leicestershire and Rutland. 1308 children were re-examined 2 years later. Tooth erosion was assessed using the index employed in the Children's Dental Health in the UK Survey 1993. Asthma presence was recorded on a self-completed questionnaire at the time of the 12 years examination. Data on asthma prescribing over a one year period was obtained from the Prescription Pricing Authority. RESULTS: Asthma was present in 16.8% of 12-year-olds. Tooth erosion was recorded in 59% of children with asthma and in 59.7% who were asthma free. There was no significant difference in erosion prevalence between asthmatics and asthma free in a cohort of children at age 12 or 14 years, and the incidence of erosion was 12.8% and 12.3%, respectively. 88% of drugs prescribed for treatment of asthma had a pH above the critical pH of 5.5. CONCLUSION: There was no association between asthma and tooth erosion. The majority of drugs prescribed for the treatment of asthma are not potentially erosive.

Adolescent↗
PubMed2003

Awareness of tooth erosion in 12 year old children and primary care dental practitioners.

OBJECTIVES: To compare the knowledge of tooth erosion in a sample of 12 year old children with that of the dentists responsible for their care and also to compare the giving and receiving of advice concerning erosion. METHOD: A random sample of 1753 children from all 62 state maintained schools in Leicestershire completed questionnaires. Questionnaires were also sent to the 257 General Dental Practitioners in Leicestershire. RESULTS: 1686 (96.2%) of children and 227 (82.5%) of dentists returned forms that could be analysed. 36% of dentists reported that they frequently noticed erosion on the teeth of their patients but 67.7% of dentists believed that less than 25% of 12 year olds had any erosion. 67.5% of dentists advised their patients about erosion only occasionally or rarely. Only 34.2% of the children had heard of tooth erosion and only 8.4% could recall their dentist mentioning the condition. 40% of children believed that the best way to avoid erosion was regular tooth brushing. CONCLUSION: The levels of awareness were low for both dentists and patients and the messages that were given by dentists were either forgotten or misunderstood by the children, or they were incorrect. Better communication and understanding is needed in this important area.

Child↗
PubMed1995

Tooth erosion, gastroesophageal reflux, and salivary buffer capacity.

To obtain information on the connection between tooth erosion and acid gastroesophageal reflux, 14 patients (mean age, 15.7 years) with tooth erosion were investigated with simultaneous 24-hour pH monitoring in the esophagus and the oral cavity. Salivary parameters were also investigated in a larger group of 62 erosion patients (mean age, 21 years) and compared with a group of 50 controls (mean age, 28 years). No changes in oral pH were observed in a total of 339 acid reflux episodes, not even in long supine reflux episodes. Extended periods of lowered intra-oral pH to the level of 4 to 5 were observed but not connected with gastroesophageal reflux episodes. Significantly more (p < 0.001) erosion patients (34 of 62) had low salivary buffer capacity compared with controls (10 of 50).

Adolescent↗
PubMed2006

Erosive tooth wear - a multifactorial condition of growing concern and increasing knowledge.

Dental erosion is often described solely as a surface phenomenon, unlike caries where it has been established that the destructive effects involve both the surface and the subsurface region. However, besides removal and softening of the surface, erosion may show dissolution of mineral underneath the surface. There is some evidence that the presence of this condition is growing steadily. Hence, erosive tooth wear is becoming increasingly significant in the management of the long-term health of the dentition. What is considered as an acceptable amount of wear is dependent on the anticipated lifespan of the dentition and, therefore, is different for deciduous compared to permanent teeth. However, erosive damage to the permanent teeth occurring in childhood may compromise the growing child's dentition for their entire lifetime and may require repeated and increasingly complex and expensive restoration. Therefore, it is important that diagnosis of the tooth wear process in children and adults is made early and adequate preventive measures are undertaken. These measures can only be initiated when the risk factors are known and interactions between them are present. A scheme is proposed which allows the possible risk factors and their relation to each other to be examined.

Adult↗
PubMedDate not supplied

Oral clearance of an acidic drink in patients with erosive tooth wear compared with that in control subjects.

PURPOSE: The aim of this study was to compare the clearance of an acidic drink in patients with tooth wear caused by regurgitation erosion to that in patients without tooth wear. MATERIALS AND METHODS: Oral clearance was measured using antimony electrodes at 4 soft tissue sites around the mouth in the patients with erosion caused by regurgitation and compared to a matched control group. The data were analyzed for pH at the resting state, the time below 5.5, and the lowest recorded pH. In addition, the resting hydration levels and viscosity of fluid from the minor salivary glands, the pH of resting saliva, and the flow rate and buffering capacity of stimulated saliva were compared between the 2 groups of patients. RESULTS: The pH recorded at the tip of the tongue reached a lower level in the controls than in those in the erosive tooth wear group (P < .05) and the time that the pH remained below 5.5 was longer in the controls than those with tooth wear (P < .05). The flow rate from the minor salivary glands (P < .05) and the viscosity of resting saliva appeared to differ between the two groups (P < .001). CONCLUSION: Oral clearance at the tip of the tongue, measured as a function of the lowest pH reached and the time below 5.5, was quicker in those with erosive tooth wear than the controls. It is suggested that this may be a result of a feedback mechanism from constant exposure of the oral environment to low pH.

Acids↗
PubMed2006

Prevalence of erosive tooth wear and associated risk factors in 2-7-year-old German kindergarten children.

OBJECTIVES: The aims of this study were to (1) investigate prevalence and severity of erosive tooth wear among kindergarten children and (2) determine the relationship between dental erosion and dietary intake, oral hygiene behaviour, systemic diseases and salivary concentration of calcium and phosphate. MATERIALS AND METHODS: A sample of 463 children (2-7 years old) from 21 kindergartens were examined under standardized conditions by a calibrated examiner. Dental erosion of primary and permanent teeth was recorded using a scoring system based on O'Sullivan Index [Eur J Paediatr Dent 2 (2000) 69]. Data on the rate and frequency of dietary intake, systemic diseases and oral hygiene behaviour were obtained from a questionnaire completed by the parents. Unstimulated saliva samples of 355 children were analysed for calcium and phosphate concentration by colorimetric assessment. Descriptive statistics and multiple regression analysis were applied to the data. RESULTS: Prevalence of erosion amounted to 32% and increased with increasing age of the children. Dentine erosion affecting at least one tooth could be observed in 13.2% of the children. The most affected teeth were the primary maxillary first and second incisors (15.5-25%) followed by the canines (10.5-12%) and molars (1-5%). Erosions on primary mandibular teeth were as follows: incisors: 1.5-3%, canines: 5.5-6% and molars: 3.5-5%. Erosions of the primary first and second molars were mostly seen on the occlusal surfaces (75.9%) involving enamel or enamel-dentine but not the pulp. In primary first and second incisors and canines, erosive lesions were often located incisally (51.2%) or affected multiple surfaces (28.9%). None of the permanent incisors (n = 93) or first molars (n=139) showed signs of erosion. Dietary factors, oral hygiene behaviour, systemic diseases and salivary calcium and phosphate concentration were not associated with the presence of erosion. CONCLUSIONS: Erosive tooth wear of primary teeth was frequently seen in primary dentition. As several children showed progressive erosion into dentine or exhibited severe erosion affecting many teeth, preventive and therapeutic measures are recommended.

Age Factors↗
PubMed2006

Erosive tooth wear: diagnosis, risk factors and prevention.

PURPOSE: To provide an overview on diagnosis, risk factors and prevention of erosive tooth wear, which is becoming an increasingly important factor when considering the long- term health of the dentition. RESULTS: Awareness of dental erosion by the public is still not widespread due to the cryptic nature of this slowly progressing condition. Smooth silky-glazed appearance with the absence of perikymata and intact enamel along the gingival margin, with cupping and grooving on occlusal surfaces are some typical signs of enamel erosion. In later stages, it is sometimes difficult to distinguish between the influences of erosion, attrition or abrasion during a clinical examination. Biological, behavioral and chemical factors all come into play, which over time, may either wear away the tooth surface, or potentially protect it. In order to assess the risk factors, patient should record their dietary intake for a distinct period of time. Based on these analyses, an individually tailored preventive program may be suggested to patients. It may comprise dietary advice, optimization of fluoride regimes, stimulation of salivary flow rate, use of buffering medicaments and particular motivation for non-destructive tooth brushing habits. The frequent use of fluoride gel and fluoride mouthrinse in addition to fluoride toothpaste offers the opportunity to minimize abrasion of tooth substance.

Acids↗
PubMed2003

The progression of tooth erosion in a cohort of adolescents of mixed ethnicity.

OBJECTIVES: To establish the prevalence of tooth erosion in a sample of 12-year-old children and to monitor changes over the subsequent 2 years. METHODS: A random sample of 1753 children aged 12 years was drawn from all 62 state maintained schools in Leicestershire. A total of 1308 were re-examined 2 years later. Erosion was recorded on incisors and first molars using an erosion index based upon that from the Children's Dental Health in the United Kingdom 1993 survey. A score was also allocated to each subject according to the most advanced lesion in the mouth. RESULTS: Erosion was present in 56.3% of subjects at age 12 and 64.1% at age 14. Deep enamel or dentine was eroded in 4.9% and 13.1% of subjects, respectively, at the same ages. One hundred and sixty-one (12.3%) children who were erosion-free at 12 years of age developed erosion over the subsequent 2 years. Boys had more erosion than girls, as did white compared to Asian children. Associations were found between erosion experience and social deprivation. CONCLUSION: New erosive lesions developed in 12.3% of the subjects between the ages of 12 and 14 years. New or more advanced lesions were seen in 27% of the children over the 2 years of the study. Males, white children and social deprivation were significantly associated with erosion experience.

Adolescent↗
PubMedDate not supplied

Dahl appliances used for the restorative management of localized anterior tooth erosion.

Dahl partial bite-raising appliances have been used over the past 30 years for the management of occlusal tooth tissue loss, particularly in patients who have lost normal occlusal vertical dimension. The more recent use of Dahl-type appliances for individual teeth has changed the restorative management of patients with localized anterior tooth erosion. The Dahl treatment principle can be applied to those patients with and without the loss of occlusal vertical dimension. Palatal bite-raising platforms can be used to re-establish anterior tooth guidance for disocclusion of the posterior teeth without occlusal interferences. The treatment principle is illustrated with clinical cases.

Cuspid↗
PubMed2006

Diagnosis of erosive tooth wear.

The clinical diagnosis 'erosion' is made from characteristic deviations from the original anatomical tooth morphology, thus, distinguishing acid induced tissue loss from other forms of wear. Primary pathognomonic features are shallow concavities on smooth surfaces occurring coronal from the enamel-cementum junction. Problems from diagnosing occlusal surfaces and exposed dentine are discussed. Indices for recording erosive wear include morphological as well as quantitative criteria. Currently, various indices are used making the comparison of prevalence studies difficult. The most important and frequently used indices are described. In addition to recording erosive lesions, the assessment of progression is important as the indication of treatment measures depends on erosion activity. A number of evaluated and sensitive methods for in vitro and in situ approaches are available, but the fundamental problem for their clinical use is the lack of re-identifiable reference areas. Tools for clinical monitoring are described.

Acids↗
PubMed2005

Evaluation of a profilometrical method for monitoring erosive tooth wear.

The in vivo monitoring of erosive wear is difficult because lesions mostly progress relatively slowly and reliable reference points are difficult to obtain. To date, only a few methods for clinical monitoring of erosive loss have been described, which either require extensive equipment or do not provide sufficient sensitivity. The aim of the present study was to evaluate, using study models (epoxy resin material), a procedure that permits the reliable and accurate monitoring of erosive substance loss within acceptable observation periods. The method is the profilometric measurement of erosive tissue loss using acid-resistant markers, which represent both a reference area and a structure for the defined retracing of a given erosive lesion surface. The study model magnified values slightly (2.8%; not significant), the precision was < 4 microm, and the repeatability was good (95% limits of repeatability ranging from -4.7 to 5.2 microm). The estimated detection threshold for erosive loss is 15 microm, which appears to be adequate for monitoring. The method is indicated for special dental care in cases of severe dental erosion (e.g. eating disorders) and for clinical studies.

Dental Enamel↗
PubMed1994

[Variations of pathological tooth loss with special reference to tooth erosion--apropos of a case].

Importance of tooth surface loss has increased in dental practice. It is difficult to determine aetiological factors and the exact diagnosis, because the symptoms are often combined. The aim of the present study was to summarise the most important factors of tooth surface loss, mainly of erosion which is a frequent form. Reviewing the literature aetiological factors, symptoms, differential diagnostic problems and therapeutic advice are discussed. Prevention, early diagnosis and treatment are very important in these patients.

Adult↗
PubMed2004

Tooth erosion caused by chewing aspirin.

BACKGROUND: Although the effects of aspirin on the oral mucosa are well-documented, there is little documentation of the effects of aspirin-chewing on the enamel and dentin. CASE DESCRIPTION: The authors present two cases of patients with damage to their tooth enamel and dentin. Both patients had similiar symptoms, but had not been told that chewing aspirin could harm tooth structure. The authors identify clinical signs and symptoms and discuss ways to prevent erosion. CLINICAL IMPLICATIONS: The common factor in these cases is that aspirin was the only possible cause of the tooth erosion. Dentists should be aware of the effects of aspirin-chewing on tooth structure and advise their patients accordingly.

Adult↗
PubMedDate not supplied

[Tooth erosion].

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Carbonated Beverages↗