Erosion--chemical and biological factors of importance to the dental practitioner
- PMID: 16167607
- DOI: 10.1111/j.1875-595x.2005.tb00066.x
Erosion--chemical and biological factors of importance to the dental practitioner
Abstract
The intrinsic and extrinsic aetiology factors responsible for dental erosion are well understood as are the chemical events leading the initial mineral dissolution, softening and eventual loss of the dental surface. Of greatest importance are the pH, titratable acidity, phosphate and calcium concentration, fluoride content of the erosive challenge which determines the degree of saturation with respect to the tooth mineral, and thus the driving force for its dissolution. Of the biological modifying factors affecting the erosion process, the protective properties of saliva and its contribution to pellicle formation are considered of greatest importance. Unstimulated salivary flow rate and buffering capacity have been directly associated with dental erosion. The acquired pellicle has been shown to have a protective effect against acid erosion by acting as a diffusion barrier. There is considerable overlap between the aetiology of dental erosion and that of dentinal hypersensitivity. Patient education on the causes and prevention of dental erosion are essential to prevent progression. In addition to reducing or eliminating exposure to acidic soft drinks and juices, modified acid beverages with reduced potential to cause erosion can be recommended to patients. Frequent application of high concentration topical fluoride may be of some benefit in preventing further demineralisation and increase the abrasion resistance of erosion lesions.
Similar articles
-
The role of diet in the aetiology of dental erosion.Caries Res. 2004;38 Suppl 1:34-44. doi: 10.1159/000074360. Caries Res. 2004. PMID: 14685022 Review.
-
Biological factors.Monogr Oral Sci. 2006;20:88-99. doi: 10.1159/000093355. Monogr Oral Sci. 2006. PMID: 16687887 Review.
-
The potential of saliva in protecting against dental erosion.Monogr Oral Sci. 2014;25:197-205. doi: 10.1159/000360372. Epub 2014 Jun 26. Monogr Oral Sci. 2014. PMID: 24993267 Review.
-
Initial erosion models.Caries Res. 2011;45 Suppl 1:33-42. doi: 10.1159/000325943. Epub 2011 May 31. Caries Res. 2011. PMID: 21625131 Review.
-
Dental erosion--an overview with emphasis on chemical and histopathological aspects.Caries Res. 2011;45 Suppl 1:2-12. doi: 10.1159/000325915. Epub 2011 May 31. Caries Res. 2011. PMID: 21625128 Review.
Cited by 25 articles
-
The Effect of Er:YAG Laser Irradiation Combined With Fluoride Application on the Resistance of Primary and Permanent Dental Enamel to Erosion.J Lasers Med Sci. 2019 Fall;10(4):290-296. doi: 10.15171/jlms.2019.47. Epub 2019 Oct 1. J Lasers Med Sci. 2019. PMID: 31875121 Free PMC article.
-
BARIATRIC SURGERY IMPACT ON GASTROESOPHAGEAL REFLUX AND DENTAL WEAR: A SYSTEMATIC REVIEW.Arq Bras Cir Dig. 2019 Dec 20;32(4):e1466. doi: 10.1590/0102-672020190001e1466. eCollection 2019. Arq Bras Cir Dig. 2019. PMID: 31859919 Free PMC article.
-
Randomised study of the effects of fluoride and time on in situ remineralisation of acid-softened enamel.Clin Oral Investig. 2019 Dec;23(12):4455-4463. doi: 10.1007/s00784-019-02900-5. Epub 2019 Apr 17. Clin Oral Investig. 2019. PMID: 30997568
-
Aspirin is associated with low oral pH levels and antacid helps to increase oral pH.BMC Res Notes. 2018 Feb 20;11(1):137. doi: 10.1186/s13104-018-3247-3. BMC Res Notes. 2018. PMID: 29458438 Free PMC article. Clinical Trial.
-
Effect of the carbon dioxide 10,600-nm laser and topical fluoride gel application on enamel microstructure and microhardness after acid challenge: an in vitro study.Lasers Med Sci. 2018 Jul;33(5):1009-1017. doi: 10.1007/s10103-018-2446-4. Epub 2018 Jan 21. Lasers Med Sci. 2018. PMID: 29354864
Publication types
MeSH terms
Substances
LinkOut - more resources
-
Full Text Sources
-
Other Literature Sources
-
Medical