Prevention of erosive tooth wear: targeting nutritional and patient-related risks factors

British Dental Journal
Marília Afonso Rabelo BuzalafDaniela Rios

Abstract

This article provides an overview of the nutritional and patient-related risk factors involved in the aetiology of erosive tooth wear (ETW) and the preventive strategies to counteract them. The first step is to diagnose clinical signs of ETW and to recognise causal factors. Low pH and high buffer capacity of foods/drinks are the major risk factors, while the calcium concentration is the main protective factor. Reduction of frequency of consumption and contact time of erosive foods/drinks with the teeth, use of straws appropriately positioned and consumption of dairy products are advisable. Oral hygiene has a role in the development of ETW, however, postponing toothbrushing is not clinically advisable. In cases of drug abuse, chronic alcoholism, GERD or bulimia, the patient must be referred to a doctor. Immediately after vomiting, patients might be advised to rinse the mouth. Saliva has an important protective role and patients with reduced salivary flow can benefit from the use of chewing gum. Recent studies have focused on improving the protective capacity of the acquired pellicle as well as on the role of protease inhibitors on dentine erosion. However, the degree of evidence for these preventive measures is low. Clinical tri...Continue Reading

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Citations

Feb 15, 2019·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·A LussiT S Carvalho
Apr 3, 2020·Journal of Applied Oral Science : Revista FOB·Ana Clara Correa Duarte SimõesMarília Afonso Rabelo Buzalaf
Sep 16, 2020·Eating and Weight Disorders : EWD·Ana Paula HermontSheyla Márcia Auad
Jul 31, 2020·BMC Oral Health·Tamea Lacerda Monteiro MedeirosRoberta Souza D'Almeida Couto
Nov 11, 2020·Caries Research·Tatiana MartiniMarília Afonso Rabelo Buzalaf

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