Erosive tooth wear: Diagnosis, risk factors and prevention

Adrian Lussi, Elmar Hellwig, Domenick Zero, Thomas Jaeggi

Research output: Contribution to journalArticle

85 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)319-325
Number of pages7
JournalAmerican Journal of Dentistry
Volume19
Issue number6
StatePublished - Dec 2006

Fingerprint

Tooth Wear
Fluorides
Dental Enamel
Tooth Erosion
Tooth Abrasion
Preventive Health Services
Toothpastes
Diet Records
Dentition
Habits
Motivation
Tooth
Gels
Health

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Lussi, A., Hellwig, E., Zero, D., & Jaeggi, T. (2006). Erosive tooth wear: Diagnosis, risk factors and prevention. American Journal of Dentistry, 19(6), 319-325.

Erosive tooth wear : Diagnosis, risk factors and prevention. / Lussi, Adrian; Hellwig, Elmar; Zero, Domenick; Jaeggi, Thomas.

In: American Journal of Dentistry, Vol. 19, No. 6, 12.2006, p. 319-325.

Research output: Contribution to journalArticle

Lussi, A, Hellwig, E, Zero, D & Jaeggi, T 2006, 'Erosive tooth wear: Diagnosis, risk factors and prevention', American Journal of Dentistry, vol. 19, no. 6, pp. 319-325.
Lussi, Adrian ; Hellwig, Elmar ; Zero, Domenick ; Jaeggi, Thomas. / Erosive tooth wear : Diagnosis, risk factors and prevention. In: American Journal of Dentistry. 2006 ; Vol. 19, No. 6. pp. 319-325.
@article{9d516f2bc6224a1a9870e7d23550d7e0,
title = "Erosive tooth wear: Diagnosis, risk factors and prevention",
abstract = "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.",
author = "Adrian Lussi and Elmar Hellwig and Domenick Zero and Thomas Jaeggi",
year = "2006",
month = "12",
language = "English (US)",
volume = "19",
pages = "319--325",
journal = "American Journal of Dentistry",
issn = "0894-8275",
publisher = "Mosher and Linder, Inc",
number = "6",

}

TY - JOUR

T1 - Erosive tooth wear

T2 - Diagnosis, risk factors and prevention

AU - Lussi, Adrian

AU - Hellwig, Elmar

AU - Zero, Domenick

AU - Jaeggi, Thomas

PY - 2006/12

Y1 - 2006/12

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=33846182579&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33846182579&partnerID=8YFLogxK

M3 - Article

C2 - 17212071

AN - SCOPUS:33846182579

VL - 19

SP - 319

EP - 325

JO - American Journal of Dentistry

JF - American Journal of Dentistry

SN - 0894-8275

IS - 6

ER -