What are the mechanisms for erosive tooth wear?

Erosion is the loss or wear of dental hard tissue by acids not caused by bacteria. Erosion may be caused by intrinsic (e.g., acid reflux and excessive vomiting) and/or extrinsic (e.g., diet) factors. Soft drinks, particularly carbonated sodas and sports drinks, appear to be a significant extrinsic cause of erosion.

How is dental erosion diagnosed?

Symptoms of dental erosion When there is advanced dental erosion, the enamel may wear away to reveal the underlying dentine; these areas look like yellow depressions on the tooth surface (see below). Fillings may start to become more prominent if the surrounding tooth surface is dissolving away due to erosion.

Is erosive tooth wear an oral disease?

The impact of dental erosion on oral health is discussed. However, it can be concluded that in most cases dental erosion is best described as a condition, with the acid being of nonpathological origin.

How is dental wear diagnosed?

For dentists, the signs and symptoms that indicate a patient may be suffering from tooth wear and that action is needed include: • Sensitive teeth • Discolouration, including yellowing and loss of shine (where some of the outer enamel layer has been lost) • Rounding due to loss of surface characteristics • Sharp.

How do they fix tooth erosion at the gum line?

Some treatment options are:

Fillings. This can be helpful if it’s getting hard to keep your teeth clean or if you have tooth sensitivity due to exposed nerve endings.
Mouthguard.
Toothpaste.
Orthodontics.

Can you fix tooth erosion?

Unfortunately, there’s no way to “restore” tooth enamel. Enamel doesn’t have living cells, which means there is no way it can repair itself. Any damage done to the enamel on your teeth is permanent. However, while you cannot replace eroded tooth enamel, there are ways you can treat the damaged area.

Can dentist fix erosion?

If you’ve experienced significant enamel erosion, a dentist can help you with a few techniques. The first is called tooth bonding. Bonding is a procedure in which a tooth-colored material known as resin is applied to stained or damaged teeth. The resin can cover up discolorations and protect your tooth.

Is tooth wear reversible?

In the early stages, in which we believe the impact is reversible, dietary or gastric acids cause a partial demineralisation of the enamel. Provided normal levels of saliva and acid clearance the impact is unlikely to lead to tissue loss.

What is normal tooth wear?

But some amount of wear as we age is normal. By “wear,” we mean loss of tooth structure. Wear starts with loss of the hard, translucent enamel that forms the outer covering of teeth, and might, in more serious cases, progress to the softer inner tooth structure known as dentin.

Why are my teeth black at the gum line?

When tartar reaches below the gum line, referred to as subgingival tartar, it tears into the blood vessels located within the gum. When blood pigmentation and proteins mix with tartar, they turn it black.

What causes tooth erosion at gum line?

The two possible causes of wear at the gumline are abrasion and abfraction. Abrasion is caused by overzealous brushing or using a stiff-bristle toothbrush. You may think that scrubbing your teeth gets them extra clean, but you could be damaging your teeth by using too much force.

What is the consensus report on erosive tooth wear?

Carvalho T S, Colon P, Ganss C, et al. Consensus Report of the European Federation of Conservative Dentistry: Erosive tooth wear diagnosis and management. Swiss Dent J 2016;126:342-6.

What can be done about erosive tooth wear?

List treatment strategies for restoring teeth in patients diagnosed with erosive tooth wear. E rosive tooth wear is a multifactorial condition comprising various clinical terms. To help lend insights into this concept, this paper will examine risk factors and management of dental erosion.

Which is the primary clinical manifestation of dental erosion?

Dental erosion is the primary oral clinical manifestation of this condition. 9 Early diagnosis and suppression of refluxed acid through lifestyle changes and medications have been reported to prevent further damage and potential tooth loss.

What happens if you lose a tooth with erosive?

In some cases the extent of wear can be catastrophic with severe loss of tooth tissue, resulting in poor esthetic and functional outcomes. The terminology used by various authors and practitioners in different countries can be confusing; the same processes are not referred to consistently when describing the various elements of tooth wear.

What are the mechanisms for erosive tooth wear? Erosion is the loss or wear of dental hard tissue by acids not caused by bacteria. Erosion may be caused by intrinsic (e.g., acid reflux and excessive vomiting) and/or extrinsic (e.g., diet) factors. Soft drinks, particularly carbonated sodas and sports drinks, appear to be a significant extrinsic…