Johansson Ann-Katrin, Omar Ridwaan, Carlsson Gunnar E, Johansson Anders
Department of Clinical Dentistry-Cariology, Faculty of Medicine and Dentistry, University of Bergen, 5009 Bergen, Norway.
Int J Dent. 2012;2012:632907. doi: 10.1155/2012/632907. Epub 2012 Mar 7.
Since the mid-1990s, the focus of studies on tooth wear has steadily shifted from the general condition towards the more specific area of dental erosion; equally, a shift has occurred from studies in adults to those in children and adolescents. During this time, understanding of the condition has increased greatly. This paper attempts to provide a critical overview of the development of this body of knowledge, from earlier perceptions to the present. It is accepted that dental erosion has a multifactorial background, in which individual and lifestyle factors have great significance. Notwithstanding methodological differences across studies, data from many countries confirm that dental erosion is common in children and young people, and that, when present, it progresses rapidly. That the condition, and its ramifications, warrants serious consideration in clinical dentistry, is clear. It is important for the oral healthcare team to be able to recognize its early signs and symptoms and to understand its pathogenesis. Preventive strategies are essential ingredients in the management of patients with dental erosion. When necessary, treatment aimed at correcting or improving its effects might best be of a minimally invasive nature. Still, there remains a need for further research to forge better understanding of the subject.
自20世纪90年代中期以来，对牙齿磨损的研究重点已稳步从一般情况转向更具体的牙侵蚀领域；同样，研究对象也从成年人转向儿童和青少年。在此期间，对这种情况的认识有了很大提高。本文试图对这一知识体系的发展进行批判性概述，从早期的认识到目前的情况。人们公认牙侵蚀有多种因素背景，其中个人和生活方式因素具有重要意义。尽管各项研究方法存在差异，但来自许多国家的数据证实，牙侵蚀在儿童和年轻人中很常见，而且一旦出现，进展迅速。显然，这种情况及其后果在临床牙科中值得认真考虑。口腔保健团队能够识别其早期体征和症状并了解其发病机制非常重要。预防策略是管理牙侵蚀患者的重要组成部分。必要时，旨在纠正或改善其影响的治疗最好采用微创性质。不过，仍需要进一步研究以更好地理解该主题。
