Schlueter N, Jaeggi T, Lussi A
Department of Conservative and Preventive Dentistry, Dental Clinic, Justus Liebig University, Giessen, Germany.
Adv Dent Res. 2012 Sep;24(2):68-71. doi: 10.1177/0022034512449836.
Dental erosion is the non-carious dental substance loss induced by direct impact of exogenous or endogenous acids. It results in a loss of dental hard tissue, which can be serious in some groups, such as those with eating disorders, in patients with gastroesophageal reflux disease, and also in persons consuming high amounts of acidic drinks and foodstuffs. For these persons, erosion can impair their well-being, due to changes in appearance and/or loss of function of the teeth, e.g., the occurrence of hypersensitivity of teeth if the dentin is exposed. If erosion reaches an advanced stage, time- and money-consuming therapies may be necessary. The therapy, in turn, poses a challenge for the dentist, particularly if the defects are diagnosed at an advanced stage. While initial and moderate defects can mostly be treated non- or minimally invasively, severe defects often require complex therapeutic strategies, which often entail extensive loss of dental hard tissue due to preparatory measures. A major goal should therefore be to diagnose dental erosion at an early stage, to avoid functional and esthetic impairments as well as pain sensations and to ensure longevity of the dentition.
牙齿侵蚀是由外源性或内源性酸的直接作用引起的非龋性牙体组织丧失。它会导致牙体硬组织丧失，在某些人群中可能较为严重，如患有饮食失调症的人、胃食管反流病患者，以及大量饮用酸性饮料和食用酸性食物的人。对于这些人来说，侵蚀会因牙齿外观改变和/或功能丧失而影响其生活质量，例如，如果牙本质暴露，会出现牙齿过敏。如果侵蚀发展到晚期，可能需要耗费时间和金钱的治疗。反过来，这种治疗对牙医来说是一项挑战，尤其是当缺陷在晚期才被诊断出来时。虽然初期和中度缺陷大多可以采用非侵入性或微创治疗，但严重缺陷往往需要复杂的治疗策略，而这些策略由于预备措施通常会导致大量牙体硬组织丧失。因此，一个主要目标应该是早期诊断牙齿侵蚀，以避免功能和美观受损以及疼痛，并确保牙列的寿命。
