Passos Vanara F, Melo Mary A S, Park Jennifer, Strassler Howard E
Assistant Professor, Division of Operative Dentistry, Department of Restorative Dentistry, Federal University of Ceará, Fortaleza, Brazil.
Associate Professor, Division of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, Maryland.
Compend Contin Educ Dent. 2019 Feb;40(2):80-86; quiz 87.
Dental erosion is a multifactorial condition associated with chemical, biological, and behavioral factors whereby a non-bacterial chemical process leads to an irreversible loss of dental structure. Consequences of this erosive process include painful sensitivity, susceptibility to further erosion, mechanical wear, changes in occlusion, exposure of dental pulp, and poor esthetics. Substantial evidence has revealed new insights to diagnosing early stages of dental erosion and enabling novel preventive approaches to control its progression. In the context of outpatient medical/dental practice, clinicians often encounter patients with progressive dental erosion. This article summarizes published research in this area of dentistry to suggest guidelines that are clinically oriented but scientifically fundamental. It is aimed at helping clinicians effectively integrate this information into their professional evaluations of dental erosion with regard to diagnosis, risk factors, clinical signs, assessment, and clinical preventive strategies and treatment. Clinicians should address patient diet habits, educate patients on prevalence data, and inform them regarding potential acidic interactions, such as medically induced acidic conditions, that may ultimately lead to tooth destruction. Prevention of dental erosion, including the recognition of initial erosive lesions and the implementation of the early intervention, involves the clinical expertise of both the dentist and physician.
牙齿侵蚀是一种与化学、生物和行为因素相关的多因素病症，其中非细菌性化学过程会导致牙齿结构的不可逆丧失。这种侵蚀过程的后果包括疼痛敏感、易受进一步侵蚀、机械磨损、咬合变化、牙髓暴露和美观度差。大量证据揭示了诊断牙齿侵蚀早期阶段的新见解，并促成了控制其进展的新型预防方法。在门诊医疗/牙科实践中，临床医生经常会遇到牙齿侵蚀进展的患者。本文总结了该牙科领域已发表的研究，以提出具有临床导向但科学基础的指南。其目的是帮助临床医生将这些信息有效地整合到他们对牙齿侵蚀的专业评估中，涉及诊断、风险因素、临床体征、评估以及临床预防策略和治疗。临床医生应关注患者的饮食习惯，向患者传授患病率数据，并告知他们可能最终导致牙齿破坏的潜在酸性相互作用，如医源性酸性状况。预防牙齿侵蚀，包括识别初始侵蚀性病变和实施早期干预，需要牙医和医生双方的临床专业知识。
