Division of Comprehensive Oral Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Department of Restorative Dentistry, Universite de Montreal, Montreal, Quebec, Canada.
J Esthet Restor Dent. 2021 Jan;33(1):78-87. doi: 10.1111/jerd.12706. Epub 2021 Jan 6.
This article is aimed at providing an overview of the topic of erosive tooth wear (ETW), highlighting the clinical signs, diagnosis, and management of dental erosion.
With the increased prevalence of ETW, it is important that oral health professionals are able to recognize the early signs. Early clinical signs of dental erosion are characterized by loss of enamel texture, a silky glossy appearance, and sometimes a dulling of the surface gloss, referred to as the "whipped clay effect, cupping, and restorations 'standing proud'." The progression of ETW should be monitored by means of diagnostic models or clinical photographs. ETW can be as a result of acid attack of extrinsic or intrinsic origin.
There is an increase of ETW that is being recognized by the profession. The first step in diagnosing and management is to recognize as early as possible that the process is occurring. At that point a determination of whether the primary etiology is either intrinsic or extrinsic should be made. If these findings are confirmed, appropriate prevention, and management strategies can be adopted followed by appropriate restorative therapy.
The prevalence of ETW continues to increase. It is therefore important that oral health care providers have a better understanding of the etiology, pathophysiology, and management of this condition. This review aims to provide the guidelines for diagnosis and management of dental erosion.
本文旨在概述侵蚀性牙齿磨损（ETW）这一课题，重点介绍牙酸蚀症的临床特征、诊断和处理。
随着 ETW 的发病率不断上升，口腔健康专业人员能够识别早期迹象非常重要。牙酸蚀症的早期临床特征为牙釉质丧失、出现丝滑光泽外观，有时表面光泽会变暗，这种现象被称为“黏土被鞭打后的效果、杯状凹陷和修复体‘突出’”。应通过诊断模型或临床照片来监测 ETW 的进展。ETW 可由外源性或内源性酸攻击引起。
该病症的发病率正在被专业人员所认识。诊断和处理的第一步是尽早识别出该过程正在发生。此时应确定主要病因是内源性还是外源性。如果这些发现得到确认，则可以采用适当的预防和管理策略，并随后进行适当的修复治疗。
ETW 的患病率持续上升。因此，口腔卫生保健提供者更好地了解这种病症的病因、病理生理学和管理非常重要。本综述旨在为牙酸蚀症的诊断和处理提供指导。
