Podcast
Questions and Answers
What does gastro-oesophageal reflux disease (GORD) commonly lead to?
What does gastro-oesophageal reflux disease (GORD) commonly lead to?
Which of the following is NOT a principal cause of gastro-oesophageal reflux?
Which of the following is NOT a principal cause of gastro-oesophageal reflux?
Which symptom is most commonly associated with GORD?
Which symptom is most commonly associated with GORD?
What percentage of adults in Europe were reported to be affected by GORD according to a 2014 systematic review?
What percentage of adults in Europe were reported to be affected by GORD according to a 2014 systematic review?
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What characterizes 'silent refluxers'?
What characterizes 'silent refluxers'?
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Which factor is considered to increase gastric pressure, contributing to GORD?
Which factor is considered to increase gastric pressure, contributing to GORD?
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In patients with GORD, what correlating factor is linked to increased prevalence of dental erosion?
In patients with GORD, what correlating factor is linked to increased prevalence of dental erosion?
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What is a major consequence of prolonged gastro-oesophageal reflux?
What is a major consequence of prolonged gastro-oesophageal reflux?
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What is the primary aim of the guideline discussed?
What is the primary aim of the guideline discussed?
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What methodology was used to develop the guideline?
What methodology was used to develop the guideline?
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What percentage approval was required from the working group for a recommendation to be included in the guideline?
What percentage approval was required from the working group for a recommendation to be included in the guideline?
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What has epidemiological studies indicated about the prevalence of dental erosion in children?
What has epidemiological studies indicated about the prevalence of dental erosion in children?
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Which groups were involved in the final approval of the guideline?
Which groups were involved in the final approval of the guideline?
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What is suggested by the wide variation in global prevalence rates for dental erosion?
What is suggested by the wide variation in global prevalence rates for dental erosion?
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What funding model supports the Faculty of Dental Surgery?
What funding model supports the Faculty of Dental Surgery?
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What aspect does the guideline aim to address for both children and adults?
What aspect does the guideline aim to address for both children and adults?
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Which group of workers is considered to have an increased risk for dental erosion due to exposure to acids?
Which group of workers is considered to have an increased risk for dental erosion due to exposure to acids?
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Which of the following factors is considered a rare cause of erosive toothwear?
Which of the following factors is considered a rare cause of erosive toothwear?
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What is a common characteristic of erosive toothwear on the occlusal surface?
What is a common characteristic of erosive toothwear on the occlusal surface?
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Which area is primarily affected by extrinsic acids contributing to dental erosion?
Which area is primarily affected by extrinsic acids contributing to dental erosion?
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What should be done to facilitate the diagnosis of erosive wear?
What should be done to facilitate the diagnosis of erosive wear?
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What happens to the dentine as dental erosion progresses?
What happens to the dentine as dental erosion progresses?
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What visual change may be observed at the incisal edges due to erosive wear?
What visual change may be observed at the incisal edges due to erosive wear?
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How may the occlusal morphology be affected in advanced stages of dental erosion?
How may the occlusal morphology be affected in advanced stages of dental erosion?
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What is important to ensure when adopting a new clinical approach for dental erosion?
What is important to ensure when adopting a new clinical approach for dental erosion?
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What function do patient information leaflets serve?
What function do patient information leaflets serve?
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What is a recommended practice for monitoring dental erosion?
What is a recommended practice for monitoring dental erosion?
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What is the primary use of good quality study casts in the context of dental erosion?
What is the primary use of good quality study casts in the context of dental erosion?
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What is a challenge in monitoring dental erosion in children?
What is a challenge in monitoring dental erosion in children?
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What does a silicone putty impression help assess in adults?
What does a silicone putty impression help assess in adults?
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What grading system is referred to in the Basic Erosive Wear Examination?
What grading system is referred to in the Basic Erosive Wear Examination?
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What issue may arise from utilizing a putty index at follow-up appointments?
What issue may arise from utilizing a putty index at follow-up appointments?
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What types of drinks are generally considered to be non-acidic?
What types of drinks are generally considered to be non-acidic?
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Which of these beverages is specifically mentioned as having a high erosive potential?
Which of these beverages is specifically mentioned as having a high erosive potential?
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What is a behavior that significantly increases the risk of erosive tooth wear?
What is a behavior that significantly increases the risk of erosive tooth wear?
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Which type of food is NOT mentioned as having erosive potential?
Which type of food is NOT mentioned as having erosive potential?
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How do warming beverages affect their erosive potential?
How do warming beverages affect their erosive potential?
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What type of beverages did in vitro studies show promise in reducing erosive potential?
What type of beverages did in vitro studies show promise in reducing erosive potential?
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Which of the following is considered an intrinsic agent of erosion related to alcohol consumption?
Which of the following is considered an intrinsic agent of erosion related to alcohol consumption?
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Which of the following foods is indicated as having erosive potential as well?
Which of the following foods is indicated as having erosive potential as well?
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What is the primary risk factor for erosive toothwear progression?
What is the primary risk factor for erosive toothwear progression?
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How does the consumption of dietary acids between meals affect tooth erosion risk?
How does the consumption of dietary acids between meals affect tooth erosion risk?
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Which of the following beverages is noted for its high erosive potential?
Which of the following beverages is noted for its high erosive potential?
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What demographic is particularly at risk from the erosion effects of soft drinks and fruit juices?
What demographic is particularly at risk from the erosion effects of soft drinks and fruit juices?
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Which dietary pattern is crucial for preventing erosive toothwear during formative years?
Which dietary pattern is crucial for preventing erosive toothwear during formative years?
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What factor is NOT considered a co-factor influencing the relationship between dietary acids and erosion?
What factor is NOT considered a co-factor influencing the relationship between dietary acids and erosion?
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How much of the added sugars in the diet of 11-12-year-old children are provided by soft drinks?
How much of the added sugars in the diet of 11-12-year-old children are provided by soft drinks?
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What characteristic of fruit juices contributes to their potential for dental erosion?
What characteristic of fruit juices contributes to their potential for dental erosion?
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Flashcards
Dental Erosion Guidelines
Dental Erosion Guidelines
Guidelines describing the diagnosis, prevention, and management of dental erosion.
Conflict of Interest
Conflict of Interest
Disclosure stating no funded contributors to the guidelines.
Evidenced-Based Literature
Evidenced-Based Literature
Research-backed content used to inform dental erosion management.
Modified Delphi Methodology
Modified Delphi Methodology
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Prevalence in Deciduous Teeth
Prevalence in Deciduous Teeth
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Prevalence in Permanent Teeth
Prevalence in Permanent Teeth
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Global Prevalence Variation
Global Prevalence Variation
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Stakeholders in Guidelines
Stakeholders in Guidelines
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Gastro-oesophageal reflux disease (GORD)
Gastro-oesophageal reflux disease (GORD)
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Signs of GORD
Signs of GORD
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Silent refluxers
Silent refluxers
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Causes of GORD
Causes of GORD
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Dental erosion
Dental erosion
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Extra-oesophageal symptoms
Extra-oesophageal symptoms
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GORD prevalence
GORD prevalence
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Pathological GORD diagnosis
Pathological GORD diagnosis
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Acidic Beverages
Acidic Beverages
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Dietary acid intake
Dietary acid intake
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Erosive Potential
Erosive Potential
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Fruit Flavoured Teas
Fruit Flavoured Teas
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Erosive toothwear progression
Erosive toothwear progression
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Constant Sipping
Constant Sipping
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Risk factors for dental erosion
Risk factors for dental erosion
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Hard bristled toothbrush
Hard bristled toothbrush
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Citrus Fruits
Citrus Fruits
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Alcoholic Drinks
Alcoholic Drinks
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Soft drinks and dental erosion
Soft drinks and dental erosion
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Intrinsic vs Extrinsic Agents
Intrinsic vs Extrinsic Agents
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Fruit juices and dental erosion
Fruit juices and dental erosion
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Covert Acids
Covert Acids
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Infant dental health risks
Infant dental health risks
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Preventative measures for toothwear
Preventative measures for toothwear
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Dental erosion risk factors
Dental erosion risk factors
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Occupational exposure
Occupational exposure
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Common affected areas
Common affected areas
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Intrinsic acids
Intrinsic acids
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Extrinsic acids
Extrinsic acids
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Signs of dental erosion
Signs of dental erosion
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Erosive toothwear diagnosis
Erosive toothwear diagnosis
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Preventive strategies
Preventive strategies
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Restoration Necessity
Restoration Necessity
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Patient Information Leaflets
Patient Information Leaflets
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Erosion Monitoring
Erosion Monitoring
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Quality Study Casts
Quality Study Casts
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Silicone Putty Impression
Silicone Putty Impression
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Putty Index
Putty Index
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Basic Erosive Wear Examination
Basic Erosive Wear Examination
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Erosion Grading System
Erosion Grading System
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Study Notes
Clinical Guidelines for Dental Erosion
- Purpose: This document provides clinical guidelines for diagnosing, preventing, and managing dental erosion.
- Target Audience: The entire dental team, and other healthcare providers involved in patient care.
- Conflict of Interest: No contributors or reviewers were paid for their work on the guidelines.
- Aim & Objectives: To describe and explain the diagnosis, prevention and management of dental erosion in children and adults, providing evidenced-based information for patients and caregivers.
Prevalence
- Global Prevalence: Dental erosion is a common problem in developed countries, with an average prevalence of deciduous teeth between 30-50% and permanent teeth between 20-45%.
- Variations: Differences in prevalence are due to variations in study methodologies, sample sizes, and study populations.
- Age & Sex Differences: Prevalence of dental wear tends to increase with age, particularly in younger adults. Sex differences aren't consistently confirmed, though some studies suggest a higher prevalence in males.
- Primary Teeth: Children's primary teeth are more prone to faster erosive tooth wear than permanent teeth.
- Preschool Children: Prevalence and severity of erosive toothwear increases in preschool populations.
Aetiology
- Definition: Dental erosion is the irreversible loss of tooth structure caused by acid dissolution.
- Intrinsic Sources: Gastric acid, from gastroesophageal reflux disease (GERD), vomiting, or rumination, is a significant source of intrinsic acids.
- Extrinsic Sources: Dietary (acidic foods and beverages, including carbonated drinks, fruit juices, certain fruits, and alcoholic beverages), and lifestyle factors.
Presentation and Diagnosis
- Characterised Loss: Loss of tooth structure, shape, and morphology.
- Clinical Features: May involve enamel loss, often beginning at the cervical margin, and can reveal dentine (leading to hypersensitivity) and further erosion progresses; may include concavities, hollows, and other morphological changes.
- Radiographic Evaluation: Radiographs can reveal thickness loss in affected areas.
Management: Preventative Treatment
- Early Intervention: Prevention and early intervention are key to reducing the need for extensive treatment later.
- Reducing Modifiable Factors: Identify and reduce extrinsic acid exposure.
- Monitoring and Recording: Track erosion progression or arrest.
- Dietary Analysis: Conduct a thorough assessment of 3-day eating habits, including beverages.
- Dietary Counselling Discuss dietary changes with patients and encourage the health benefits of a balanced diet, including fruit and vegetables.
- Oral Hygiene: Recommend appropriate oral hygiene practices to remove plaque and encourage remineralization.
Management: Restorative Treatment
- Primary Dentition: Focus on symptomatic relief and minor restorative interventions where necessary.
- Mixed Dentition: Emphasise conservative management, using bonding agents and composite resins to restore affected areas.
- Permanent Dentition: Consider more extensive restorations if indicated. Assess for space creation strategies, if needed.
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Description
This quiz explores clinical guidelines for diagnosing, preventing, and managing dental erosion, aimed at dental professionals and healthcare providers. It outlines the prevalence of dental erosion globally and discusses variations based on age and sex differences. Perfect for anyone involved in patient care and dental health.