Podcast
Questions and Answers
What is the main effect of tooth erosion on the enamel?
What is the main effect of tooth erosion on the enamel?
- It makes the enamel more resistant to acid.
- It has no effect on the enamel.
- It makes the enamel thicker and stronger.
- It weakens the enamel and makes it more susceptible to acid. (correct)
Which of the following is NOT a sign of tooth erosion?
Which of the following is NOT a sign of tooth erosion?
- Deeper enamel pits (correct)
- Grooved incisal edges
- Thinner enamel
- Shiny, smooth tooth surface
What is the primary cause of intrinsic tooth erosion?
What is the primary cause of intrinsic tooth erosion?
- Excessive brushing
- Gastro-oesophageal reflux disease (correct)
- Acidic foods
- Dental hygiene practices
Which teeth are most commonly affected by intrinsic tooth erosion?
Which teeth are most commonly affected by intrinsic tooth erosion?
What is the relationship between hydroxyapatite and tooth erosion?
What is the relationship between hydroxyapatite and tooth erosion?
Why is it important to take a patient's medical history when examining for tooth erosion?
Why is it important to take a patient's medical history when examining for tooth erosion?
What is the main reason why a tooth may appear yellow after experiencing erosion?
What is the main reason why a tooth may appear yellow after experiencing erosion?
What is the primary concern regarding the vulnerability of eroded teeth to physical wear?
What is the primary concern regarding the vulnerability of eroded teeth to physical wear?
What does GORD commonly manifest as in adults?
What does GORD commonly manifest as in adults?
Which of the following beverages is most likely to contribute to tooth erosion?
Which of the following beverages is most likely to contribute to tooth erosion?
What is a recommended practice when consuming carbonated drinks to protect teeth?
What is a recommended practice when consuming carbonated drinks to protect teeth?
What dietary analysis tool is suggested for understanding the causes of tooth erosion?
What dietary analysis tool is suggested for understanding the causes of tooth erosion?
Why should individuals avoid drinking acidic beverages at night?
Why should individuals avoid drinking acidic beverages at night?
What should patients be questioned about if tooth erosion is suspected to be due to an eating disorder?
What should patients be questioned about if tooth erosion is suspected to be due to an eating disorder?
Which ingredient should be checked in sports drinks to ensure they are less harmful to teeth?
Which ingredient should be checked in sports drinks to ensure they are less harmful to teeth?
Which type of drink is considered to be potentially more erosive than regular drinks?
Which type of drink is considered to be potentially more erosive than regular drinks?
What is the natural function of saliva in relation to oral health?
What is the natural function of saliva in relation to oral health?
Which of the following is NOT recommended for patients at risk of tooth erosion?
Which of the following is NOT recommended for patients at risk of tooth erosion?
How long can chewing sugar-free gum stimulate saliva production?
How long can chewing sugar-free gum stimulate saliva production?
What should be considered when analyzing a patient's diet for tooth erosion risk?
What should be considered when analyzing a patient's diet for tooth erosion risk?
Which physiological process in saliva is important for dental health?
Which physiological process in saliva is important for dental health?
Which symptom may indicate tooth erosion related to dietary habits?
Which symptom may indicate tooth erosion related to dietary habits?
What action should dental health therapists (DHTs) routinely take regarding patients' medications?
What action should dental health therapists (DHTs) routinely take regarding patients' medications?
Why is chewing sugar-free gum effective for patients at risk of tooth erosion?
Why is chewing sugar-free gum effective for patients at risk of tooth erosion?
What type of toothbrush is recommended for patients with weakened teeth?
What type of toothbrush is recommended for patients with weakened teeth?
Which brushing technique is advised for patients with sensitive or weakened teeth?
Which brushing technique is advised for patients with sensitive or weakened teeth?
What should patients avoid to prevent further tooth erosion?
What should patients avoid to prevent further tooth erosion?
What is a common side effect that can contribute to tooth erosion?
What is a common side effect that can contribute to tooth erosion?
Why might an electric toothbrush be beneficial for some patients?
Why might an electric toothbrush be beneficial for some patients?
Which layer of the tooth additionally needs consideration due to its vulnerability to abrasion?
Which layer of the tooth additionally needs consideration due to its vulnerability to abrasion?
What aspect should DHTs always verify before advising patients?
What aspect should DHTs always verify before advising patients?
What characteristic of sports drinks was highlighted in the study mentioned?
What characteristic of sports drinks was highlighted in the study mentioned?
What is the primary benefit of fluoride varnish treatment on enamel during acid attacks?
What is the primary benefit of fluoride varnish treatment on enamel during acid attacks?
Which ingredient is recommended for toothpaste to effectively prevent tooth erosion?
Which ingredient is recommended for toothpaste to effectively prevent tooth erosion?
What should dental health professionals (DHTs) do when monitoring tooth wear progression?
What should dental health professionals (DHTs) do when monitoring tooth wear progression?
What alternative tooth care product may be recommended to patients for remineralizing erosive lesions?
What alternative tooth care product may be recommended to patients for remineralizing erosive lesions?
How can dental health professionals assist patients in selecting effective toothpaste?
How can dental health professionals assist patients in selecting effective toothpaste?
What type of records should be taken to monitor changes in teeth effectively?
What type of records should be taken to monitor changes in teeth effectively?
What effect did the fluoride varnish treatment have in the study involving cola drink submersion?
What effect did the fluoride varnish treatment have in the study involving cola drink submersion?
What is the role of DHTs in relation to dental records?
What is the role of DHTs in relation to dental records?
Which of these options are features of tooth erosion?
Which of these options are features of tooth erosion?
What is the primary cause of tooth erosion?
What is the primary cause of tooth erosion?
What type of tooth surface is primarily affected by extrinsic acid erosion?
What type of tooth surface is primarily affected by extrinsic acid erosion?
How does tooth erosion affect the inorganic calcium hydroxyapatite crystal structure?
How does tooth erosion affect the inorganic calcium hydroxyapatite crystal structure?
Which of these is NOT a reason for the increasing prevalence of tooth erosion?
Which of these is NOT a reason for the increasing prevalence of tooth erosion?
Who is primarily responsible for the management of tooth erosion?
Who is primarily responsible for the management of tooth erosion?
What does the term 'attrition' refer to in the context of tooth erosion?
What does the term 'attrition' refer to in the context of tooth erosion?
What is the main focus of preventative care for tooth erosion?
What is the main focus of preventative care for tooth erosion?
Flashcards
GORD
GORD
Gastro-oesophageal reflux disease causing sour taste and heartburn.
Extrinsic acids
Extrinsic acids
Acids introduced to teeth via diet causing erosion.
Diet impact on teeth
Diet impact on teeth
Certain diets increase risk of tooth erosion.
Carbonated drinks
Carbonated drinks
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Four-day diet diary
Four-day diet diary
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Healthy drink additives
Healthy drink additives
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Erosion and diet drinks
Erosion and diet drinks
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Avoiding acidic drinks at night
Avoiding acidic drinks at night
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Carbonate (CO3)
Carbonate (CO3)
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Tooth erosion
Tooth erosion
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Enamel appearance changes
Enamel appearance changes
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Dentin exposure
Dentin exposure
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Demineralisation
Demineralisation
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Acid generation
Acid generation
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Remineralisation
Remineralisation
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Gastro-oesophageal reflux disease (GORD)
Gastro-oesophageal reflux disease (GORD)
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Fluoride Varnish
Fluoride Varnish
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Signs of tooth erosion
Signs of tooth erosion
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Medical history importance
Medical history importance
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Enamel Hardness
Enamel Hardness
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GC Tooth Mousse
GC Tooth Mousse
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Toothpaste Ingredients
Toothpaste Ingredients
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Erosive Lesions
Erosive Lesions
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Dental Records
Dental Records
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Tooth abrasion
Tooth abrasion
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Hard bristled toothbrush
Hard bristled toothbrush
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Dentine layer
Dentine layer
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Modified Bass technique
Modified Bass technique
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Soft toothbrush
Soft toothbrush
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Electric toothbrush
Electric toothbrush
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Tooth erosion causes
Tooth erosion causes
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Dry mouth effects
Dry mouth effects
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Causes of Tooth Erosion
Causes of Tooth Erosion
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Risk Factors
Risk Factors
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Symptoms of Erosion
Symptoms of Erosion
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Dental Hard Tissue Composition
Dental Hard Tissue Composition
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Effect of Acid Attack
Effect of Acid Attack
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Impact of Abrasion
Impact of Abrasion
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Chronic Acid Exposure
Chronic Acid Exposure
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Stimulating saliva flow
Stimulating saliva flow
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Bicarbonates
Bicarbonates
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pH of 5.5
pH of 5.5
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Sugar-free gum
Sugar-free gum
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Diet diary
Diet diary
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DHT (Dietary Health Technicians)
DHT (Dietary Health Technicians)
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Acid reflux evidence
Acid reflux evidence
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Study Notes
Tooth Erosion Management
- Tooth erosion is irreversible tooth surface loss from chronic acid exposure, not bacterial plaque.
- Rising prevalence, especially in younger demographics, linked to increased smoothie and energy drink consumption.
- Key features of erosion include tooth sensitivity, poor aesthetics (enamel wear), exposed dentin (darkened teeth), chipping, and abrasion.
- Tooth surfaces may appear thin, smooth, shiny, and more yellow, with grooved incisal edges.
- Erosion-causing acids can arise intrinsically (stomach acid) or extrinsically (acidic diet). Intrinsically affected surfaces are typically palatal, incisal, and molar occlusal. Extrinsically affected surfaces are often buccal and labial.
- Dental hard tissue primarily consists of inorganic calcium hydroxyapatite crystals.
- Acidic environments weaken these crystals by releasing calcium. Replacement minerals (sodium, magnesium, phosphate, or carbonate), which are less resistant to further acid, weaken the structure.
- Erosion patients require a thorough medical history. Gastroesophageal Reflux Disease (GORD) and eating disorders are important contributors.
- Diet analysis (4-day diary, including weekend consumption details) is essential if medical history is inconclusive.
- Avoid grazing on acidic foods or drinks to minimize frequent exposure.
- Use straws for carbonated and other acidic drinks to minimize tooth contact and to reduce extended acidic exposure in the mouth.
- Avoid acidic drinks at night as saliva flow, which neutralizes acids, is lower.
- Consider sports drink selection; higher calcium, phosphate, and/or fluoride content can reduce erosive potential.
Saliva and Re-mineralization
- Saliva neutralizes acid, maintaining a safe oral pH of around 5.5.
- Saliva bicarbonate and urea act as a buffer, neutralizing acids.
- Chewing sugar-free gum stimulates saliva flow and increases pH.
- Gum chewing benefits oral health by neutralizing acids in food and drinks, and by increasing saliva production for up to two hours, and improves pH after 20 minutes.
Oral Hygiene Recommendations
- Soft-bristled toothbrushes and gentle brushing techniques (modified bass technique) are recommended, especially for those with exposed dentin.
- Electric toothbrushes with pressure sensors can help reduce brushing force.
- Avoid brushing immediately after acidic consumption.
Medical Considerations
- Medication side effects like nausea, vomiting, and dry mouth should be assessed as potential contributing factors for tooth erosion.
- Chemotherapy, codeine-containing pain relievers, and some antidepressants can compromise oral health.
- Effervescent medicines and pregnancy can also lead to acid exposure which contribute to tooth erosion.
Fluoride and Remineralization
- Fluoride incorporation strengthens tooth enamel, making it more resistant to acid erosion by creating a stronger hydroxyapatite crystal.
- Daily fluoride through toothpaste and mouthrinse, or high concentration fluoride toothpaste, is crucial.
- Fluoride mouthrinses further remineralize teeth.
- Patients may be advised to use a high-concentration fluoride toothpaste like Colgate Duraphat 2800 ppm or Duraphat 5000 ppm.
- Fluoride varnishes can apply a high concentration of fluoride directly to vulnerable tooth surfaces.
Professional Remineralizing Products
- Research into products like GC Tooth Mousse (CPP-ACP) containing casein phosphopeptide-amorphous calcium phosphate, may assist in remineralizing eroding lesions.
- These products help remineralize by increasing the bioavailable calcium and phosphate in hydroxyapatite crystals.
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