Presentation
METHODS: We conducted a prospective cohort study of children presenting for pH-MII testing. [ncbi.nlm.nih.gov]
Ion Chromatography (IC) The IC is used to determine the concentration of different anions present in the six cola drinks being tested. [pubmedcentral.nih.gov]
In contrast, the gravimetric method used in the present study is suitable to include all these properties. [journals.plos.org]
In the 1993 national study 1 52% of subjects had erosion present, with 24% having exposed dentine. [nature.com]
Entire Body System
- Weakness
Tooth crowns : A crown can be applied to a tooth in more serious cases of weak enamel. This procedure involves capping the tooth with a new one that will protect the damaged areas. [arizonafamilydental.com]
This is because our teeth are constantly being bathed in a weak acid solution containing carbon dioxide. Eating lots of sour foods or sweets. Dry mouth or low saliva volume. [dentistnewbury.co.uk]
[…] of tooth erosion include: Wearing down of the tooth surfaces due to misalignment Teeth becoming worn due to clenching and grinding Erosion of the enamel due to excessive exposure to acidic foods and beverages Erosion that occurs because of naturally weak [drkellislate.com]
Even flavoured fizzy waters can have an effect if drunk in large amounts, as they contain weak acids which can harm your teeth. [lorneparkdental.com]
- Weight Loss
This is usually a warning sign of the problem in addition to weight loss and fatigue. How Tooth Erosion Differs from Tooth Decay Many people believe that tooth erosion and tooth decay are the same thing. [smilesbymyles.com]
[…] daily living Weight loss or nutrition problems from painful or difficult eating or chewing Tooth loss, which may affect your appearance, as well as your confidence and self-esteem In rare cases, a tooth abscess — a pocket of pus that's caused by bacterial [mayoclinic.org]
Some diets suggest eating several small meals each day to help lose weight or maintain weight loss. But remember that if you snack frequently, no matter what type of food, the acid in the food has more time to damage your teeth. [oralb.com]
The pH and titratable acidity of beverages in our study were similar to values reported by Jensdottir et al [ 15 ], who also found a correlation between weight loss of eroded tooth sections and both pH and titratable acidity. [pubmedcentral.nih.gov]
- Severe Pain
Severe, painful sensitivity. In later stages of enamel erosion, teeth become extremely sensitive to temperatures and sweets. Indentations appear on the surface of the teeth. When enamel erodes, the tooth is more susceptible to decay. [gpdentalpartners.com.au]
Severe, painful sensitivity. In later stages of enamel erosion, teeth become extremely sensitive to temperatures and sweets. You may feel a painful jolt that takes your breath away. Cupping. Indentations appear on the surface of the teeth. [webmd.com]
The patient reported no pain on cold testing and percussion, but a severe pain when probing into the pulp cavity. The oral mucosa was moist, pink, and without lesions. There was no salivary gland enlargement bilaterally. [pubmedcentral.nih.gov]
- Fatigue
This is usually a warning sign of the problem in addition to weight loss and fatigue. How Tooth Erosion Differs from Tooth Decay Many people believe that tooth erosion and tooth decay are the same thing. [smilesbymyles.com]
Did you know lack of water is the number one trigger for daytime fatigue? So next time you feel tired at work or school, don’t reach for a caffeinated beverage, drink water. [wda.org]
[…] dentifrices by means of a soft toothbrush. 6 The role of occlusal forces should also be taken into account. 18 Treatment of occlusal problems (e.g. interferences and bruxism) may be necessary to minimize damage caused by the effect of two-body abrasion and fatigue [dx.doi.org]
- Unconsciousness
Although often brought on by stress, in many cases it is an unconscious action performed during the day and/or whilst asleep. [advanceddentistry.co.uk]
Gastrointestinal
- Vomiting
Bulimia is an eating disorder that's associated with binge eating and vomiting, a source of acid. Frequent vomiting erodes tooth enamel and can lead to cavities. Saliva plays a key role in keeping teeth healthy and strong. [webmd.com]
People who have hiatus hernia or any esophageal problems are also prone to teeth erosion Any other condition which causes frequent vomiting, for example, bulimia, will be harmful for the teeth Prevention Minimizing acid attacks on the enamel are the best [dentagama.com]
These bingeing/vomiting episodes presumably affect oral health. [pubmedcentral.nih.gov]
Patients with eating disorders who self-induced vomiting had more risk of tooth erosion than those patients who did not self-induce vomiting (OR = 19.6, 95%CI = 5.6-68.8). [ncbi.nlm.nih.gov]
- Bulimia Nervosa
EPIDEMIOLOGY OF BULIMIA NERVOSA The eating disorders anorexia nervosa, bulimia nervosa, and their variants affect an estimated 5 million Americans yearly. 22 Although the prevalence of bulimia nervosa is unknown, the prevalence of dieting is very high [pubmedcentral.nih.gov]
One such eating disorder is bulimia nervosa, which has a lifetime prevalence of 1%. [doi.org]
Bulimia nervosa, an increasingly common eating disorder, involves binge eating and subsequent purging behavior. Repeated self-induced vomiting may lead to dental erosion. [ncbi.nlm.nih.gov]
Bulimia nervosa is a condition in which patients make themselves sick so that they lose weight. There are high levels of acid in vomit that can do damage to the tooth enamel. [lorneparkdental.com]
- Nausea
Lee M, Feldman M (1998) Nausea and vomiting. In: Feldman M, Scharschmidt B, Sleisenger M (eds) Sleisenger and Fordstran’s gastrointestinal and liver disease: pathophysiology, diagnosis, management, 6th ed. [dx.doi.org]
Lee M, Feldman M (1998) Nausea and vomiting. In: Feldman M, Scharschmidt B, Sleisenger M (eds) Sleisenger and Fordstran’s gastrointestinal and liver disease: pathophysiology, diagnosis, management, 6th ed. Saunders, Philadelphia,, pp 117–127 57. [pubmedcentral.nih.gov]
Jaw & Teeth
- Tooth Erosion
People who suffer from chronic acid reflux or gastroesophageal reflux disease (GERD): One study found that 11 out of 20 patients with GERD had tooth erosion. SIGNS OF TOOTH EROSION The effects of tooth erosion cannot be reversed. [medfieldsmiles.com]
Preventing Tooth Erosion Tooth erosion can do severe damage to your teeth, but it can also be prevented. [dentistry.about.com]
but they may be causing tooth erosion without you even realizing it. Tooth erosion is the loss of tooth enamel, the hard, protective coating of the tooth which protects the sensitive dentine underneath from acid attack. [ahealthiermichigan.org]
With patient education in mind, we would like to go over the issue of tooth erosion and why patients should take it seriously. What is tooth erosion? Tooth erosion is also known as acidic erosion and dental erosion. [atlantadentistmidtown.com]
- Dental Caries
While the causal relationship between sucrose and dental caries development is indisputable, the relationship between food starch and dental caries continues to be debated and is the topic of this review. [vegsource.com]
In conclusion, excessive intake of soft drinks could cause complex dental consequences including dental erosion and caries. [pubmedcentral.nih.gov]
We recorded the prevalence and severity of tooth erosion, dental caries, and dental enamel hypoplasia. Socioeconomic and habits/dietetic data were collected by a structured questionnaire. [ncbi.nlm.nih.gov]
Dental caries and its association with diet and dental erosion in Libyan schoolchildren. Int J Paediatr Dent. 2012; 22: 68-76. [ Links ] 16. Dugmore CR, Rock WP. A multifactorial analysis of factors associated with dental erosion. [scielo.br]
Fluoride has a marked effect on caries reduction but it has not eliminated caries. This is because although fluoride increases the resistance to dental caries, it does not get rid of the cause of dental caries – dietary sugars. [dx.doi.org]
- Xerostomia
People who have dry mouth (xerostomia): Because saliva plays an important part in neutralizing acids in the mouth, people with dry mouth are more susceptibile to tooth erosion. [medfieldsmiles.com]
Therefore, the production of saliva should be enhanced, especially in patients with hyposalivation or xerostomia. [ncbi.nlm.nih.gov]
[…] for prevention of tooth decay, xerostomia leads to increased caries risk. [aafp.org]
[…] deal of citric and phosphoric acids) Acid reflux disease (GERD) A diet that includes a lot of sugar and starches Fruit juice such as orange juice Medications such as antihistamines and even aspirin Dry mouth (low salivary flow found in those who have xerostomia [webdental.com]
Causes of tooth erosion Excessive soft drink consumption (high level of phosphoric and citric acids) Fruit drinks (some acids in fruit drinks are more erosive than battery acid) Dry mouth or low salivary flow (Xerostomia) Diet (high in sugar and starches [gpdentalpartners.com.au]
- Bruxism
"By treating social anxiety, we will be able to treat bruxism as well." Dr. Winocur is currently researching the effect of post-traumatic stress disorders on sleep and awake bruxism. [medicalxpress.com]
Bruxism – a major cause of worn teeth One of the main factors that can lead to worn down teeth is involuntary tooth grinding or clenching, known as bruxism. [advanceddentistry.co.uk]
Also, brushing teeth behaviour was once a day and bruxism history was present. [casesjournal.biomedcentral.com]
Seek dental advice and treatment for a malocclusion, or if you experience symptoms of bruxism. Learn the first aid basics in the event of a knocked-out tooth. Once your teeth are seriously damaged, lost or destroyed, they won’t grow back. [completedentalworks.com.au]
- Tooth Discoloration
Photo Courtesy of Shawn Marie Watson Tooth erosion can cause mild dental problems, from tooth discoloration to sensitivity to more severe dental problems, such as indentions in the teeth, severe tooth sensitivity, and even cracked teeth. [dentistry.about.com]
The first sign of tooth enamel erosion is sensitive teeth, followed by tooth discoloration. Teeth may also appear rounded or transparent. [1800dentist.com]
Musculoskeletal
- Small Head
Use a small-headed brush with medium to soft bristles. Children up to three years old should use a toothpaste with a fluoride level of at least 1000ppm (parts per million). [dentalhealth.org]
Neurologic
- Stroke
In setting out ways to decrease the burden of chronic diseases such as obesity, type 2 diabetes, cardiovascular diseases (including hypertension and stroke), cancer, dental diseases and osteoporosis, this report proposes that nutrition should be placed [fao.org]
Meta-analysis of periodontal disease and risk of coronary heart disease and stroke. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;95(5):559–569. 3. Xiong X, Buekens P, Fraser WD, Beck J, Offenbacher S. [aafp.org]
The grinding action follows a pattern where commonly the grinding stroke is from centric occlusion (maximum intercuspal position) to eccentric lateral positions ( Fig. 4 ). [nature.com]
Treatment
Seeking treatment for tooth erosion is important to protecting dental health. There are a variety of treatments to repair the damage of tooth erosion. [brownbarandentistry.com]
Treatment of tooth wear Consult a dentist about treatment options to restore enamel. Your treatment will depend on the level of erosion and presence of cavities, and can include crowns, composite fillings or veneers. [bluecourtdental.com]
The loss of tooth structure can require complex and lengthy dental treatment involving fillings, veneers, crowns and potentially root canal treatment. [betterhealth.vic.gov.au]
[…] require remedial treatment of a considerably greater magnitude. [doi.org]
We achieve such excellent results through a combination of advanced cosmetic and restorative dentistry treatments focused on enhancing smile appearance and overall health. [atlantadentistmidtown.com]
Prognosis
The failure to recognize their early signs can compromise a patient's recovery and long-term prognosis. Tooth erosion has been reported as an oral manifestation that might help in the early detection of eating disorders. [ncbi.nlm.nih.gov]
In Part 1 of this series, I discussed attrition, which is potentially the etiologic agent of tooth wear with the poorest long-term prognosis. [speareducation.com]
Rumination syndrome in children and adolescents: diagnosis, treatment, and prognosis. Pediatrics. 2003 ;111: 158 - 162. Google Scholar | Crossref | Medline | ISI 9. Drossman, DA, Corazziari, E, Delvaux, M, eds. [doi.org]
Etiology
This article briefly reviews the etiology, risk factors, and medical management of GERD. The patient presentation describes the rehabilitation of a young adult with GERD who needed multidisciplinary care. [ncbi.nlm.nih.gov]
Etiology of dental erosion-intrinsic factors. Eur J Oral Sciences 1996;104:178-90. Google Scholar 9. Zero D T. Etiology of dental erosion-extrinsic factors. Eur J Oral Sciences, 1996;104:162-77. Google Scholar 10. Savad E N. Enamel erosion. [doi.org]
Epidemiology
Its application should be useful for research into the aetiology, prevention and monitoring of a condition, essentially being an epidemiological and clinical tool. [doi.org]
Study quality was assessed using the STROBE (Strengthening the Reporting of Observational studies in Epidemiology) statement and Newcastle-Ottawa Quality Assessment Scale (NOS). [ncbi.nlm.nih.gov]
The swimming pool water was epidemiologically implicated as the cause, but the mechanism could not be determined (7). [cdc.gov]
Pathophysiology
As both gastric and duodenal reflux occur frequently in individuals suffering from GERD, a combined assessment is important in obtaining a holistic understanding of its pathophysiology [ 38 ]. [pubmedcentral.nih.gov]
Radiation-induced xerostomia: pathophysiology, clinical course and supportive treatment. Support Care Cancer 5: 281 - 288. Google Scholar | Crossref | Medline | ISI Hannig M. ( 1989 ). Pellicular dentis (I). [dx.doi.org]
Prevention
How do I prevent Gum Disease? Gum disease is not curable but it is preventable and controllable. [londonprosthodontics.co.uk]
How to prevent tooth decay Tooth decay can be prevented by practising good dental care. [healthdirect.gov.au]
You do this by preventing them from forming organized colonies. [animated-teeth.com]
Preventing Tooth Erosion Tooth erosion can do severe damage to your teeth, but it can also be prevented. [dentistry.about.com]
You should have your teeth checked regularly by your dentist to prevent the need for tooth enamel restoration. When dental erosion is caught early, your dentist is able to suggest treatment that may prevent further erosion or tooth decay. [bluecourtdental.com]