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Introduction Causes Signs and Diagnosis Preventing Tooth Wear

Preventing Tooth Wear

Early intervention is key. Increased vigilance during routine examinations together with lifestyle advice can slow the progression of symptoms.1

Due to the range of potential causes, options for tackling tooth wear should ideally be tailored to an individual's circumstances. Ask the patient whether they swish carbonated drinks around their mouth or retain food or drinks in their mouth for extended periods. Enquire after tooth-brushing habits, and possible gastric conditions involving heartburn (esophageal reflux).1

Once clinical examination has identified the key factors, and a differential diagnosis of tooth wear has been made, recommendations may include:2

  • Reduce or eliminate intake of carbonated drinks2

  • Cease retaining acidic foods and drinks inside the mouth2

  • Chew sugar-free gum, suck a sugar-free lozenge or eat a piece of cheese after an acidic meal, to encourage saliva and protect enamel2

  • Leave brushing of teeth for at least one hour after consuming acidic food or drink2

  • Brush with a soft toothbrush, using a low-abrasion, low-acidity, high-fluoride dentifrice2



Sources:

  1. Lussi A. "Erosive Tooth Wear- A Multifactorial Condition of Growing Concern and Increasing Knowledge." Monogr Oral Sci. Basel, Karger, 2006, 20, 1-8.
  2. Bartlett, DW. "The role of erosion in tooth wear: aetiology, prevention and management." Int Dent J. (2005) 55, 277-264.



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