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Risk assessment and preventive measures.

A Lussi1, E Hellwig

  • 1Department of Preventive, Restorative and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland.

Monographs in Oral Science
|May 12, 2006
PubMed
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Diagnosing erosive tooth wear early is crucial for prevention. Identifying risk factors like diet and acid reflux allows for personalized preventive strategies to protect teeth.

Area of Science:

  • Dentistry
  • Oral Health
  • Preventive Medicine

Background:

  • Diagnosing erosive tooth wear is essential for effective preventive measures.
  • Currently, no diagnostic device exists, relying solely on clinical detection.
  • Early diagnosis is critical to prevent the progression of dental erosion.

Purpose of the Study:

  • To highlight the importance of diagnosing erosive tooth wear.
  • To identify key etiological factors for risk assessment.
  • To outline strategies for individually tailored preventive programs.

Main Methods:

  • Clinical detection of erosive defects.
  • Patient recording of dietary intake to assess erosive potential.
  • Evaluation of risk factors including dietary acid exposure and gastric acid regurgitation.

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Main Results:

  • Patients with over four daily acid intakes are at higher risk, especially with habits like holding drinks.
  • Gastric acid regurgitation (reflux, vomiting) is a significant risk factor.
  • Simultaneous occurrence of erosion, attrition, and abrasion necessitates comprehensive assessment.

Conclusions:

  • Early diagnosis and risk factor evaluation are prerequisites for preventing tooth wear.
  • Personalized preventive plans involving dietary changes, fluoride use, and optimized oral hygiene are recommended.
  • Avoiding abrasive cleaning and whitening products is advised to maintain tooth structure integrity.