Strategies for the prevention of erosive tooth surface loss

This article explores the available strategies for protection against erosive toothwear. As part of a preventive regime, the importance of dietary counselling is discussed. Risk factors that render patients susceptible to erosive toothwear need to be identified in early life, if possible, as it may improve their treatment outcome through the instigation of preventive measures. Practical advice and the importance of education regarding timing of toothbrushing following an acid challenge should be given to patients. Availability of fewer erosive beverages may prove acceptable alternatives for some patients, especially where poor compliance is an issue. Some patients may benefit from intra-oral appliances to improve and maintain delivery of fluoride. The importance of fluoride use and of products such as Pronamel/Tooth Mousse aimed at preventing erosive tooth surface loss are discussed.

Erosive toothwear is becoming an increasing problem for patients. Practical preventive measures that can be employed to reduce the amount of erosive toothwear are desirable.