What’s dental erosion?

Erosion is the lack of tooth enamel brought on by acid assault. Enamel is the exhausting, protecting coating of the tooth, which protects the delicate dentine beneath. When the enamel is worn away, the dentine beneath is uncovered, which can result in ache and sensitivity.

How do I do know I’ve dental erosion?

Erosion often reveals up as hollows within the tooth and a normal carrying away of the tooth floor and biting edges. This will expose the dentine beneath, which is a darker, yellower color than the enamel. As a result of the dentine is delicate, your tooth can be extra delicate to warmth and chilly, or acidic meals and drinks.

What causes dental erosion?

Each time you eat or drink something acidic, the enamel in your tooth turns into softer for a short time, and loses a few of its mineral content material. Your saliva will slowly cancel out this acidity in your mouth and get it again to its pure steadiness. Nonetheless, if this acid assault occurs too typically, your mouth doesn’t have an opportunity to restore itself and tiny bits of enamel could be brushed away. Over time, you begin to lose the floor of your tooth.

Are there any medical issues which may trigger dental erosion?

Bulimia is a situation the place sufferers make themselves sick in order that they drop a few pounds. As a result of there are excessive ranges of acid within the vomit, this could trigger harm to tooth enamel.

Acids produced by the abdomen can come up into the mouth (that is referred to as gastro-oesophageal reflux). Folks affected by hiatus hernia or oesophageal issues, or who drink an excessive amount of alcohol, might also discover they undergo from dental erosion resulting from vomiting.

Can my eating regimen assist forestall dental erosion?

Acidic meals and drinks may cause erosion. Acidity is measured by its ‘pH worth’, and something that has a pH worth decrease than 5.5 is extra acidic and may hurt your tooth.

Fizzy drinks, sodas, pops and carbonated drinks may cause erosion. It is very important do not forget that even the ‘eating regimen’ manufacturers are nonetheless dangerous. Even flavoured fizzy waters can have an impact if drunk in massive quantities, as they comprise weak acids which may hurt your tooth.

Acidic meals and drinks akin to fruit and fruit juices – notably citrus ones together with lemon and orange – comprise pure acids which could be dangerous to your tooth, particularly you probably have numerous them typically.

‘Alcopops’, ‘coolers’ and ‘designer drinks’ that comprise acidic fruits and are fizzy may cause erosion too.

Plain, nonetheless water is the most effective drink for tooth. Milk can also be good as a result of it helps to cancel out the acids in your mouth.

Are sports activities drinks protected?

Many sports activities drinks comprise components that may trigger dental erosion in addition to decay. Nonetheless, it’s important for athletes to keep away from dehydration as a result of this could result in a dry mouth and bad breath.

What can I do to stop dental erosion?

There are a variety of issues you are able to do:

  • Have acidic meals and drinks, and fizzy drinks, sodas and pops, simply at mealtimes. This can cut back the variety of acid assaults in your tooth.
  • Drink rapidly, with out holding the drink in your mouth or ‘swishing’ it round your mouth. Or use a straw to assist drinks go to the again of your mouth and keep away from lengthy contact together with your tooth.
  • End a meal with cheese or milk as it will assist cancel out the acid.
  • Chew sugar-free gum after consuming. This can assist produce extra saliva to assist cancel out the acids which kind in your mouth after consuming.
  • Watch for no less than one hour after consuming or consuming something acidic earlier than brushing your tooth. This offers your tooth time to construct up their mineral content material once more.
  • Brush your tooth final thing at evening and no less than one different time through the day, with fluoride toothpaste. Use a small-headed brush with medium to comfortable bristles.
  • Youngsters as much as three years previous ought to use a toothpaste with a fluoride stage of no less than 1000ppm (elements per million). Three-year-olds to adults ought to use a toothpaste that accommodates 1350ppm to 1500ppm. 
  • Spit out after brushing and don’t rinse, in order that the fluoride stays in your tooth longer.

Ought to I take advantage of every other particular merchandise?

In addition to utilizing a fluoride toothpaste, your dental group might counsel you employ a fluoride-containing mouthwash and have a fluoride varnish utilized no less than each six months. They might additionally prescribe a toothpaste with extra fluoride in it.

How can or not it’s handled?

Dental erosion doesn’t at all times should be handled. With common check-ups and recommendation your dental group can forestall the issue getting any worse and the erosion going any additional. If a tooth does want remedy, it is very important shield the enamel and the dentine beneath to stop sensitivity.

Normally, merely bonding a filling onto the tooth will likely be sufficient to restore it. Nonetheless, in additional extreme circumstances the dentist might have to suit a veneer.

How a lot will the remedy value?

Prices will fluctuate, relying on the kind of remedy you want.

It is very important speak about all of the remedy choices together with your dental group and get a written estimate of the associated fee earlier than beginning remedy.


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References

An investigation into the consequences of sport complement drinks on dental well being. R Kidner, Dental Well being Vol 42 No 2 of 6 March.

Dental erosion – altering prevalence? A overview of British nationwide kids’s surveys. J Nunn and others, Worldwide Journal of Paediatric Dentistry, Quantity 13, Concern 2, Web page 98, March 2003.

Dental Erosion and Acid Reflux Illness. Schroeder and others, Annals of Inside Medication, 1 June 1995; 122: pages 809-815.

Picture of dental erosion – By Финитор – https://commons.wikimedia.org/w/index.php?curid=28614780