Prevention Of Tooth Wear Research Articles

Epidemiology, aetiology and prevention of tooth wear.

Tooth wear is a commonly reported finding globally; however, many patients are unaware of having tooth wear. Identifying early signs of erosion, abrasion or attrition and determining the risk factors contributing to a patient's tooth wear may help to prevent further loss of enamel and dentine in the future. Appropriate prevention should be instigated, or appropriate referral made to other health professionals, when conditions such as gastroesophageal reflux or eating disorders are suspected. This paper presents the epidemiology and aetiological factors for tooth wear, as well as identifying the common clinical presentations of tooth wear. Patient perspectives on tooth wear and preventive techniques that can be utilised are also discussed.

The Prevalence of Tooth Wear in an Adult Population from the Eastern Province of Saudi Arabia.

AimTo assess the prevalence of tooth wear in the Eastern Province of Saudi Arabia in an adult population and to identify potential contributing factors, such as sociodemographic factors.MethodsThis cross-sectional study included adults between 18 and 40 years, seeking routine dental care. A clinical examination using the tooth wear index (TWI) was performed. Each tooth was given a TWI score, followed by classifying participants according to different risk levels. This was followed by a self-administered questionnaire on demographic information and oral hygiene habits. Statistical analyses included univariate, bivariate, as well as multivariate to assess the risk of tooth wear in relation to possible risk factors. The tests used were odds ratios (ORs) with 95% confidence intervals (CIs) and p-values < 0.05 to be statistically significant.ResultsThe prevalence of tooth wear and dentin exposure was 83.5% and 58.8%, respectively, with the mean affected teeth of 1.3 ± 0.6 and 0.2 ± 0.2. Both gender and education level were significantly associated with tooth wear at bivariate and multivariate levels (p < 0.05).ConclusionThe prevalence of tooth wear among sampled adults in this study was high. There was a clear difference in rates of tooth wear for gender and education level. Early identification and prevention of tooth wear will help reduce signs and symptoms in later stages of life.

TOOTH WEAR AND RELATED FACTORS IN PEOPLE OVER 18 YEARS OLD EXAMINED AT HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

Background: Tooth wear leads to many bad consequences such as causing tooth sensitivity, affecting the vitality of the pulp, increasing the risk of tooth decay,… thus reducing the quality of life of the patient. The aims of this study were to investigate prevalence, degree of tooth wear according to Tooth Wear Index (TWI), and to determine related factors to tooth wear. Material and Methods: 298 patients over 18 years old had been examined at Hue Univesity of Medicine and Pharmacy Hospital from November 2016 to April 2017. All of them had stable overall and mental health and there were at least 20 teeth in the mouth. Tooth wear status and degree of tooth wear are evaluated according to TWI. Identifying related factors to tooth wear. Results: Prevalence of tooth wear was 67.1%, the mean tooth wear index was 0.34 ± 0.32. On average, each object had 12.11 worn sufaces. There was a relationship between tooth wear with age (p&lt;0.05), male (p&lt;0.05), improper brushing (p&lt;0.05), using hard toothbrush (p&lt;0.001), alcohol consumption (p&lt;0.05), grinding habit (p&lt;0.001). Conclusions: The prevalance of tooth wear is still quite high. We need to identify related factors for the consultation and prevention of tooth wear. Key words: Tooth wear, related factors

Effect of an experimental mouth rinse containing NaF and TiF4 on tooth erosion and abrasion in situ

ObjectiveThis study compared the effect of an experimental NaF/TiF4 mouth rinse with a commercial tin/F mouth rinse on the prevention of tooth wear in situ. MethodsFifteen subjects took part in this crossover and double-blind study, in which they wore a palatal appliance with 8 bovine teeth samples (4 enamel and 4 root dentine) in each of 3 phases (5 days each). Half of the samples were subjected to erosive challenges, and the other half to erosive plus abrasive challenges. The phases corresponded to the use of 1) Experimental solution containing NaF/TiF4 (189 ppm Ti+4, 500 ppm F−, pH 4.4); 2) commercial solution containing SnCl2/NaF/AmF (800 ppm Sn+2, 500 ppm F−, pH 4.5, Elmex®/GABA, positive control); 3) distilled water (negative control). Erosive challenges were performed using 0.1% citric acid (pH 2.5) for 90 s 4 times per day. The abrasion was done using a toothbrush and slurry of fluoride toothpaste, for 15 s 2 times per day. Thereafter, the subjects rinsed with the tested mouth rinse for 60s. Tooth wear was measured using contact profilometry (μm) and submitted to a two-way RM ANOVA/Bonferroni test (p < 0.05). ResultsNo significant differences were detected between the experimental and the commercial mouth rinses, regardless of the challenge. Both fluoride mouth rinses were able to significantly reduce tooth wear compared to the negative control (p < 0.0001). No significant differences were detected with respect to tooth wear between the challenges (erosion and erosion plus abrasion). ConclusionThe experimental NaF/TiF4 mouth rinse has a similar protective effect to the commercial one against tooth wear in situ. Clinical significanceThe experimental NaF/TiF4 solution protected against tooth wear in situ, regardless of the challenge (erosion or erosion plus abrasion), for both enamel and dentine, similarly to a commercial solution (tin/F-Elmex®) applied for this proposal. This result supports the conduction of clinical trials and a possible application of this solution in the future.

Worning: Tooth Wear Ahead.

While caries, periodontal disease and tooth wear are all largely preventable, current national guidelines on a preventive approach to oral healthcare provision are limited to advice on the prevention of caries and periodontal disease. Unfortunately, there is not yet a large enough body of evidence to develop guidelines on the prevention of tooth wear. As with caries, it is important to distinguish between 'active' and 'arrested' wear both in assessment and care planning. The aim of this article is to highlight the growing importance of early identification of patients who may be at risk of pathological tooth wear, provide an overview of known tooth wear markers, and suggest the development of a system to assess susceptibility to tooth wear.

Prevention. Part 3: prevention of tooth wear.

Non-carious destruction of teeth has been observed in archaeological material from various parts of the world and clearly pre-dates the first appearance of dental caries. Attrition, abrasion and erosion are also described in the classic text of Pindborg on the pathology of the dental hard tissues. Whilst the dental profession, at least in affluent parts of the world, was engaged in diagnosing, treating and later preventing dental caries these other causes of tooth destruction were largely ignored.