Remember, the frequency plays a higher role in dental erosion than the total intake. Investigation of erosion and abrasion on enamel and dentine. Sometimes a corneal abrasion can lead to corneal erosion. Dental abrasion definition of dental abrasion by medical. The surface effects of erosion and abrasion on dentine with and without a protective layer. This requires awareness of the clinical appearance of erosion compared to other forms of tooth wear. What is the difference between erosion and abrasion. It also includes the proximal surface wear at the contact area because of the physiologic tooth movement 8. A guide to the clinical management of attrition british. Dental erosion can also make any exposed tooth root dentine sensitive to hot, cold or sweet foods and drinks.
Diagnosis and management of dental erosion volume 1 number 1 fall issue, 1999. Preventive measures for tooth wear attrition, abrasion. Reduce highly acidic foods and drinks from your diet and try to keep them to mealtimes. In contextdentistrylangen terms the difference between erosion and abrasion is that erosion is contextdentistrylangen loss of tooth enamel due to nonbacteriogenic chemical processes while abrasion is contextdentistrylangen the wearing away of the surface of the tooth by chewing. Jun 05, 2015 the aetiology of tooth wear is attributed to four causes. Dental abrasion is most commonly seen at the cervical necks of teeth, but can occur in any area, even interdentally from vigorous and incorrect use of dental floss.
Tooth wear has been defined as loss of tooth substance resulting from abrasion, attrition and erosion acting singly or concurrently i. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Abfraction, abrasion, attrition, and erosion request pdf. Your ophthalmologist may treat your corneal abrasion or erosion with certain eye drops or ointment. Early recognition of dental erosion is important to prevent serious irreversible damage to the dentition.
Severe attrition in young patients is usually associated with erosive factors in their diets. The different physiological processes of tooth wear abrasion, attrition and erosion. Dietary erosion is due to food or drink containing a variety of acids such as from citrus and other fruits, fruit juices citric acid, soft drinks, wine and other carbonated drinks carbonic acid and other acids, pickles, vinegar dressings and preserves acetic acid. That enamel softened by erosion is readily susceptible to tooth brush abrasion is not new. Dental attrition aetiology, diagnosis and treatment. Meister, department of periodontics, marquette university, school of dentistry, 604 n 16th st, milwaukee, 53233. The aetiology of tooth wear is attributed to four causes. Similarly, tooth surface that has been softened by erosion or an acid attack is. Notching of incisal edges may be caused by pipe smoking, nuts and seed cracking, nail or thread biting, and hairpin biting which are rarely seen today,15.
Thus, if erosion and bruxism both exist, surface loss due to attrition is faster. Dental erosion involves the chemical dissolution of dental hard tissues without bacterial involvement. Tooth abrasion, erosion and attrition ypo november 11. Tooth wear may present as abfraction, abrasion, attrition, and erosion.
Furthermore, the more recent introduction of the terms abfraction, to designate stressinduced noncarious lesions,2 and corrosion,3 to designate chemical degradation have not resolved this dilemma fully. Dental abrasion can cause small, vshaped ridges on the surface of the teeth that face the cheeks. Advanced methods for characterisation of abrasionerosion resistance of wear protection materials in many fields of industry, abrasion and erosion processes are dominant wear mechanisms that reduce lifetime of costly machine parts. Abrasion is considered to be an abnormal or excessive wearing away of tooth. Conditions like acid reflux, bulimia or excessive vomiting and eating acidic foods can also cause dental abrasion. Hooper s1, west nx, pickles mj, joiner a, newcombe rg, addy m. One sign of dental erosion is the loss of the surface of the tooth, leading to a smooth, shiny appearance. Dental cervical lesions associated with occlusal erosion. A combination of erosion and abrasion or attrition exacerbates wear. The role of erosion, abrasion and attrition in tooth wear.
Erosion of tooth surfaces is mostly the results of too frequent or inappropriate use of carbonated drinks including sparkling water and fruit juices with. Management of non carious lesions attrion, abrasion. It is not uncommon for me to see excessive tooth wear on patients. Management of non carious lesions attrion, abrasion, erosion, abfraction.
The occurrence of these lesions is explored in a sample of south african fossil australopithecine dentitions revealing excessive wear. Dental professionals can help their patients to prevent their tooth wear from. Tooth wear is an irreversible, non carious, destructive process, which results in a functional loss of dental hard tissue. What is the difference between dental attrition, abfraction, erosion and abrasion. Abfraction lesion was described as a wedgeshaped lesion. Definition, diagnosis, prevalence, incidence and chemistry of dental erosion are discussed in the first part of the publication. Dental erosion corresponds to the irreversible loss of tooth tissue surface due to the chemical action of acids, where bacteria are not involved. This video explains the preventive measures for various forms of tooth wear. These conditions can affect the enamel, dentin, or pulp of a tooth. Abfraction, abrasion, attrition, and erosion ronald e. The nomenclature and classification of dental erosion commonly used in the dental literature are summarized.
Files are available under licenses specified on their description page. Tooth wear can be a serious dental problem but the good news is that for the most part it is preventable. The condition of dental erosion is defined as acidrelated loss of tooth structure which does not involve microorganisms. Tooth abrasion, erosion and attrition refer mainly to the loss of tooth structure not caused by tooth decay. These are attrition, abrasion, erosion and abfraction. Attrition, erosion, and abrasion result in alterations to the tooth and manifest as tooth wear.
The friction caused by the teeth rubbing against one another can wear away the biting surfaces of the teeth over time. Acid erosion has been implicated in the initiation and progress of the cervical lesion, while toothbrush abrasion has long been held as the prime cause of cervical abrasion. When wear is due to more than one predominant etiological factor, special terms have been suggested to highlight the multiplicity of causes. Abstract dental wear caused by abfraction and attrition is indicative of eccen tric bruxism. This page was last edited on 12 february 2019, at 09. Research on erosion has expanded in recent years to the broader condition of erosive tooth wear etw which also factors in the effects of attrition and abrasion. In order to learn more about tooth abrasion, erosion and attrition, it is important to understand normal tooth anatomy. It is very important that the multifactorial nature of tooth wear and the risk factors of attrition, erosion, abrasion, and abfraction are. Erosion is generally considered to be the most prevalent cause of tooth wear in the uk and europe. Abrasion is caused by rubbing against foreign objects and erosion is induced by chemical components. Enamel erosion by soft drinks with and without abrasion. Attrition, abrasion, corrosion and abfraction revisited.
Grooved and restored cervical lesions were uncommon. Dentistry discussed the problematic aetiology of what he termed erosions and stated that our information. What is the difference between dental attrition, abfraction. Dental abrasion is the condition where any friction from any foreign element causes the erosion of the tooth enamel. Dental attrition is a form of dental wear caused by tooth on tooth contact. Throughout the years, the dental profession has held a variety of theories about the causes of tooth wear, including chemical wasting of the teeth, the effects of tooth brushing, and lateral forces. The prevalence of tooth surface loss is increasing. The causes of tooth surface lesions henceforth proposed are classified as attrition. The overall goals of this article are to provide an overview of the causes, risk factors, diagnosis and prevention of dental. Dental erosion and medical conditions an overview of. It is well established that the most common cause of attrition is bruxism. The survival of direct composite restorations in the management of severe tooth wear including attrition and erosion. Abrasion and attrition oral and maxillofacial pathology.
It can happen with all ages but is more common in older patients. Acids that cause dental erosion originate mainly from the diet or the stomach and, to a lesser extent, the environment. Non carious tooth wear attrition, abrasion, abfraction, erosion clinical appearance, diagnosis duration. Erosion, abrasion, and resorption oral and maxillofacial pathology. Tooth wear, tooth abrasion, tooth attrition and tooth erosion. Dear all, it is clear that corrosion is a wear caused by chemical action. Tooth decay may also be present, and in severe cases, tooth loss may occur. Attrition is defined as the loss of enamel, dentin, or restoration by tooth to tooth contact 1 fig. Effective prevention of dental erosion includes measures that can avoid or reduce direct contact with acids, increase acid resistance of dental hard tissues and minimize toothbrushing abrasion. Erosion is the progressive loss of tooth substance by chemical or acid dissolution, and no bacteria are involved. Erosion and abrasion are also wears, but both are caused by physical activities. Dental brushing, friction with exogenous agents and harmful habits were reported as pertaining to the etiological agent of this lesion.
Dental attrition and abfraction are caused by bruxing, but the damage occurs at different points of the teeth. Although some degree of attrition is often observed as part of the aging process, some people may experience more rapid and advanced attrition as a. Early detection of tooth wear is of utmost important for the prevention of serious irreversible damages to an individuals dentition. Cervical, abfraccion, biomecanica, tensiones dentales.
All structured data from the file and property namespaces is available under the creative commons cc0 license. The dental abrasion process can be further stimulated and accelerated through the effects of dental acid erosion. The greatest added loss of enamel from tooth brush abrasion over an hour, to. Adrian lussi the multifactorial etiological pattern of erosive tooth wear is emphasized and is a strand connecting the different chapters of the book. Abrasion is caused by rubbing against foreign objects and erosion. With the presence of noncarious cervical loss due to abrasion, this may lead to consequences and symptoms such as increased tooth sensitivity to hot and cold, increased plaque trapping which will result in caries and periodontal disease, difficulty of dental appliances such as. Interpretation of the nature of the dietary components causing such wear in the absence of carious erosion provides insight into the ecology of the. The primary dental care team has the expertise and the responsibility to provide this care for their patients with erosion. Differences were appreciated in the associations within incisor, canine, premolar and molar tooth sites which related more to the sitespecificity of dental erosion than to attrition from occlusal forces. Erosion softens the dental hard tissues making them more susceptible to attrition. Advanced methods for characterisation of abrasionerosion.
Home medical reference and training manuals abrasion and attrition oral and maxillofacial pathology. It can manifest as abrasion, attrition, abfraction and erosion. Brushing your teeth vigorously can cause dental abrasion and weaken the tooth s outer layer. Furthermore, the more recent introduction of the terms abfraction, to designate stressinduced noncarious lesions,2 and corrosion,3 to designate chemical degradation have. Meister is associate professor, department of periodontics, marquette university, school of dentistry. Wear resistance against abrasion andor impact or the ability to withstand other. The teeth most frequently affected by dental abrasion were premolars and molars. Management of non carious lesions attrion, abrasion, erosion, abfraction 38,646 views. Relative dentin abrasivity rda is a standardised measurement of the abrasive effect that the components of the toothpaste have on a tooth. Depending on the origin of the acid, extrinsic usually caused by acids in food and intrinsic caused by endogenous acid erosion can be distinguished. The london tooth wear centre is a specialist referral practice in central london offering an evidencebased approach to managing patients with tooth surface loss resulting from abrasion, attrition and erosion. Endodontic involvement resulting from dental abrasion or erosion frank meister, jr. Each classification acts through a distinct process that is associated with unique clinical. The classic dental texts3 organise the subject of occlusal wear into three categories.
Endodontic involvement resulting from dental abrasion or erosion. The presence and severity of erosive defects depend on various parameters such as nutrition, saliva, general diseases. The worn dentition pathognomonic patterns of abrasion. Both conditions are painful and make your vision blurry or hazy. Are these same and can be used interchangeably or are different. In contextmedicinelangen terms the difference between erosion and abrasion. It has become a common condition worldwide, especially in children, affected by the high consumption of acidic and carbonated drinks. In later stages of dental erosion, teeth begin to crack off and become coarse. Abrasion and attrition are sources of physical wear and are commonly associated with tooth brushing and tooth to tooth contact, respectively. Enamel that has been damaged by abfraction is more likely to be affected by erosion or abrasion. To treat the injury, the wound should be washed, a mild antiseptic or.
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