SlideShare a Scribd company logo
1 of 28
Download to read offline
Dental Erosion , Senstivity
Introduction
• Dental Erosion also known as Acid Erosion is a type of tooth
wear. It is the loss of dental hard tissue caused by intrinsic or
extrinsic acid that is not produced by bacteria.
• Dental erosion does not begin as a subsurface enamel lesion
that is conducive to remineralization, as in the caries process.
It is often widespread and may involve the entire dentition.
• Dental hard tissue loss associated with erosion is almost
always complicated by other forms of tooth wear such as
attrition and abrasion.
• Dental erosion results in tooth surface softening, which
inevitably accelerates tissue loss caused by tooth-to-tooth
contact while chewing and grinding (attrition) or by abrasive
wear while mechanically brushing or cleaning tooth surfaces
(abrasion).
• At Dr.Sachdeva’s Dental Clinic, we tell our patients that if
Dental Erosion is not managed effectively, it may result in
substantial loss of enamel and subsequent exposure of the
underlying dentin, which can, in turn, lead to dentin
sensitivity, loss of vertical height and esthetic problems.
What is dental erosion?
• Dental Erosion is the loss of tooth enamel caused by acid
attack.
• Enamel is the hard, protective coating of the tooth, which
protects the sensitive dentine underneath.
• When the enamel is worn away, the dentine underneath is
exposed, which may lead to pain and sensitivity.
Besides erosion, other types of tooth wear can be described:
 Attrition: This type of tooth wear is caused by natural tooth-
to-tooth friction. This can happen while clenching or grinding
your teeth, for example in cases of bruxism, which often
occurs involuntarily during sleep.
 Abrasion: This is physical wear and tear of the tooth surface
that happens with brushing teeth too hard or using an
improper toothbrush, improper flossing or biting on hard
objects (such as fingernails, bottle caps, or pens).
• Abfraction: Is a theoretical concept explaining a loss of tooth
structure not caused by tooth decay (non-carious cervical
lesions). It is suggested that these lesions are caused by forces
placed on the teeth during biting, eating, chewing and
grinding; the enamel, especially at the cementoenamel
junction (CEJ), undergoes large amounts of stress, causing
micro fractures and tooth tissue loss.
What causes Dental Erosion?
Dental Erosion is caused by sustained direct contact between
tooth surfaces and acidic substances;
1. Acidic foods and drinks
• The most common cause of dental erosion is due to acidic
foods and drinks.
• Drinks low in pH levels that cause dental erosion include fruit
juices (mainly orange and apple), sports drinks, wine, beer
and carbonated drinks (such as colas or lemonades).
Dental Erosion , Senstivity
• A diet high in sugars can also cause erosion.
• Frequency rather than total intake of acidic juices or foods is
seen as the greater factor in dental erosion.
• Saliva acts as a buffer, regulating the pH when acidic drinks
are ingested and protecting the enamel from demineralization
(which is the loss of its mineral content).
• However, if acid attacks happen too often, the buffering
capability of saliva decreases and the enamel does not have a
chance to repair itself. Over time, you start to lose the surface
of your teeth.
Dental Erosion , Senstivity
2. General conditions
• People with bulimia or gastro esophageal reflux disease
(GERD) are all at higher risk of dental erosion because the
gastric acid from the stomach comes into contact with the
teeth.
• For example, bulimia is a condition where patients make
themselves sick so that they lose weight.
• Frequent vomiting erodes tooth enamel and can lead to
cavities.
3. Other causes
• Other causes include:
• A number of medications such as vitamin C, aspirin or
antihistamines
• Dry mouth or low salivary flow (also known as xerostomia),
because the buffering capability of saliva is not present to
counterbalance the acidic environment
• Genetic or inherited conditions
• Environmental factors such as friction, wear and tear, stress
etc.
Signs of Erosion
Recognizing erosion signs is an important first step in solving the
problem. We at Dr.Sachdeva’s Dental Clinic, help our patients
recognize these signs.
Sensitivity
• In the early stage of enamel erosion, there may be an
increased sensitivity when eating hot, cold, or sweet foods.
• In later stages, teeth become extremely sensitive to
temperatures and sweets. The enamel gets eroded away,
exposing the sensitive dentin and making it more vulnerable
Dental Erosion , Senstivity
Discoloration
• Enamel is white. Dentin, the sensitive tissue located below
the enamel, is yellow. So if your teeth develop more of a
yellow tinge, it may be due to enamel loss.
• The first change of color usually happens on the cutting edges
of the central incisors as they become transparent.
• In later stages, the enamel erodes and more dentin is
exposed. This will cause the teeth to appear yellow.
Changes in shape
• Teeth may show a broad rounded concavity and the gaps
between teeth can become larger.
• Indentations may appear on the surface of the teeth.
• The edges of teeth become more rough and irregular as
enamel erodes.
• In later stages of dental erosion, teeth begin to crack off and
become coarse. Your teeth may appear thinner or smaller
than normal.
• Also, the lower portion of your front teeth can look
transparent as opposed to opaque. Either of those conditions
is an indication of dental erosion.
• Though dental erosion often coexists with attrition and
abrasion, it has some distinctive characteristics in location,
appearance and morphology.
• The most frequently affected areas are the palatal surface of
maxillary incisors and the occlusal surface of the mandibular
first molars in adolescents.
• Early signs of erosion often include smooth and flat facets on
facial or palatal surfaces, and shallow and localized dimpling
on occlusal surfaces.
• Without intervention, erosive wear will progress, leading to
deep cupping lesions with exposed dentin and eventual loss
of occlusal morphology.
Dental Erosion , Senstivity
What can I do to prevent Dental Erosion?
Dentists in North Delhi, suggest these few simple steps to
prevent Dental Erosion;
• Reduce the frequency of acidic and sweet food and beverage
intake. This decreases the sugar/acid exposure time and
allows the eroded tooth surface to harden.
• Have acidic food and drinks, and fizzy drinks, sodas and pops,
just at mealtimes. This will reduce the number of acid attacks
on your teeth.
• Drink quickly, without holding the drink in your mouth or
‘swishing' it around your mouth. Or use a straw to help drinks
go to the back of your mouth and avoid long contact with
your teeth
• Chew sugar-free gum after eating. This will help produce
more saliva to help cancel out the acids which form in your
mouth after eating.
• Brush your teeth last thing at night and at least one other
time during the day, with fluoride toothpaste. Use a small-
headed brush with medium to soft bristles.
• Wait for at least one hour after eating or drinking anything
acidic before brushing your teeth (this gives your teeth time
to build up their mineral content). If you can, rinse your
mouth immediately with clear water after eating acidic foods
or drinking acidic drinks
• Use fluoride toothpaste. Fluoride acts as a remineralizing
agent for the enamel. You can also apply fluoride gels or
varnishes to the teeth.
• Children up to three years old should use a toothpaste with a
fluoride level of at least 1000ppm (parts per million). Three-
year-olds to adults should use toothpaste that contains
1350ppm to 1500ppm.
Clinical interventions
1. Apply fluoride varnish to tooth surfaces susceptible to
erosion: A protective film containing fluoride will reduce
direct contact between tooth surfaces and acids and deliver
fluoride to strengthen the enamel surfaces.
2. Treat underlying diseases associated with the presence of
intrinsic acids intraorally: This includes GERD, bulimia,
regurgitation. It is often necessary to establish close
consultation with the patient’s physicians when an intrinsic
cause of erosion is suspected.
3. Treat conditions causing salivary hypofunction;
• When low saliva flow rate is established as a factor for erosion
in a specific patient, measures should be taken to improve
saliva flow, where possible.
• This may include consultation with the patient’s physicians on
adjustment of medications causing dry mouth, and referrals
for evaluation and treatment of autoimmune diseases such as
Sjogren’s syndrome
Dental Erosion , Senstivity
Prevention and management
• If no effective intervention occurs at an early stage, the
eventual outcome of dental erosion is severe loss of dental
hard tissues that adversely affects function and esthetics.
• In patients with extensive dentin exposure, transient and
persistent pain due to dentin sensitivity and pulp pathology
may further reduce quality of life.
• Severe erosive tooth wear can be managed restoratively.
Composite resins and ceramics can be used for partial and full
coverage restorations to restore the esthetics and function of
the teeth.
• However, if the restored teeth continue to be subjected to
severe erosive challenges, the restorations may fail in due
course following marginal deterioration and continued loss of
surrounding dental hard tissues.
• Therefore, preventive measures for dental erosion are not
only essential for early intervention and primary prevention of
erosive tooth wear, but they are also important for secondary
prevention of erosion around restorations.
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalclinicindelhi.com
www.dentalimplantindia.co.in
www.dentalcoursesdelhi.com
www.facialaestheticsdelhi.com
Youtube link: https://goo.gl/mk7jfm
Linkedin link: https://goo.gl/PrPgpB
Slideshare link : http://goo.gl/0HY6ep
Twitter Page : https://goo.gl/tohkcI
Instagram page : https://goo.gl/OOGVig
•
Facebook link: https://goo.gl/tui98A
Google+ link: https://goo.gl/vqAmvr

More Related Content

What's hot

Classification Of Dental Caries
Classification Of Dental CariesClassification Of Dental Caries
Classification Of Dental Cariesshabeel pn
 
Bevels and flares in dental restoration
Bevels and flares in dental restorationBevels and flares in dental restoration
Bevels and flares in dental restorationDr. Mayank Nahta
 
Pit and Fissure Sealant
Pit and Fissure SealantPit and Fissure Sealant
Pit and Fissure SealantVishesh Jain
 
Tooth seperation matrix wedges amjath
Tooth seperation matrix wedges amjathTooth seperation matrix wedges amjath
Tooth seperation matrix wedges amjathAmjath Khan
 
Pregnancy affecting Oral health | Risk to Oral Health in Pregnancy
 Pregnancy affecting Oral health | Risk to Oral Health in Pregnancy Pregnancy affecting Oral health | Risk to Oral Health in Pregnancy
Pregnancy affecting Oral health | Risk to Oral Health in PregnancyDr. Rajat Sachdeva
 
principles of instrumentation of hand instruments
principles of instrumentation of hand instrumentsprinciples of instrumentation of hand instruments
principles of instrumentation of hand instrumentsfiza shameem
 
anterior tooth selection
anterior tooth selectionanterior tooth selection
anterior tooth selectionshabeel pn
 
Interdental cleaning aids
Interdental cleaning aidsInterdental cleaning aids
Interdental cleaning aidsanasuyatista
 

What's hot (20)

Caries Vaccine ppt
Caries Vaccine pptCaries Vaccine ppt
Caries Vaccine ppt
 
Chlorhexidine
ChlorhexidineChlorhexidine
Chlorhexidine
 
TOOTH WEAR
TOOTH WEARTOOTH WEAR
TOOTH WEAR
 
07.non carious lesions
07.non carious lesions07.non carious lesions
07.non carious lesions
 
Classification Of Dental Caries
Classification Of Dental CariesClassification Of Dental Caries
Classification Of Dental Caries
 
Saliva and caries
Saliva and cariesSaliva and caries
Saliva and caries
 
Bevels and flares in dental restoration
Bevels and flares in dental restorationBevels and flares in dental restoration
Bevels and flares in dental restoration
 
Pit and Fissure Sealant
Pit and Fissure SealantPit and Fissure Sealant
Pit and Fissure Sealant
 
Dental auxiliaries
Dental auxiliariesDental auxiliaries
Dental auxiliaries
 
Tooth seperation matrix wedges amjath
Tooth seperation matrix wedges amjathTooth seperation matrix wedges amjath
Tooth seperation matrix wedges amjath
 
Pregnancy affecting Oral health | Risk to Oral Health in Pregnancy
 Pregnancy affecting Oral health | Risk to Oral Health in Pregnancy Pregnancy affecting Oral health | Risk to Oral Health in Pregnancy
Pregnancy affecting Oral health | Risk to Oral Health in Pregnancy
 
Dental caries
Dental cariesDental caries
Dental caries
 
Tooth resorption
Tooth resorptionTooth resorption
Tooth resorption
 
Dental Stains
Dental StainsDental Stains
Dental Stains
 
principles of instrumentation of hand instruments
principles of instrumentation of hand instrumentsprinciples of instrumentation of hand instruments
principles of instrumentation of hand instruments
 
anterior tooth selection
anterior tooth selectionanterior tooth selection
anterior tooth selection
 
Contacts & Contours
Contacts & ContoursContacts & Contours
Contacts & Contours
 
Caries diagnosis
Caries diagnosisCaries diagnosis
Caries diagnosis
 
Interdental cleaning aids
Interdental cleaning aidsInterdental cleaning aids
Interdental cleaning aids
 
Dental Plaque
Dental PlaqueDental Plaque
Dental Plaque
 

Similar to Dental Erosion , Senstivity

Gum recession treatment.pdf
Gum recession treatment.pdfGum recession treatment.pdf
Gum recession treatment.pdfTAJMEELS
 
Oral Cavity:Common problem associated with teeth and gums.
Oral Cavity:Common problem associated with teeth and gums.Oral Cavity:Common problem associated with teeth and gums.
Oral Cavity:Common problem associated with teeth and gums.kunjanlanjewar2002
 
theme6.pptxhhjjjjjjjjjjjjjjjjjjjjjjjjjjjhh
theme6.pptxhhjjjjjjjjjjjjjjjjjjjjjjjjjjjhhtheme6.pptxhhjjjjjjjjjjjjjjjjjjjjjjjjjjjhh
theme6.pptxhhjjjjjjjjjjjjjjjjjjjjjjjjjjjhhAlirezawilson85
 
10 Common Dental Problems and How to Prevent.pptx
10 Common Dental Problems and How to Prevent.pptx10 Common Dental Problems and How to Prevent.pptx
10 Common Dental Problems and How to Prevent.pptxComfy Dental Care
 
Oral cavity related problems
 Oral cavity related problems Oral cavity related problems
Oral cavity related problemsManeeshBanyal
 
Dental problem and treatment
Dental problem and treatmentDental problem and treatment
Dental problem and treatmentUS Dental
 
prosthodontic branch of stomatology
 prosthodontic branch of stomatology prosthodontic branch of stomatology
prosthodontic branch of stomatologyKarolinaSczkowska2
 
1.introduction to operative dentistry
1.introduction to operative dentistry1.introduction to operative dentistry
1.introduction to operative dentistryDr.Jaffar Raza BDS
 
1-170510040557.pdf
1-170510040557.pdf1-170510040557.pdf
1-170510040557.pdfKoudomJoycy
 
Cavities
CavitiesCavities
Cavitiesfitango
 

Similar to Dental Erosion , Senstivity (20)

document (7).pdf
document (7).pdfdocument (7).pdf
document (7).pdf
 
Gum recession treatment.pdf
Gum recession treatment.pdfGum recession treatment.pdf
Gum recession treatment.pdf
 
Oral Cavity:Common problem associated with teeth and gums.
Oral Cavity:Common problem associated with teeth and gums.Oral Cavity:Common problem associated with teeth and gums.
Oral Cavity:Common problem associated with teeth and gums.
 
theme6.pptxhhjjjjjjjjjjjjjjjjjjjjjjjjjjjhh
theme6.pptxhhjjjjjjjjjjjjjjjjjjjjjjjjjjjhhtheme6.pptxhhjjjjjjjjjjjjjjjjjjjjjjjjjjjhh
theme6.pptxhhjjjjjjjjjjjjjjjjjjjjjjjjjjjhh
 
10 Common Dental Problems and How to Prevent.pptx
10 Common Dental Problems and How to Prevent.pptx10 Common Dental Problems and How to Prevent.pptx
10 Common Dental Problems and How to Prevent.pptx
 
Oral cavity related problems
 Oral cavity related problems Oral cavity related problems
Oral cavity related problems
 
Receding gums
Receding gumsReceding gums
Receding gums
 
Sensitive teeth
Sensitive teethSensitive teeth
Sensitive teeth
 
Dental problem and treatment
Dental problem and treatmentDental problem and treatment
Dental problem and treatment
 
Dental caries
Dental cariesDental caries
Dental caries
 
dental caries #2
dental caries #2dental caries #2
dental caries #2
 
NON CARIOUS TOOTH SURFACE LOSS
NON CARIOUS TOOTH SURFACE LOSSNON CARIOUS TOOTH SURFACE LOSS
NON CARIOUS TOOTH SURFACE LOSS
 
Nagaraju.pptx
Nagaraju.pptxNagaraju.pptx
Nagaraju.pptx
 
prosthodontic branch of stomatology
 prosthodontic branch of stomatology prosthodontic branch of stomatology
prosthodontic branch of stomatology
 
Dental Cavity (Caries)
Dental Cavity (Caries)Dental Cavity (Caries)
Dental Cavity (Caries)
 
1.introduction to operative dentistry
1.introduction to operative dentistry1.introduction to operative dentistry
1.introduction to operative dentistry
 
1-170510040557.pdf
1-170510040557.pdf1-170510040557.pdf
1-170510040557.pdf
 
Tooth attrition
Tooth  attritionTooth  attrition
Tooth attrition
 
Cavities
CavitiesCavities
Cavities
 
Teeth
TeethTeeth
Teeth
 

More from Dr. Rajat Sachdeva

What to expect from an immediate dental implant surgery
What to expect from an immediate dental implant surgeryWhat to expect from an immediate dental implant surgery
What to expect from an immediate dental implant surgeryDr. Rajat Sachdeva
 
Oral health and covid 19 outbreak | The facts about dental health during COV...
Oral health and covid 19 outbreak |  The facts about dental health during COV...Oral health and covid 19 outbreak |  The facts about dental health during COV...
Oral health and covid 19 outbreak | The facts about dental health during COV...Dr. Rajat Sachdeva
 
Dental CIinic in Ashok Vihar - Dental implants the procedure and benefits
Dental CIinic in Ashok Vihar - Dental implants   the procedure and benefits Dental CIinic in Ashok Vihar - Dental implants   the procedure and benefits
Dental CIinic in Ashok Vihar - Dental implants the procedure and benefits Dr. Rajat Sachdeva
 
Dental health during pregnancy and how to avoid common dental problems in pre...
Dental health during pregnancy and how to avoid common dental problems in pre...Dental health during pregnancy and how to avoid common dental problems in pre...
Dental health during pregnancy and how to avoid common dental problems in pre...Dr. Rajat Sachdeva
 
Are you an ideal candidate for dental implants
Are you an ideal candidate for dental implantsAre you an ideal candidate for dental implants
Are you an ideal candidate for dental implantsDr. Rajat Sachdeva
 
Sinus lift Technique| Direct and Indirect Sinus Lift Technique|
Sinus lift Technique| Direct and Indirect Sinus Lift Technique| Sinus lift Technique| Direct and Indirect Sinus Lift Technique|
Sinus lift Technique| Direct and Indirect Sinus Lift Technique| Dr. Rajat Sachdeva
 
Preventable treatment| Maintenance of oral health|
Preventable treatment| Maintenance of oral health| Preventable treatment| Maintenance of oral health|
Preventable treatment| Maintenance of oral health| Dr. Rajat Sachdeva
 
Re-root canal treatment| Root Canal Treatment| Advanced Root Canal Treatment
Re-root canal treatment| Root Canal Treatment| Advanced Root Canal TreatmentRe-root canal treatment| Root Canal Treatment| Advanced Root Canal Treatment
Re-root canal treatment| Root Canal Treatment| Advanced Root Canal TreatmentDr. Rajat Sachdeva
 
Microendo courses| Advanced Endodontic courses in delhi| Micro-Endodontic Cou...
Microendo courses| Advanced Endodontic courses in delhi| Micro-Endodontic Cou...Microendo courses| Advanced Endodontic courses in delhi| Micro-Endodontic Cou...
Microendo courses| Advanced Endodontic courses in delhi| Micro-Endodontic Cou...Dr. Rajat Sachdeva
 
Demon braces| Ortho-dontic Treatment| Ortho-dontic Braces
Demon braces| Ortho-dontic Treatment| Ortho-dontic Braces Demon braces| Ortho-dontic Treatment| Ortho-dontic Braces
Demon braces| Ortho-dontic Treatment| Ortho-dontic Braces Dr. Rajat Sachdeva
 
Complications of lower anterior implants| Complications of Dental Implants by...
Complications of lower anterior implants| Complications of Dental Implants by...Complications of lower anterior implants| Complications of Dental Implants by...
Complications of lower anterior implants| Complications of Dental Implants by...Dr. Rajat Sachdeva
 
Cleft lip/Cleft Palate | Cleft Lip, Cleft Palate: What is a cleft lip, cleft...
Cleft lip/Cleft Palate |  Cleft Lip, Cleft Palate: What is a cleft lip, cleft...Cleft lip/Cleft Palate |  Cleft Lip, Cleft Palate: What is a cleft lip, cleft...
Cleft lip/Cleft Palate | Cleft Lip, Cleft Palate: What is a cleft lip, cleft...Dr. Rajat Sachdeva
 
Rotary Endodontics Training Courses In Delhi | Dental Courses In Delhi
Rotary Endodontics Training Courses In Delhi | Dental Courses In Delhi Rotary Endodontics Training Courses In Delhi | Dental Courses In Delhi
Rotary Endodontics Training Courses In Delhi | Dental Courses In Delhi Dr. Rajat Sachdeva
 
Live Patient Fixed Prosthesis Training Program for 8 Days in Delhi | Dental C...
Live Patient Fixed Prosthesis Training Program for 8 Days in Delhi | Dental C...Live Patient Fixed Prosthesis Training Program for 8 Days in Delhi | Dental C...
Live Patient Fixed Prosthesis Training Program for 8 Days in Delhi | Dental C...Dr. Rajat Sachdeva
 
Re-Root Canal Therpy| Advanced Endodontic Courses in Delhi
Re-Root Canal Therpy| Advanced Endodontic Courses in DelhiRe-Root Canal Therpy| Advanced Endodontic Courses in Delhi
Re-Root Canal Therpy| Advanced Endodontic Courses in DelhiDr. Rajat Sachdeva
 
Deep Bite| Braces Treatment| Certification Courses in Fixed Orthodontics in D...
Deep Bite| Braces Treatment| Certification Courses in Fixed Orthodontics in D...Deep Bite| Braces Treatment| Certification Courses in Fixed Orthodontics in D...
Deep Bite| Braces Treatment| Certification Courses in Fixed Orthodontics in D...Dr. Rajat Sachdeva
 

More from Dr. Rajat Sachdeva (20)

What to expect from an immediate dental implant surgery
What to expect from an immediate dental implant surgeryWhat to expect from an immediate dental implant surgery
What to expect from an immediate dental implant surgery
 
Dental implants in a day
Dental implants in a day Dental implants in a day
Dental implants in a day
 
Oral health and covid 19 outbreak | The facts about dental health during COV...
Oral health and covid 19 outbreak |  The facts about dental health during COV...Oral health and covid 19 outbreak |  The facts about dental health during COV...
Oral health and covid 19 outbreak | The facts about dental health during COV...
 
Dental CIinic in Ashok Vihar - Dental implants the procedure and benefits
Dental CIinic in Ashok Vihar - Dental implants   the procedure and benefits Dental CIinic in Ashok Vihar - Dental implants   the procedure and benefits
Dental CIinic in Ashok Vihar - Dental implants the procedure and benefits
 
Dental health during pregnancy and how to avoid common dental problems in pre...
Dental health during pregnancy and how to avoid common dental problems in pre...Dental health during pregnancy and how to avoid common dental problems in pre...
Dental health during pregnancy and how to avoid common dental problems in pre...
 
Oral health and lockdown
Oral health and lockdown Oral health and lockdown
Oral health and lockdown
 
Are you an ideal candidate for dental implants
Are you an ideal candidate for dental implantsAre you an ideal candidate for dental implants
Are you an ideal candidate for dental implants
 
All on 6 dental implants
All on 6 dental implants All on 6 dental implants
All on 6 dental implants
 
Sinus lift Technique| Direct and Indirect Sinus Lift Technique|
Sinus lift Technique| Direct and Indirect Sinus Lift Technique| Sinus lift Technique| Direct and Indirect Sinus Lift Technique|
Sinus lift Technique| Direct and Indirect Sinus Lift Technique|
 
Preventable treatment| Maintenance of oral health|
Preventable treatment| Maintenance of oral health| Preventable treatment| Maintenance of oral health|
Preventable treatment| Maintenance of oral health|
 
Re-root canal treatment| Root Canal Treatment| Advanced Root Canal Treatment
Re-root canal treatment| Root Canal Treatment| Advanced Root Canal TreatmentRe-root canal treatment| Root Canal Treatment| Advanced Root Canal Treatment
Re-root canal treatment| Root Canal Treatment| Advanced Root Canal Treatment
 
Microendo courses| Advanced Endodontic courses in delhi| Micro-Endodontic Cou...
Microendo courses| Advanced Endodontic courses in delhi| Micro-Endodontic Cou...Microendo courses| Advanced Endodontic courses in delhi| Micro-Endodontic Cou...
Microendo courses| Advanced Endodontic courses in delhi| Micro-Endodontic Cou...
 
Demon braces| Ortho-dontic Treatment| Ortho-dontic Braces
Demon braces| Ortho-dontic Treatment| Ortho-dontic Braces Demon braces| Ortho-dontic Treatment| Ortho-dontic Braces
Demon braces| Ortho-dontic Treatment| Ortho-dontic Braces
 
Complications of lower anterior implants| Complications of Dental Implants by...
Complications of lower anterior implants| Complications of Dental Implants by...Complications of lower anterior implants| Complications of Dental Implants by...
Complications of lower anterior implants| Complications of Dental Implants by...
 
All on 4 course
All on 4 courseAll on 4 course
All on 4 course
 
Cleft lip/Cleft Palate | Cleft Lip, Cleft Palate: What is a cleft lip, cleft...
Cleft lip/Cleft Palate |  Cleft Lip, Cleft Palate: What is a cleft lip, cleft...Cleft lip/Cleft Palate |  Cleft Lip, Cleft Palate: What is a cleft lip, cleft...
Cleft lip/Cleft Palate | Cleft Lip, Cleft Palate: What is a cleft lip, cleft...
 
Rotary Endodontics Training Courses In Delhi | Dental Courses In Delhi
Rotary Endodontics Training Courses In Delhi | Dental Courses In Delhi Rotary Endodontics Training Courses In Delhi | Dental Courses In Delhi
Rotary Endodontics Training Courses In Delhi | Dental Courses In Delhi
 
Live Patient Fixed Prosthesis Training Program for 8 Days in Delhi | Dental C...
Live Patient Fixed Prosthesis Training Program for 8 Days in Delhi | Dental C...Live Patient Fixed Prosthesis Training Program for 8 Days in Delhi | Dental C...
Live Patient Fixed Prosthesis Training Program for 8 Days in Delhi | Dental C...
 
Re-Root Canal Therpy| Advanced Endodontic Courses in Delhi
Re-Root Canal Therpy| Advanced Endodontic Courses in DelhiRe-Root Canal Therpy| Advanced Endodontic Courses in Delhi
Re-Root Canal Therpy| Advanced Endodontic Courses in Delhi
 
Deep Bite| Braces Treatment| Certification Courses in Fixed Orthodontics in D...
Deep Bite| Braces Treatment| Certification Courses in Fixed Orthodontics in D...Deep Bite| Braces Treatment| Certification Courses in Fixed Orthodontics in D...
Deep Bite| Braces Treatment| Certification Courses in Fixed Orthodontics in D...
 

Recently uploaded

Cure of patients which terminally ill.pdf
Cure of patients which terminally ill.pdfCure of patients which terminally ill.pdf
Cure of patients which terminally ill.pdfrg0000009
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdfHongBiThi1
 
A presentation on Thermal gravimetry analysis (TGA)
A presentation on Thermal gravimetry analysis (TGA)A presentation on Thermal gravimetry analysis (TGA)
A presentation on Thermal gravimetry analysis (TGA)1922Jaygohel
 
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint HealthArthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint HealthGokuldas Hospital
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
Transport across cell membrane (passive, active, vesicular)
Transport across cell membrane (passive, active, vesicular)Transport across cell membrane (passive, active, vesicular)
Transport across cell membrane (passive, active, vesicular)MedicoseAcademics
 
Understanding AIDS:a roadmap to well ess
Understanding AIDS:a roadmap to well essUnderstanding AIDS:a roadmap to well ess
Understanding AIDS:a roadmap to well essAbhishekKumar524514
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondSujoy Dasgupta
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfHongBiThi1
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 

Recently uploaded (20)

Cure of patients which terminally ill.pdf
Cure of patients which terminally ill.pdfCure of patients which terminally ill.pdf
Cure of patients which terminally ill.pdf
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
 
A presentation on Thermal gravimetry analysis (TGA)
A presentation on Thermal gravimetry analysis (TGA)A presentation on Thermal gravimetry analysis (TGA)
A presentation on Thermal gravimetry analysis (TGA)
 
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint HealthArthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
Transport across cell membrane (passive, active, vesicular)
Transport across cell membrane (passive, active, vesicular)Transport across cell membrane (passive, active, vesicular)
Transport across cell membrane (passive, active, vesicular)
 
Understanding AIDS:a roadmap to well ess
Understanding AIDS:a roadmap to well essUnderstanding AIDS:a roadmap to well ess
Understanding AIDS:a roadmap to well ess
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and Beyond
 
American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 

Dental Erosion , Senstivity

  • 2. Introduction • Dental Erosion also known as Acid Erosion is a type of tooth wear. It is the loss of dental hard tissue caused by intrinsic or extrinsic acid that is not produced by bacteria. • Dental erosion does not begin as a subsurface enamel lesion that is conducive to remineralization, as in the caries process. It is often widespread and may involve the entire dentition. • Dental hard tissue loss associated with erosion is almost always complicated by other forms of tooth wear such as attrition and abrasion.
  • 3. • Dental erosion results in tooth surface softening, which inevitably accelerates tissue loss caused by tooth-to-tooth contact while chewing and grinding (attrition) or by abrasive wear while mechanically brushing or cleaning tooth surfaces (abrasion). • At Dr.Sachdeva’s Dental Clinic, we tell our patients that if Dental Erosion is not managed effectively, it may result in substantial loss of enamel and subsequent exposure of the underlying dentin, which can, in turn, lead to dentin sensitivity, loss of vertical height and esthetic problems.
  • 4. What is dental erosion? • Dental Erosion is the loss of tooth enamel caused by acid attack. • Enamel is the hard, protective coating of the tooth, which protects the sensitive dentine underneath. • When the enamel is worn away, the dentine underneath is exposed, which may lead to pain and sensitivity.
  • 5. Besides erosion, other types of tooth wear can be described:  Attrition: This type of tooth wear is caused by natural tooth- to-tooth friction. This can happen while clenching or grinding your teeth, for example in cases of bruxism, which often occurs involuntarily during sleep.  Abrasion: This is physical wear and tear of the tooth surface that happens with brushing teeth too hard or using an improper toothbrush, improper flossing or biting on hard objects (such as fingernails, bottle caps, or pens).
  • 6. • Abfraction: Is a theoretical concept explaining a loss of tooth structure not caused by tooth decay (non-carious cervical lesions). It is suggested that these lesions are caused by forces placed on the teeth during biting, eating, chewing and grinding; the enamel, especially at the cementoenamel junction (CEJ), undergoes large amounts of stress, causing micro fractures and tooth tissue loss.
  • 7. What causes Dental Erosion? Dental Erosion is caused by sustained direct contact between tooth surfaces and acidic substances; 1. Acidic foods and drinks • The most common cause of dental erosion is due to acidic foods and drinks. • Drinks low in pH levels that cause dental erosion include fruit juices (mainly orange and apple), sports drinks, wine, beer and carbonated drinks (such as colas or lemonades).
  • 9. • A diet high in sugars can also cause erosion. • Frequency rather than total intake of acidic juices or foods is seen as the greater factor in dental erosion. • Saliva acts as a buffer, regulating the pH when acidic drinks are ingested and protecting the enamel from demineralization (which is the loss of its mineral content). • However, if acid attacks happen too often, the buffering capability of saliva decreases and the enamel does not have a chance to repair itself. Over time, you start to lose the surface of your teeth.
  • 11. 2. General conditions • People with bulimia or gastro esophageal reflux disease (GERD) are all at higher risk of dental erosion because the gastric acid from the stomach comes into contact with the teeth. • For example, bulimia is a condition where patients make themselves sick so that they lose weight. • Frequent vomiting erodes tooth enamel and can lead to cavities.
  • 12. 3. Other causes • Other causes include: • A number of medications such as vitamin C, aspirin or antihistamines • Dry mouth or low salivary flow (also known as xerostomia), because the buffering capability of saliva is not present to counterbalance the acidic environment • Genetic or inherited conditions • Environmental factors such as friction, wear and tear, stress etc.
  • 13. Signs of Erosion Recognizing erosion signs is an important first step in solving the problem. We at Dr.Sachdeva’s Dental Clinic, help our patients recognize these signs. Sensitivity • In the early stage of enamel erosion, there may be an increased sensitivity when eating hot, cold, or sweet foods. • In later stages, teeth become extremely sensitive to temperatures and sweets. The enamel gets eroded away, exposing the sensitive dentin and making it more vulnerable
  • 15. Discoloration • Enamel is white. Dentin, the sensitive tissue located below the enamel, is yellow. So if your teeth develop more of a yellow tinge, it may be due to enamel loss. • The first change of color usually happens on the cutting edges of the central incisors as they become transparent. • In later stages, the enamel erodes and more dentin is exposed. This will cause the teeth to appear yellow.
  • 16. Changes in shape • Teeth may show a broad rounded concavity and the gaps between teeth can become larger. • Indentations may appear on the surface of the teeth. • The edges of teeth become more rough and irregular as enamel erodes. • In later stages of dental erosion, teeth begin to crack off and become coarse. Your teeth may appear thinner or smaller than normal. • Also, the lower portion of your front teeth can look transparent as opposed to opaque. Either of those conditions is an indication of dental erosion.
  • 17. • Though dental erosion often coexists with attrition and abrasion, it has some distinctive characteristics in location, appearance and morphology. • The most frequently affected areas are the palatal surface of maxillary incisors and the occlusal surface of the mandibular first molars in adolescents. • Early signs of erosion often include smooth and flat facets on facial or palatal surfaces, and shallow and localized dimpling on occlusal surfaces. • Without intervention, erosive wear will progress, leading to deep cupping lesions with exposed dentin and eventual loss of occlusal morphology.
  • 19. What can I do to prevent Dental Erosion? Dentists in North Delhi, suggest these few simple steps to prevent Dental Erosion; • Reduce the frequency of acidic and sweet food and beverage intake. This decreases the sugar/acid exposure time and allows the eroded tooth surface to harden. • Have acidic food and drinks, and fizzy drinks, sodas and pops, just at mealtimes. This will reduce the number of acid attacks on your teeth. • Drink quickly, without holding the drink in your mouth or ‘swishing' it around your mouth. Or use a straw to help drinks go to the back of your mouth and avoid long contact with your teeth
  • 20. • Chew sugar-free gum after eating. This will help produce more saliva to help cancel out the acids which form in your mouth after eating. • Brush your teeth last thing at night and at least one other time during the day, with fluoride toothpaste. Use a small- headed brush with medium to soft bristles. • Wait for at least one hour after eating or drinking anything acidic before brushing your teeth (this gives your teeth time to build up their mineral content). If you can, rinse your mouth immediately with clear water after eating acidic foods or drinking acidic drinks
  • 21. • Use fluoride toothpaste. Fluoride acts as a remineralizing agent for the enamel. You can also apply fluoride gels or varnishes to the teeth. • Children up to three years old should use a toothpaste with a fluoride level of at least 1000ppm (parts per million). Three- year-olds to adults should use toothpaste that contains 1350ppm to 1500ppm.
  • 22. Clinical interventions 1. Apply fluoride varnish to tooth surfaces susceptible to erosion: A protective film containing fluoride will reduce direct contact between tooth surfaces and acids and deliver fluoride to strengthen the enamel surfaces. 2. Treat underlying diseases associated with the presence of intrinsic acids intraorally: This includes GERD, bulimia, regurgitation. It is often necessary to establish close consultation with the patient’s physicians when an intrinsic cause of erosion is suspected.
  • 23. 3. Treat conditions causing salivary hypofunction; • When low saliva flow rate is established as a factor for erosion in a specific patient, measures should be taken to improve saliva flow, where possible. • This may include consultation with the patient’s physicians on adjustment of medications causing dry mouth, and referrals for evaluation and treatment of autoimmune diseases such as Sjogren’s syndrome
  • 25. Prevention and management • If no effective intervention occurs at an early stage, the eventual outcome of dental erosion is severe loss of dental hard tissues that adversely affects function and esthetics. • In patients with extensive dentin exposure, transient and persistent pain due to dentin sensitivity and pulp pathology may further reduce quality of life. • Severe erosive tooth wear can be managed restoratively. Composite resins and ceramics can be used for partial and full coverage restorations to restore the esthetics and function of the teeth.
  • 26. • However, if the restored teeth continue to be subjected to severe erosive challenges, the restorations may fail in due course following marginal deterioration and continued loss of surrounding dental hard tissues. • Therefore, preventive measures for dental erosion are not only essential for early intervention and primary prevention of erosive tooth wear, but they are also important for secondary prevention of erosion around restorations.
  • 27. For more information, you can book an appointment at Dr Sachdeva's Dental Aesthetic And Implant Institute, I 101, Ashok Vihar Phase 1, Delhi- 110052 Contact us at Phone : +919818894041,01142464041 Our Websites: www.sachdevadentalcare.com www.dentalclinicindelhi.com www.dentalimplantindia.co.in www.dentalcoursesdelhi.com www.facialaestheticsdelhi.com
  • 28. Youtube link: https://goo.gl/mk7jfm Linkedin link: https://goo.gl/PrPgpB Slideshare link : http://goo.gl/0HY6ep Twitter Page : https://goo.gl/tohkcI Instagram page : https://goo.gl/OOGVig • Facebook link: https://goo.gl/tui98A Google+ link: https://goo.gl/vqAmvr