Volume 33, Issue 1 pp. 78-87
REVIEW ARTICLE

Contemporary diagnosis and management of dental erosion

Terence Donovan DDS

Terence Donovan DDS

Division of Comprehensive Oral Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

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Caroline Nguyen-Ngoc DMD, MS

Caroline Nguyen-Ngoc DMD, MS

Department of Restorative Dentistry, Universite de Montreal, Montreal, Quebec, Canada

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Islam Abd Alraheam DDS, MS

Islam Abd Alraheam DDS, MS

Department of Conservative Dentistry, University of Jordan, Amman, Jordan

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Karina Irusa BDS

Corresponding Author

Karina Irusa BDS

Advanced Education in Operative Dentistry and Biomaterials, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

Correspondence

Karina Irusa, Resident Graduate Program in Operative Dentistry and Biomaterials, University of North Carolina at Chapel Hill, 385 S Columbia St, Brauer Hall, Room 429, Chapel Hill, NC 27599, USA.

Email: [email protected]

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First published: 06 January 2021
Citations: 62

Abstract

Objective

This article is aimed at providing an overview of the topic of erosive tooth wear (ETW), highlighting the clinical signs, diagnosis, and management of dental erosion.

Overview

With the increased prevalence of ETW, it is important that oral health professionals are able to recognize the early signs. Early clinical signs of dental erosion are characterized by loss of enamel texture, a silky glossy appearance, and sometimes a dulling of the surface gloss, referred to as the “whipped clay effect, cupping, and restorations ‘standing proud’.”

The progression of ETW should be monitored by means of diagnostic models or clinical photographs. ETW can be as a result of acid attack of extrinsic or intrinsic origin.

Conclusion

There is an increase of ETW that is being recognized by the profession. The first step in diagnosing and management is to recognize as early as possible that the process is occurring. At that point a determination of whether the primary etiology is either intrinsic or extrinsic should be made. If these findings are confirmed, appropriate prevention, and management strategies can be adopted followed by appropriate restorative therapy.

Clinical Significance

The prevalence of ETW continues to increase. It is therefore important that oral health care providers have a better understanding of the etiology, pathophysiology, and management of this condition. This review aims to provide the guidelines for diagnosis and management of dental erosion.

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