Skip to main content

Prevention and Control of Dental Erosion: Professional Clinic Care

  • Chapter
Dental Erosion and Its Clinical Management

Abstract

There are basic principles that should be followed for the prevention and control of dental erosion. They rely on diminishing or eliminating the acid challenge, overcoming any hypersensitivity, healing the remaining damaged tooth surface by remineralization and protecting the tooth from any subsequent acid attack. Opinions vary as to how this should be achieved and the plethora of products that are available, each with their specific formulations and different concentrations, often causes confusion among clinicians. Although examples of specific products will be mentioned in this chapter, the emphasis will be on general methods with reference to generic products in order to guide management. Although this chapter focuses only on professionally applied products and oral health education, they should only form part of an overall preventive program that includes home preventive measures for which the patient is responsible. Each management plan needs to follow a preventive philosophy that is tailor-made for the patient.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Amaechi BT, Higham SM. Dental erosion: possible approaches to prevention and control. J Dent. 2005;33(3):243–52.

    Article  PubMed  Google Scholar 

  2. Yip K, Smales RJ, Kaidonis JA. Tooth erosion: prevention and treatment. New Delhi: Jaypee Bros; 2006. p. 1–118.

    Book  Google Scholar 

  3. Lussi A, Ganss C. Erosive tooth wear: from diagnosis to therapy. In: Lussi A, Ganss C, editors. Monographs in oral science. Basel: Karger; 2014. p. 1–284.

    Google Scholar 

  4. Kaidonis JA. Oral diagnosis and treatment planning: part 4. Non-carious tooth surface loss and assessment of risk. Br Dent J. 2012;213(4):155–61.

    Article  PubMed  Google Scholar 

  5. Cheung A, Zid Z, Hunt D, McIntyre J. The potential for dental plaque to protect against erosion using an in vivo-in vitro model – a pilot study. Aust Dent J. 2005;50(4):228–34.

    Article  PubMed  Google Scholar 

  6. Hara AT, Ando M, González-Cabezas C, Cury JA, Serra MC, Zero DT. Protective effect of the dental pellicle against erosive challenges in situ. J Dent Res. 2006;85(7):612–6.

    Article  PubMed  Google Scholar 

  7. Hara AT, Zero DT. The potential of saliva in protecting against dental erosion. In: Lussi A, Ganss C, editors. Erosive tooth wear: from diagnosis to therapy. Basel: Karger; 2014. p. 197–205.

    Google Scholar 

  8. Hannig M, Hannig C. The pellicle and erosion. In: Lussi A, Ganss C, editors. Erosive tooth wear: from diagnosis to therapy. Basel: Karger; 2014. p. 206–14.

    Google Scholar 

  9. Meurman JH, Toskala J, Nuutinen P, Klemetti E. Oral and dental manifestations in gastroesophageal reflux disease. Oral Surg Oral Med Oral Pathol. 1994;78(5):583–9.

    Article  PubMed  Google Scholar 

  10. Millward A, Shaw L, Harrington E, Smith AJ. Continuous monitoring of salivary flow rate and pH at the surface of the dentition following consumption of acidic beverages. Caries Res. 1997;31(1):44–9.

    Article  PubMed  Google Scholar 

  11. Jones L, Lekkas D, Hunt D, McIntyre J, Rafir W. Studies on dental erosion: an in vivo-in vitro model of endogenous dental erosion – its application to testing protection by fluoride gel application. Aust Dent J. 2002;47(4):304–8.

    Article  PubMed  Google Scholar 

  12. Featherstone JD, Glena R, Shariati M, Shields CP. Dependence of in vitro demineralization of apatite and remineralization of dental enamel on fluoride concentration. J Dent Res. 1990;69(Spec No):620–5; discussion 634–6.

    Google Scholar 

  13. Imfeld T. Prevention of progression of dental erosion by professional and individual prophylactic measures. Eur J Oral Sci. 1996;104:215–20.

    Article  PubMed  Google Scholar 

  14. Lussi A, Ganss C. The role of fluoride in erosion therapy. Erosive tooth wear: from diagnosis to therapy. In: Monographs in oral science. 2nd ed. Basel: Karger; 2014. p. 230–43.

    Google Scholar 

  15. Mok TB, McIntyre J, Hunt D. Dental erosion: In vitro model of wine assessor’s erosion. Aust Dent J. 2001;46(4):263–8.

    Article  PubMed  Google Scholar 

  16. Attin T, Deifuss H, Hellwig E. Influence of acidified fluoride gel on abrasion resistance of eroded enamel. Caries Res. 1999;33(2):135–9. Karger Publishers.

    Article  PubMed  Google Scholar 

  17. Vieira AR, Jager DH, Ruben JL, Huysmans MC. Inhibition of erosive wear by fluoride varnish. Caries Res. 2007;41:61–7.

    Article  PubMed  Google Scholar 

  18. Cochrane NJ, Cai F, Huq NL, Burrow MF, Reynolds EC. New approaches to enhanced remineralization of tooth enamel. J Dent Res. 2010;89:1187–97.

    Article  PubMed  Google Scholar 

  19. Cochrane NJ, Reynolds EC. Calcium phosphopeptides — mechanisms of action and evidence for clinical efficacy. Adv Dent Res. 2012;24:41–7.

    Article  PubMed  Google Scholar 

  20. Karlinsey RL, Mackey AC, Walker ER, Frederick KE. Preparation, characterization, and in vitro efficacy of an acid-modified β-TCP material for dental hard-tissue remineralization. Acta Biomater. 2010;6:969–78.

    Article  PubMed  Google Scholar 

  21. Karlinsey RL, Pfarrer AM. Fluoride plus functionalized β-TCP: a promising combination for robust remineralization. Adv Dent Res. 2012;24:48–52.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Amaechi BT, Karthikeyan R, Mensinkai PK, Narjibfard K, Mackey AC, Karlinsey RL. Remineralization of eroded enamel by a NaF rinse containing a novel calcium phosphate agent in an in situ model: a pilot study. Clin Cosmet Invest Dent. 2010;2:93–100.

    Google Scholar 

  23. Cagetti MG, Carta G, Cocco F, Sale S, Congiu G, Mura A, et al. Effect of fluoridated sealants on adjacent tooth surfaces: a 30-mo randomised clinical trial. Clin Suppl J Dent Res. 2014;93(7):59S–65S.

    Article  Google Scholar 

  24. Buzalaf MA, Magalhaes AC, Wiegand A. Alternatives to fluoride in the prevention and treatment of dental erosion. In: Lussi A, Gunss C, editors. Erosive tooth wear: from diagnosis to therapy. 2nd ed. Basel: Karger; 2014. p. 244–52.

    Google Scholar 

  25. Wegehaupt FJ, Tauböck TT, Attin T. Durability of the anti-erosive effects of surface sealants under erosive abrasive conditions. Acta Odontol Scand. 2013;71:1188–94.

    Article  PubMed  Google Scholar 

  26. Wegehaupt FJ, Tauböck TT, Sener B, Attin T. Long-term protective effect of surface sealants against erosive wear by intrinsic and extrinsic acids. J Dent. 2012;40(5):416–22.

    Article  PubMed  Google Scholar 

  27. Sundaram G, Wilson R, Watson TF, Bartlett D. Clinical measurement of palatal tooth wear following coating by a resin sealing system. Oper Dent. 2007;32:539–43.

    Article  PubMed  Google Scholar 

  28. Sundaram G, Wilson R, Watson TF, Bartlett DW. Effect of resin coating on dentine compared to repeated topical applications of fluoride mouthwash after an abrasion and erosion wear regime. J Dent. 2007;35:814–8.

    Article  PubMed  Google Scholar 

  29. Azzopardi A, Bartlett DW, Watson TF, Sherriff M. The surface effects of erosion and abrasion on dentine with and without a protective layer. Br Dent J. 2004;196:351–4; discussion 339.

    Article  PubMed  Google Scholar 

  30. Bartlett D, Sundaram G, Moazzez R. Trial of protective effect of fissure sealants, in vivo, on the palatal surfaces of anterior teeth, in patients suffering from erosion. J Dent. 2011;39:26–9.

    Article  PubMed  Google Scholar 

  31. Bergstrand F, Twetman S. A review on prevention and treatment of post-orthodontic white spot lesions – evidence-based methods and emerging technologies. Open Dent J. 2011;5:158–62.

    Article  PubMed Central  PubMed  Google Scholar 

  32. Heymann GC, Grauer D. A contemporary review of white spot lesions in orthodontics. J Esthet Restor Dent. 2013;25(2):85–95. doi:10.1111/jerd.12013. Epub 2013 Feb 19. Review.

    Article  PubMed  Google Scholar 

  33. Derks A, Katsaros C, Frencken JE, Van’t Hof MA, Kuijpers-Jagtman AM. Caries-inhibiting effect of preventive measures during orthodontic treatment with fixed appliances. a systematic review. Caries Res. 2004;38:413–20.

    Article  PubMed  Google Scholar 

  34. Banks PA, Richmond S. Enamel sealants: a clinical evaluation of their value during fixed appliance therapy. Eur J Orthod. 1994;16:19–25.

    Article  PubMed  Google Scholar 

  35. Heinig N, Hartmann A. Efficacy of a sealant : study on the efficacy of a sealant (Light Bond) in preventing decalcification during multibracket therapy. J Orofac Orthop. 2008;69:154–67.

    Article  PubMed  Google Scholar 

  36. Wenderoth CJ, Weinstein M, Borislow AJ. Effectiveness of a fluoride-releasing sealant in reducing decalcification during orthodontic treatment. Am J Orthod Dentofacial Orthop. 1999;116:629–34.

    Article  PubMed  Google Scholar 

  37. Tran P, Hamood A, Mosley T, Gray T, Jarvis C, Webster D, Amaechi B, Enos T, Reid T. Organo-selenium-containing dental sealant inhibits bacterial biofilm. J Dent Res. 2013;92(5):461–6.

    Article  PubMed Central  PubMed  Google Scholar 

  38. Scaramucci T, Carvalho JC, Hara AT, Zero DT. Causes of dental erosion: intrinsic factors. In: Amaechi BT, editor. Dental erosion and its clinical management. Berlin: Springer; 2015. p. 35–67.

    Google Scholar 

  39. Gao X, Lo ECM, Kot SCC, Chan KCW. Motivational interviewing in improving oral health: a systematic review of randomized controlled trials. J Periodontol. 2014;85(3):426–37.

    Article  PubMed  Google Scholar 

  40. Resnicow K, McMaster F. Motivational Interviewing moving from why to how with autonomy support. Int J Behav Nutr Phys Act. 2012;9:19.

    Article  PubMed Central  PubMed  Google Scholar 

  41. Lundahl B, Burke BL. The effectiveness and Applicability of motivational interviewing: a practice-friendly review of four meta-analyses. J Clin Psychol. 2009;65:1232–45. In session.

    Article  PubMed  Google Scholar 

  42. Buzalaf MA, Cardoso CA, Magalhães AC, Amaechi BT. Prevention and control of dental erosion: patient self-care. In: Amaechi BT, editor. Dental erosion and its clinical management. Berlin: Springer; 2015. p. 133–50.

    Google Scholar 

  43. Amaechi BT. Assessment and monitoring of dental erosion. In: Amaechi BT, editor. Dental erosion and its clinical management. Berlin: Springer; 2015. p. 111–9.

    Google Scholar 

  44. Amaechi BT. Recall, maintenance care cycle, and outcomes assessment. In: Amaechi BT, editor. Dental erosion and its clinical management. Berlin: Springer; 2015. p. 303–11.

    Google Scholar 

Download references

Disclosure Statement

The authors have no affiliation with any company or product referred to in this chapter. The authors have no conflict of interest to declare.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John A. Kaidonis BDS, BSc Dent, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Kaidonis, J.A., Anastassiadis, P.M., Lekkas, D., Ranjitkar, S., Amaechi, B.T., Townsend, G.C. (2015). Prevention and Control of Dental Erosion: Professional Clinic Care. In: Amaechi, B. (eds) Dental Erosion and Its Clinical Management. Springer, Cham. https://doi.org/10.1007/978-3-319-13993-7_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-13993-7_9

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-13992-0

  • Online ISBN: 978-3-319-13993-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics