Erosion/Abrasion/Attrition
Tooth Erosion
This is loss of tooth substance from acid from the stomach, vomiting and frequent intake of fizzy drinks and acidic food, including pickles.
It results in loss of enamel, which leads to sensitive teeth.
Patients should be advised as follows:
- Reduce frequency of intake of fizzy drinks and sour foods
- After having such foods, do not brush your teeth for at least 30 minutes
Instead, rinse your mouth with plain water - Rinse your mouth with plain water after every episode of vomiting
Tooth Abrasion
This is wear of teeth caused by an external agent like a tooth-brush with hard bristles or even crushed coal or ash, as is a common habit among e.g. some Nepali villagers.
People, should be advised to use soft cleaning instruments.
Tooth Attrition
This is wear of teeth caused by movement of one tooth against the other.
It affects occlusal surfaces and those between the teeth (interproximal).
Risk Factors
Diet – frequent use of acid drinks and food (fruit juices, fizzy drinks, citrus fruits)
Diseases – reflux acid from stomach, eating disorders
Alcohol – alcohol abuse
Diseases affecting Salivary flow – diseases of salivary glands, diabetes, Sjogren syndrome (disorder of immune system)
Drugs – Medications that reduce salivary flow as a side effect
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