Erosion

Cards (26)

  • What is the age of the patient presenting with generalized erosion?
    15 years old
  • What does erosion refer to in dental terms?
    Hard surface loss due to acids
  • At what pH does enamel begin to demineralize?
    Around 5.5
  • What causes erosion of teeth?
    Acid exposure of the enamel
  • What are the two main categories of causes for erosion?
    Intrinsic and extrinsic reasons
  • How can excessive consumption of fizzy drinks affect dental health?
    It can cause erosion due to high acidity
  • What dietary habits may contribute to dental erosion?
    High intake of fruit juices and citrus fruits
  • How does swishing carbonated drinks in the mouth affect erosion?
    Increases acid attack duration on enamel
  • What condition can cause frequent acidity in the oral environment?
    Acid reflux
  • Why is stomach acid more erosive than citrus acid?
    Stomach acid has a lower pH
  • How can bulimia contribute to dental erosion?
    Causes erosion from stomach acid during vomiting
  • What surfaces of the teeth are affected by stomach acid erosion?
    Lingual surfaces of the teeth
  • What factors can contribute to the effects of acidic foods?
    Poor fluoride intake and infrequent brushing
  • Why should patients wait at least 30 minutes after eating before brushing?
    To allow enamel to re-mineralize
  • What steps should be taken to manage a patient with acid erosion?
    • Take detailed patient history
    • Provide a 3-day diet sheet
    • Reduce intake of carbonated drinks
    • Advise using sensitive toothpaste
    • Recommend rinsing after vomiting
    • Apply fluoride varnish bi-annually
    • Use dentine bonding for sensitivity
    • Schedule regular dental recalls
  • What is the purpose of a 3-day diet sheet for the patient?
    To identify areas to reduce acid intake
  • How can a patient reduce sensitivity caused by exposed dentinal tubules?
    By using a sensitive toothpaste
  • What fluoride concentration is recommended for sensitive toothpaste?
    Between 2800-5000 ppm
  • What should patients avoid to reduce sensitivity?
    Cold foods that trigger sensitivity
  • What should a patient do after experiencing acid reflux?
    Rinse to neutralize acid in the mouth
  • How often should duraphat fluoride varnish be applied?
    At least twice annually
  • What is the purpose of fissure sealing permanent molars and pre-molars?
    To reduce the chance of pit/fissure caries
  • How often should the patient be recalled for assessment?
    Every three months
  • What type of radiographs should be taken to assess enamel lesions?
    Bitewing radiographs
  • How frequently should bitewing radiographs be taken for monitoring carious lesions?
    Every six months
  • When can a patient be placed on a 12-month radiographic recall?
    Once no new lesions are detected