Dental Erosion – An Overview with Emphasis on Chemical and Histopathological Aspects

@article{Lussi2011DentalE,
  title={Dental Erosion – An Overview with Emphasis on Chemical and Histopathological Aspects},
  author={Adrian Lussi and Nadine Schlueter and Ekaterina Rakhmatullina and Carolina Ganss},
  journal={Caries Research},
  year={2011},
  volume={45},
  pages={2 - 12}
}
The quality of dental care and modern achievements in dental science depend strongly on understanding the properties of teeth and the basic principles and mechanisms involved in their interaction with surrounding media. Erosion is a disorder to which such properties as structural features of tooth, physiological properties of saliva, and extrinsic and intrinsic acidic sources and habits contribute, and all must be carefully considered. The degree of saturation in the surrounding solution, which… 

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References

SHOWING 1-10 OF 103 REFERENCES
Extrinsic causes of erosion. Diet. Chemical factors
TLDR
There is no clear-cut critical pH for erosion as there is for caries, but even at a low pH, it is possible that other factors are strong enough to prevent erosion.
In vitro remineralisation of eroded enamel lesions by saliva.
Enamel Erosion by Some Soft Drinks and Orange Juices Relative to Their pH, Buffering Effect and Contents of Calcium Phosphate
TLDR
The aim of the present study was to compare the pH and the buffering effect of various soft drinks with their erosive effects and the solubility of apatite, and found that the lower the pH the more NaOH was necessary to bring the pH to neutrality.
Understanding the chemistry of dental erosion.
TLDR
Values of the strength of acid (pKa) and for the anion-calcium interaction and the mechanisms of interaction with the tooth mineral on the surface and underneath are described in detail.
Biological factors.
TLDR
Saliva plays a role in the formation of the acquired dental pellicle, which acts as a perm-selective membrane preventing contact of the acid with the tooth surfaces, and also by contact with the oral soft tissues and tongue.
The enamel softening and loss during early erosion studied by AFM, SEM and nanoindentation
TLDR
It was demonstrated that AFM, SEM and nanoindentation were suitable for measuring the early stages of enamel demineralization qualitatively and quantitatively.
Kinetics of the Dissolution of Human Dental Enamel in Acid
  • J. A. Gray
  • Materials Science, Medicine
    Journal of dental research
  • 1962
The kWnetics of the heterogeneous process involving the dissolution of human dental enamel in aqueous solutions of acidic buffers were investigated, principally by a differential method. A
Protective Influence of Experimentally Formed Salivary Pellicle on Enamel Erosion
TLDR
The results support the general conclusion that salivary pellicle effectively protects enamel surface against short-term erosion in organic acids.
Exposure Time of Enamel and Dentine to Saliva for Protection against Erosion: A Study in vitro
TLDR
Cautiously extrapolating these in vitro data suggests that pellicle should offer erosion protection to individuals who imbibe acidic drinks at frequencies of 1 h or less.
Effect of Time on the Remineralisation of Enamel by Synthetic Saliva after Citric Acid Erosion
TLDR
The data suggest that a complete rehardening of the softened enamel in vitro is reached after a remineralisation time of 6 h, which is of clinical relevance to tooth wear.
...
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