Erosion of teeth
Last reviewed: 23.04.2024
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Erosion of the teeth is the gradual abrasion, the destruction of the tooth tissues that have not been clarified etiology.
Some scientists believe that the cause of erosion of the teeth is purely mechanical, others - the effect of acid foods and beverages, dysfunction of the thyroid gland. But they all converge in one - it's not just a cosmetic defect, but a disease. And if it's a disease you need to treat it. What is tooth erosion? This is damage to the enamel and dentin (bone tissue, which forms the basis of the tooth). Erosion of the tooth enamel looks like a rounded or oval recess located in the center of the tooth. To treat erosion is simply necessary, otherwise the tooth will lose all enamel and even part of the bone tissue. Over the past 20 years, the disease has become "much younger" and has begun to progress. It is important to visit the dental office on a regular basis. First erosion of the teeth does not give pain.
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Causes of tooth erosion
Often, tooth erosion is a consequence of diseases of the endocrine system (increased thyroid function, diffuse toxic goiter, thyrotoxicosis). This is when a very strong salivation, the density of fluid in the oral cavity is greatly reduced.
Also, the erosion of teeth can cause mechanical factors (for example, a too hard toothbrush), frequent use of juices and citrus, pickles and marinades. The risk group also includes people who work in hazardous production, where there are acid fumes or metal dust in the air. Long-term use of drugs with a high content of vitamin C can also cause the development of tooth erosion.
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Symptoms of tooth erosion
Erosion is a rounded or oval damage to the enamel, which can be symmetrical, but eventually the symmetry disappears. It can also have an irregular shape. It has a smooth, hard and shiny surface. The erosion of teeth is slow, sometimes, this process lasts for decades.
Dentists identify the following clinical symptoms of tooth erosion:
- the appearance of increased sensitivity of teeth;
- the appearance of toothache when you brush your teeth, from cold, hot drinks or food;
- If the modified area of the tooth is smeared with iodine, it will turn brown.
- the affected part of the tooth begins to pigment;
There are several degrees of erosion:
- The initial is when the upper layers of the enamel are affected;
- Medium - tooth enamel is affected throughout the thickness;
- Deep - not only enamel is affected, but also the upper layers of dentin.
Erosion of hard tooth tissues
Erosion of hard tooth tissues is found equally symmetrically on the central and lateral incisors of the upper teeth, and in addition to the canines and small molars of the upper and lower jaw. Very rarely, erosion is located on the lower teeth.
They suffer from tooth erosion, mostly middle-aged people. The disease proceeds very slowly. If you are sick with tooth decay, and then there is also an erosion of the teeth, caries will progress. Changes begin in the upper layer of the enamel, where large hollow zones can be diagnosed. Treatment - a solution of 3% remodent, course of 15-20 procedures. A variety of erosion of hard tooth tissues is hyperesthesia, this is when the teeth react to temperature changes, to chemical and mechanical effects. How to fight? Use 1-2% solution of sodium fluoride. It takes about ten sessions.
Treatment of tooth erosion
Of course, the treatment of tooth erosion is a fairly long process. The simplest thing you need to do is stick to a specific diet. For you, in general, it is only necessary to reduce the use of citrus fruits, juices from fruit, soda. Take food and drink in a warm, not in a hot form, because the Low temperature is less harmful for teeth. Each time after a meal, rinse your mouth, use a chewing gum, it will only refresh your breath, but will also increase salivation. Buy fluoride toothpaste.
If the erosion of teeth has gone too far, then you need to turn to medication. In any case, the treatment of tooth erosion will depend on the stage of the disease. If the stage of the disease is active, the main task will be to stabilize the process. To do this, you need to mineralize the teeth. In order to replenish the hard matter of the tooth with calcium and phosphorus, it is necessary to make pasta applications for three or four days lasting 15-20 minutes. Another three days on the affected area for 2-3 minutes apply fluoride gel. At the end of the procedures, fluoride varnish is applied. If you are prescribed exactly the method of application, then it will be necessary to undergo at least 15 procedures.
It is very good when eroding teeth to perform the procedure of electrophoresis with a 10% calcium solution of gluconate. After the procedure, it is necessary to apply a tampon with 2% sodium fluoride solution. Treatment with electrophoresis will be twenty procedures.
With dental treatment appoint:
- calcium salt - 0.5 g 3 times a day for 1 month;
- clamine (1-2 tablets) or phytolone (30 caps.) 2-3 times a day for 15 minutes before meals for 1-2 months;
- multivitamins kvadevit or komplivit - 3-4 tablets. The day after breakfast.
Many experts believe that with erosion of teeth, filling is ineffective, because often pathology of the boundary fit. If you still decided on sealing, pay attention to some points. Before the sealing procedure, it is necessary to demineralize hard tooth materials with a solution of 10% calcium nitrate and aluminum acid phosphate. Composite materials should be used for sealing. Inside prescribe calcium gluconate for 0.5 g three times a day for a month.
Surgical treatment of tooth erosion
Long gone are the days when surgical dentistry served only to remove sick teeth. Dental extraction is now only a part of the practice of surgical dentistry. Its main activity is directed, precisely, to the preservation of the tooth. In modern clinics much attention is paid to the so-called zubosohranayuschim operations. These include the removal of various formations in bone and soft tissues, the removal of the roots of the tooth. Possible treatment of erosion of teeth with a laser. In the affected teeth, excess moisture, with the help of a laser, excessive moisture from the tooth can be removed, after this operation, the enamel is substantially condensed. The laser disinfects the tooth. When treated with a laser, it is impossible to touch healthy tissue or carry an infection. If you are allergic to anesthetics, then laser treatment does not require anesthesia.
Treatment of tooth erosion in alternative medicine
Many, suffering from erosion of teeth prefer to address not to traditional, but to alternative medicine. Alternative methods can successfully eliminate pain, strengthen enamel and gums, but they rarely treat the very cause of the disease. Alternative medicine offers many different recipes. We bring to your attention some of them.
Eggplant
We do not need all the eggplant, but only its skin. It should be thoroughly washed and dried. Then grind into a powder. Powder pour 200 ml. Boiling water and let it brew. Store in the refrigerator, use to rinse the mouth every time after eating.
Oak bark
Oak bark is known as an excellent antimicrobial and tanning agent. 1 tbsp. Crushed and dried bark of oak is poured a glass of boiling water and brought to a boil. Then reduce the fire and soak the broth on a small fire 5-7min. Received broth 2-3 times a day, rinse your mouth.
Tea tree oil
In addition to the fact that tea tree oil strengthens and reduces painful sensations, your breathing will become fresh. How to use: take a glass of warm water and in it to dilute 3-4 drops of tea tree oil. Rinse your mouth 3 times a day.
Prevention of erosion of teeth
First of all, it is necessary to establish what etiology of erosion. If the main etiological factor is food, in this case it is necessary to reduce the consumption of food, which can contain acid. If you are a great lover of water with lemon, soda, fruit juices, then they need to drink quickly or through a tube. Take note that among the natural juices, the juice of black currant is very harmful to the teeth with erosion. The most sparing juice is apple.
- Correctly choose the means of hygiene for the oral cavity. Use gels with a fluoride content of 1% and a neutral pH of 2 times throughout the week.
- After eating, eat cheese, since cheese neutralizes the acidity of food.
- Do not brush your teeth immediately after eating, wait about half an hour.
- Choose a toothpaste with a low grinding result.
- For mouth hygiene, choose brushes with a soft pile, brush your teeth with light circular motions, and the front teeth need to be cleaned from the top down, from the inside to the outside.
- In modern dental clinics there is an extensive selection of sealants that can protect against erosion of the teeth.
- Be sure to check with an endocrinologist. 75% of tooth erosion is caused by diseases of the thyroid gland with its increased function.
- Refuse the bleaching procedure, it breaks the integrity of the enamel.
- Drink warm tea, not boiling water. Include in the diet of a fish dish, because it is rich in phosphorus and calcium, which are useful for enamel of teeth.
- Do not save on buying a quality toothbrush. New toothbrushes need to be purchased every 2-2.5 months, so that the brush does not become a hotbed of all kinds of infections.
- Once every six months, visit a dentist who will perform a fluoride-containing film covering procedure. It protects against further destruction of enamel, as well as prevents the washing away of calcium.
Forecast of erosion of teeth
If you do not deal with the treatment of erosion of the teeth, a neglected disease can lead to a tooth loss. To keep or remove a tooth, this decision is often taken by the patient himself. Some patients prefer to remove the tooth, than to deal with its treatment, motivating it with high prices, lack of time. However, it is worthwhile to think that if the tooth is not placed in place of the removed tooth in the shortest time possible, the entire jaw will begin to change. And then as a snowball: implantation, prosthetics. Is it cheaper? The better the treatment, the longer the forecast will be. And, of course, do not forget about prevention.
Erosion of the teeth is an extremely unpleasant disease. Timely visits to the dentist and prevention are effective methods to combat this disease. Adherence to the rules of treatment and prevention, will help you avoid severe forms of erosion.