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Dental erosion, or tooth erosion, refers to the loss of tooth structure due to an acid attack. This causes the enamel to wear away and expose the underlying dentin. This dental condition is a growing concern, given its potential to cause significant harm to oral health. Understanding the causes and treatment options can equip individuals with the knowledge to prevent or manage dental erosion.
What Causes Dental Erosion, also known as Enamel Erosion?
Dental erosion, also known as enamel erosion, is a common condition that slowly wears away the protective outer layer of teeth. Understanding what causes it can help you take the proper steps to protect your smile and maintain long-term oral health.
Two primary sources of enamel erosion are extrinsic (external) and intrinsic (internal) factors.
Extrinsic Factors
Acidic foods and drinks, such as citrus fruits, soft drinks, energy drinks, wine, and salad dressings, can slowly break down enamel if consumed often. Even healthy choices like fruit juices can be acidic enough to contribute to erosion over time. Certain medications, such as aspirin or chewable vitamin C tablets, are also acidic and can have a similar effect when used frequently.
Intrinsic factors
For example, people with acid reflux (GERD) may experience stomach acids rising into the mouth, which can silently damage teeth over time. Similarly, repeated vomiting, whether due to medical conditions like bulimia nervosa, eating disorders, or morning sickness during pregnancy, can expose teeth to harsh stomach acids that weaken enamel.
If you notice increased tooth sensitivity, discolouration, or a smooth, shiny appearance on your teeth, it might be a sign of enamel erosion. The good news is that erosion can be managed or even prevented with proper dental care and lifestyle changes.
Regular dental check-ups, a tooth-friendly diet, and addressing any underlying medical conditions can go a long way in protecting your enamel. If you’re concerned about dental erosion, speak with your dentist. Dentists can help identify the cause and guide you toward effective treatment options tailored to your needs.
Symptoms of Dental Erosion
As dental erosion progresses, several symptoms may become noticeable. These include:
- Sensitivity to hot, cold, sweet, or sour foods and drinks due to the exposure of the underlying dentin.
- Discolouration, as the yellowish dentin becomes visible with the loss of white enamel.
- Rounded teeth, as the edges of teeth, may appear more rounded or smooth.
- The transparent or sandblasted appearance of the teeth, especially at the biting edges.
Preventing Dental Erosion
Dental erosion, also known as enamel erosion, is a progressive condition that can weaken teeth, cause sensitivity, and impact the appearance of your smile. The good news is that with the proper habits and timely care, you can significantly reduce risk and manage damage early.
Preventing enamel erosion is often about making small, smart changes to your daily routine.
Here are some dentist-recommended tips
Reduce your intake of acidic foods and drinks, such as soft drinks, citrus fruits, fruit juices, wine, and vinegar-based dressings. If you eat them, avoid swishing or holding them in your mouth, which increases acid exposure.
Use a straw when drinking acidic beverages to help bypass your front teeth and reduce direct contact.
Rinse with water after consuming anything acidic. This helps wash away lingering acids and restores your mouth’s pH faster.
Wait before brushing. Acid temporarily softens enamel, so brushing immediately after an acidic meal or drink can do more harm than good. It’s best to wait at least an hour.
Practice good oral hygiene. Brush twice daily using a soft-bristled toothbrush and fluoride toothpaste, and floss daily. Fluoride helps strengthen enamel and protect against further damage.
Treatment Options for Dental Erosion
If erosion has already set in, your dentist can recommend the proper treatment based on how advanced the condition is:
In the early stages, fluoride treatments and desensitising toothpastes can help strengthen weakened enamel and reduce tooth sensitivity.
For moderate damage, restorative options like tooth-coloured fillings, inlays, or crowns can protect the affected teeth and restore their function.
In advanced cases, where erosion has reached the inner part of the tooth or caused significant structural loss, root canal therapy or tooth replacement (such as a dental implant or bridge) may be necessary.
Dental erosion can significantly impact an individual’s oral health and quality of life, but its progression can be halted or even reversed with early intervention and proper preventive measures. Regular dental check-ups are crucial in detecting and managing dental erosion before it becomes severe.
Disclaimer: This article is intended for informational purposes only and should not be used for self-diagnosis or self-treatment. Always seek advice from a medical healthcare professional or local dentist for dental concerns.