Download PDF
Informationen aus Orthodontie & Kieferorthopädie 2018; 50(04): 285-292
DOI: 10.1055/a-0677-7567
Übersichtsartikel
© Georg Thieme Verlag KG Stuttgart · New York

Erosionen – Diagnostik, Prävention und Therapie

Erosions – Diagnostics, Prevention and Treatment
Nadine Schlüter
1   Stiftungsprofessur für Kariesforschung, Klinik für Zahnerhaltungskunde und Parodontologie, Department f. Zahn-, Mund- u. Kieferheilkunde, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Deutschland
,
Carolina Ganß
2   Poliklinik für Zahnerhaltungskunde und Präventive Zahnheilkunde, Medizinisches Zentrum für Zahn-, Mund- und Kieferheilkunde, Justus-Liebig-Universität, Gießen
› Author Affiliations
Further Information

Publication History

Publication Date:
21 December 2018 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Im Laufe des Lebens sind Zähne einer Vielzahl von Einflüssen ausgesetzt, die zu einer Destruktion der Zähne führen können. Während die Prävalenz von Karies in den industrialisierten Ländern rückläufig ist, gewinnen andere Verschleißerscheinungen zunehmend an Bedeutung. Dazu zählen neben den mechanisch bedingten Abrasionen und Attrition v. a. auch die säurebedingten Erosionen. Mechanische und chemische Einflussfaktoren können sich gegenseitig verstärken und damit zu einer schnelleren Progression von Verschleißerscheinungen führen. Besonders gefährdet sind Personen, die sehr häufig säurehaltige Speisen konsumieren, aber auch Personen, deren Zähne regelmäßig der Magensäure ausgesetzt sind–dazu gehören Personen mit einem gastro-ösophagealen Reflux und Personen mit einer Essstörung in Kombination mit Erbrechen. Der folgende Artikel soll Ursachen, diagnostische Kriterien und Differenzialdiagnosen von Erosionen sowie geeignete kausale und symptomatische Präventions- und Therapiestrategien aufzeigen. Zudem soll ein geeignetes Tool zur Dokumentation von Erosionen vorgestellt werden.

Abstract

During the course of life, teeth are exposed to a variety of influences that can lead to various types of tooth destruction. While the prevalence of caries is declining in industrialized countries, other signs of tooth wear are becoming increasingly important. These include mechanical substance losses such as abrasion and attrition as well as acid-induced erosion. Mechanical and chemical factors can mutually reinforce each other and thus lead to a faster progression of signs of wear. Particularly at risk are people who very often consume acidic foods, but also people whose teeth are regularly exposed to gastric acid, including persons suffering from gastro-esophageal reflux disease and persons with an eating disorder in combination with vomiting. The following article shows causes, diagnostic criteria and differential diagnoses of dental erosion, as well as suitable causal and symptomatic preventive and therapeutic strategies. In addition, a tool for the documentation of erosions will be presented.

Schlüsselwörter

Erosionen - kausale Therapie - symptomatische Therapie - zinnhaltige Mundhygienemittel

Key words

Erosion - causal therapy - symptomatic therapy - stannous ion containing oral hygiene products
 

  • Literatur

  • 1 Ganss C. Is Erosive Tooth Wear an Oral Disease?. Monogr Oral Sci 2014; 25: 16-21
    PubMedGoogle Scholar
  • 2 Attin T, Koidl U, Buchalla W. et al. Correlation of microhardness and wear in differently eroded bovine dental enamel. Arch Oral Biol 1997; 42: 243-250
    CrossrefPubMedGoogle Scholar
  • 3 Shellis RP, Addy M. The interactions between attrition, abrasion and erosion in tooth wear. Monogr Oral Sci 2014; 25: 32-45 doi:10.1159/000359936
    PubMedGoogle Scholar
  • 4 Lussi A, Schlueter N, Rakhmatullina E. et al. Dental erosion – an overview with emphasis on chemical and histopathological aspects. Caries Res 2011; 45 (Suppl. 01) 2-12
    PubMedGoogle Scholar
  • 5 Shellis RP, Featherstone JD, Lussi A. Understanding the chemistry of dental erosion. Monogr Oral Sci 2014; 25: 163-179
    CrossrefPubMedGoogle Scholar
  • 6 Wegehaupt FJ, Lunghi N, Hogger VMG. et al. Erosive potential of vitamin and vitamin+mineral effervescent tablets. Swiss Dent J 2016; 126: 457-465
    PubMedGoogle Scholar
  • 7 Schlueter N, Tveit AB. Prevalence of erosive tooth wear in risk groups. Monogr Oral Sci 2014; 25: 74-98
    PubMedGoogle Scholar
  • 8 Moazzez R, Bartlett D. Intrinsic causes of erosion. Monogr Oral Sci 2014; 25: 180-196 doi:10.1159/000360369
    PubMedGoogle Scholar
  • 9 Barbour ME, Lussi A. Erosion in relation to nutrition and the environment. Monogr Oral Sci 2014; 25: 143-154
    PubMedGoogle Scholar
  • 10 Larsen MJ, Nyvad B. Enamel erosion by some soft drinks and orange juices relative to their pH, buffering effect and contents of calcium phosphate. Caries Res 1999; 33: 81-87
    CrossrefPubMedGoogle Scholar
  • 11 Barbour ME, Parker DM, Allen GC. et al. Enamel dissolution in citric acid as a function of calcium and phosphate concentrations and degree of saturation with respect to hydroxyapatite. Eur J Oral Sci 2003; 111: 428-433
    CrossrefPubMedGoogle Scholar
  • 12 Lussi A, Kohler N, Zero D. et al. A comparison of the erosive potential of different beverages in primary and permanent teeth using an in vitro model. Eur J Oral Sci 2000; 108: 110-114
    CrossrefPubMedGoogle Scholar
  • 13 Jordan R, Micheelis W. Fünfte Deutsche Mundgesundheitsstudie (DMS V). Deutscher Ärzte-Verlag; 2016
    Google Scholar
  • 14 Smith BG, Knight JK. An index for measuring the wear of teeth. Br Dent J 1984; 156: 435-438
    CrossrefPubMedGoogle Scholar
  • 15 Attin T, Buchalla W, Gollner M. et al. Use of variable remineralization periods to improve the abrasion resistance of previously eroded enamel. Caries Res 2000; 34: 48-52
    CrossrefPubMedGoogle Scholar
  • 16 Ganss C, Lussi A, Schlueter N. The histological features and physical properties of eroded dental hard tissues. Monogr Oral Sci 2014; 25: 99-107
    PubMedGoogle Scholar
  • 17 Lussi A, Lussi J, Carvalho TS. et al. Toothbrushing after an erosive attack: will waiting avoid tooth wear?. EurJ Oral Sci 2014; 122: 353-359
    PubMedGoogle Scholar
  • 18 Ganss C, Schlueter N, Friedrich D. et al. Efficacy of waiting periods and topical fluoride treatment on toothbrush abrasion of eroded enamel in situ. Caries Res 2007; 41: 146-151
    CrossrefPubMedGoogle Scholar
  • 19 Carvalho TS, Colon P, Ganss C. et al. Consensus report of the European Federation of Conservative Dentistry: erosive tooth wear-diagnosis and management. Clin Oral Investig 2015; 19: 1557-1561
    CrossrefPubMedGoogle Scholar
  • 20 Lussi A. Dental erosion clinical diagnosis and case history taking. Eur J Oral Sci 1996; 104: 191-198
    CrossrefPubMedGoogle Scholar
  • 21 Lussi A, Schaffner M. Progression of and risk factors for dental erosion and wedge-shaped defects over a 6-year period. Caries Res 2000; 34: 182-187
    CrossrefPubMedGoogle Scholar
  • 22 Lussi A, Megert B, Shellis RP. et al. Analysis of the erosive effect of different dietary substances and medications. Br J Nutr 2012; 107: 252-262
    CrossrefPubMedGoogle Scholar
  • 23 Edwards M, Creanor SL, Foye RH. et al. Buffering capacities of soft drinks: the potential influence on dental erosion. J Oral Rehabil 1999; 26: 923-927
    CrossrefPubMedGoogle Scholar
  • 24 Ganss C, Schlueter N, Hardt M. et al. Effect of fluoride compounds on enamel erosion in vitro- a comparison of amine, sodium and stannous fluoride. Caries Res 2008; 42: 2-7
    CrossrefPubMedGoogle Scholar
  • 25 Ganss C, Marten J, Hara AT. et al. Toothpastes and enamel erosion/abrasion - Impact of active ingredients and the particulate fraction. J Dent 2016; 54: 62-67 doi:10.1016/j.jdent.2016.09.005 doi:10.1016/j.jdent.2016.09.005
    CrossrefPubMedGoogle Scholar
  • 26 Ganss C, Neutard L, von Hinckeldey J. et al. Efficacy of a tin/fluoride rinse: a randomized in situ trial on erosion. J Dent Res 2010; 89: 1214-1218
    PubMedGoogle Scholar
  • 27 Schlueter N, Hardt M, Lussi A. et al. Tin-containing fluoride solutions as anti-erosive agents in enamel: an in vitro tin-uptake, tissue-loss, and scanning electron micrograph study. Eur J Oral Sci 2009; 117: 427-434
    CrossrefPubMedGoogle Scholar
  • 28 Addy M, Hunter ML. Can tooth brushing damage your health? Effects on oral and dental tissues. Int Dent J 2003; 53 (Suppl. 03) 177-186
    CrossrefPubMedGoogle Scholar
  • 29 Sundaram G, Wilson R, Watson TF. et al. Effect of resin coating on dentine compared to repeated topical applications of fluoride mouthwash after an abrasion and erosion wear regime. J Dent 2007; 35: 814-818
    CrossrefPubMedGoogle Scholar
  • 30 Sundaram G, Wilson R, Watson TF. et al. Clinical measurement of palatal tooth wear following coating by a resin sealing system. Oper Dent 2007; 32: 539-543
    CrossrefPubMedGoogle Scholar
  • 31 Bartlett D, Sundaram G, Moazzez R. Trial of protective effect of fissure sealants, in vivo, on the palatal surfaces of anterior teeth, in patients suffering from erosion. J Dent 2011; 39: 26-29
    CrossrefPubMedGoogle Scholar
  • 32 Schlüter N, Gressbach C, Ziemann C. et al. Kompositbasierte Beschichtungen zur Prävention von Dentinerosionen. 2014; 69: 564-572
    PubMed
  • 33 Ganss C, Lussi A, Peutzfeldt A. et al. Impact of Sn/F Pre-Treatments on the Durability of Protective Coatings against Dentine Erosion/Abrasion. PLoSOne 2015; 10: e0123889-
    CrossrefPubMedGoogle Scholar
  • 34 Schlueter N, Jaeggi T, Lussi A. Is dental erosion really a problem?. Adv Dent Res 2012; 24: 68-71
    CrossrefPubMedGoogle Scholar
  • 35 Loomans B, Opdam N, Attin T. et al. Severe Tooth Wear: European Consensus Statement ?on Management Guidelines. J Adhes Dent 2017; 19: 111-119 doi:10.3290/j.jad.a38102
    PubMedGoogle Scholar
  • 36 Schlueter N, Peutzfeldt A, Ganss C. et al. Does tin pre-treatment enhance the bond strength of adhesive systems to enamel?. J Dent 2013; 41: 642-652
    CrossrefPubMedGoogle Scholar
  • 37 Flury S, Koch T, Peutzfeldt A. et al. The effect of a tin-containing fluoride mouth rinse on the bond between resin composite and erosively demineralised dentin. Clin Oral Invest 2013; 17: 217-225
    CrossrefPubMedGoogle Scholar
  • 38 Ganß C, Schlüter N. Zinndotierte Zahnhartgewebe in der Adhäsivtechnologie – eine neue Strategie?. ZMK 2018; 34
    PubMedGoogle Scholar
  • 39 Bartlett D, Ganss C, Lussi A. Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Invest 2008; 12: S65-S68
    CrossrefPubMedGoogle Scholar