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      Pathological or physiological erosion—is there a relationship to age?

      , 1 , 2

      Clinical Oral Investigations


      Erosion, Tooth wear, Tooth wear index, Attrition, Abrasion

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          This conventional literature review discusses whether pathological tooth wear is age dependant. It briefly reviews the components of tooth wear and the prevalence of tooth wear in children, adolescents and adults. The emphasis on terminology relating to tooth wear varies. In some countries, the role of erosion is considered the most important, whereas others consider the process to be a combination of erosion, attrition and abrasion often with one being more dominant. The importance of tooth wear or erosion indices in the assessment and the evidence for progression within subject and within lesions is described. The data from the few studies reporting pathological levels of wear reported in children and adults are discussed, in particular its relationship with age. There is little evidence to support the concept that pathological levels of erosion or wear are age dependant. There is, however, some evidence to suggest that normal levels of erosion or wear are age dependant.

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          Most cited references 29

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          An index for measuring the wear of teeth.

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            A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion, and abrasion.

            The terms 'abfraction' and 'abrasion' describe the cause of lesions found along the cervical margins of teeth. Erosion, abrasion, and attrition have all been associated with their formation. Early research suggested that the cause of the V-shaped lesion was excessive horizontal toothbrushing. Abfraction is another possible etiology and involves occlusal stress, producing cervical cracks that predispose the surface to erosion and abrasion. This article critically reviews the literature on abrasion, erosion, and abrasion, and abfraction. The references were obtained by a MEDLINE search in March, 2005, and from this, hand searches were undertaken. From the literature, there is little evidence, apart from laboratory studies, to indicate that abfraction exists other than as a hypothetical component of cervical wear.
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              Dental erosion in a population of Swiss adults.

               Sarah Suter,  P Hotz,  A Lussi (1991)
              The purpose of this study was to determine the prevalence of dental erosion in an adult population in Switzerland. 391 randomly selected persons from two age groups (26-30 and 46-50 yr) were examined for frequency and severity of erosion on all tooth surfaces. Information was gathered by interview about lifestyle, dietary and oral health habits. For facial surfaces 7.7% of the younger age group and 13.2% of the older age group showed at least one tooth affected with erosion with involvement of dentin (grade 2). 3.5 teeth per person in the younger and 2.8 teeth per person in the older age group were affected. Occlusally, at least one severe erosion was observed in 29.9% of the younger and 42.6% of the older sample with 3.2 and 3.9 erosion-affected teeth per person, respectively. 3.6% of the younger age group and 6.1% of the older age group showed slight lingual erosion on the maxillary anterior teeth. Severe lingual erosions were scarce. Data from interviews and multiple regression analyses revealed that acids from beverages are significantly associated with presence of erosion.

                Author and article information

                [1 ]Department of Fixed and Removable Prosthodontics, King’s College London Dental Institute, Floor 25, Guy’s Tower, London Bridge, SE19RT London, UK
                [2 ]Leicestershire County and Rutland PCT, Pasley Road Health Centre, Eyres Monsell, Leicester, LE2 9BU UK
                +44-2071-885390 ,
                Clin Oral Investig
                Clinical Oral Investigations
                Springer-Verlag (Berlin/Heidelberg )
                29 January 2008
                March 2008
                : 12
                : Suppl 1
                : 27-31
                © Springer-Verlag 2007
                Custom metadata
                © Springer-Verlag 2008


                attrition, tooth wear index, erosion, abrasion, tooth wear


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