Introduction: Dental erosion is a non-carious disease of hard dental tissues, characterized by their gradual wear under the action of exogenous or endogenous acids. Its progression leads to destruction of dental crowns, hypersensitivity, and disease of the pulp and periodontium with consequences for the entire body. Timely treatment of the initial defects and prophylaxis is of particular importance for preventing the onset and progression of dental erosion.
Aim: The aim of this article is to evaluate the effectiveness of easily accessible topical and iontophoretic methods for remineralization of initial erosions with modern remineralizing agents.
Materials and Methods: In an in vitro study of freshly extracted human teeth, surface defects were induced in the enamel by using an acidic agent. For remineralization, a gel and a mouth balm containing medical hydroxylapatite were used as well as a gel with calcium glycerophosphate.
Results: The study confirmed the real benefit of the action of calcium glycerophosphate and medical hydroxylapatite on the restoration of the enamel structure of acid-damaged teeth. The iontophoretic method showed superiority in remineralization over topical application.
Колева М, Зъбна ерозия- епидемиология, клинични особености, лечение и профилактика на ранните стадии, Варна, МУ-Варна, Дисертационен труд за присъждане на образователна и научна степен „доктор по медицина“. 2020
Топалова-Пиринска, С., Карова, Е. Клинично поведение при лечение на зъбен кариес и неговите усложнения. 2013; 26-28
Addy M, Ahsi EG, Adams D. Dentine hypersensitivity. The effects in vitro of acids and dietary substances on rootplaned and burred dentine. J Clin Periodontol. 1987; 14: 274-279
Addy M, Shellis RP. Interaction between attrition, abrasion and erosion in tooth wear. Monographs in Oral Science. 2006; 20: 17–31
Al-Dlaigan YH, Shaw, L., Smith, A. Tooth surface loss: Dental erosion in a group of British 14-year-old school children Part II: Influence of dietary intake. British Dental Journal. 2001; 190(5): 258-261.
Dugmore CR, Rock WP. A multifactorial analysis of factors associated with dental erosion. Br Dent J. 2004;196:283–6
Ganss C. Definition of erosion and links to tooth wear. Monogr Oral Sci. 2006; 20: 9–16.
Larsen MJ: Chemical events during tooth dissolution. J Dent Res 1990;69(spec No):575–580
Lynch RJ. Calcium glycerophosphate and caries: a review of the literature. International dental journal. 2004 Oct;54(S5):310-4.
Meyer F, Amaechi BT, Fabritius HO, Enax J. Overview of calcium phosphates used in biomimetic oral care. The open dentistry journal. 2018;12:406.
Pindborg J.J. Pathology of the dental hard tissues. 1970; Munksgaard, Copenhagen
Watson IB, Tulloch EN. Clinical assessment of cases of tooth surface loss. British Dental Journal 1985;159:144–8.