Erosion. What is erosion? Erosion vs. The erosion explosion. effects of a modern day witch s brew. Lea. Biocer. Erosion - a multifactorial condition

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1 The erosion explosion. effects of a modern day witch s brew This course is supported by educational grants from Lea Anne N. Guignon, RDH, MPH, CSP anne@anneguignon.com Copyright 2017 We are grateful for their generous support and interest in professional continuing education programs. What is erosion? Biocer Erosion Erosion - a multifactorial condition Erosion vs.

2 Biofilm attachment How d How does erosion happen? Acid erosion Erosion - surface softening impact Critical ph When do teeth melt??? Early root structure - ph 6 enamel - between ph 5 and 5.5 fluorapatite - ph 4.5 Photos - Courtes

3 Stimulated saliva Testing oral ph Dentinal hypersensitivity Stimulus Dentinal hypersensit Structural differences between sensitive and non-sensitive Continued tubule exposure Hidden

4 Non-verbal cues and clues Verbal and non-verbal - women/younger - more anxious - tense bodies - foot on the floor - I d rather be anywhere but here - patient expectations - previous dental experiences Listen to pa A golden opportunity Rule out other conditions occlusal trauma cracked tooth syndrome c new and recurrent pulpal pathology gingival sensitivity layered sensitivities Liem EB, Joiner TV, Tsueda K, Sessler DI. Increased se Mar;102(3): Intrinsic and extrinsic factors Erosion Intrinsic factors Gandara BK and Trulove EL. Diagnosis and management of dental erosion. J Cont Dent Prac. 1999;1(1):1-17 Erosion comp Aranha ACC, Eduardo CP, Cordás TA. Eating d J Contemp Dent Pract 2008 September; (9)6:0

5 Eating disorders behaviors and findings : : Eating disorders Common behaviors and findings Eating disorder exercise/suicid Aranha ACC, Eduardo CP, Cordás TA. Eating Disorders Part I: Psychiatric Diagnosis and Dental Implications. J Contemp Dent Pract 2008 September; (9)6: Aranha ACC, Eduardo CP, Cordás TA. Eating disorders part I: Psychiatric diagnosis and dental implications. J Contemp Dent Pract 2008 September; (9)6: Exercise caution: Over-exercise is as Fink EL, Anestis MD, Ribeiro JD, et a Erosion from GERD The many looks of erosion The man looks o erosion Gandara BK and Trulove EL. Diagnosis and management of dental erosion. J Cont Dent Prac. 1999;1(1):1-17 Gandara BK and Trulove EL. Diagnosis and management of dental erosion. J Cont Dent Prac. 1999;1(1):1-17 Gandara BK and Trulove E Ren, YF. Dental erosion: Et Erosion Extrinsic factors Erosion Dietary intake Erosion Dietar

6 The science behind erosion- ph and titratable acidity Soda Pop! Chart courtesy of Spear Education 2004 Landmark study Dissolution of enamel in soft drinks - agd.org/library/2004/aug/vonfraunhofer.pdf. Are you sure you want to drink another soda?? Dissolution of enamel in soft drinks - agd.org/library/2004/aug/vonfraunhofer.pdf. Erosive potent of four soft d Owens BM, Kitchens M. The Ero Vitro Scanning Electron Microsc Chemical erosion via soft drinks Chemical erosion via soft drinks P Owens BM, Kitchens M. The Erosive Potential of Soft Drinks on Enamel Surface Substrate: An In Vitro Scanning Electron Microscopy Investigation. J Contemp Dent Pract 2007 November; (8)7: Owens BM, Kitchens M. The Erosive Potential of Soft Drinks on Enamel Surface Substrate: An InVitro Scanning Electron Microscopy Investigation. J Contemp Dent Pract 2007 November; (8)7: Owens BM, Kitchens M. T Vitro Scanning Electron M

7 Post immersion photos 20x magnification Note-Chalky, dull enamel Control Tap water Owens BM, Kitchens M. The Erosive Potential of Soft Drinks on Enamel Surface Substrate: An In Vitro Scanning Electron Microscopy Investigation. J Contemp Dent Pract 2007 November; (8)7: Total acid content of beverages Owens BM, Kitchens M. The Erosive Potential of Soft Drinks on Enamel Surface Substrate: An In Vitro Scanning Electron Microscopy Investigation. J Contemp Dent Pract 2007 November; (8)7: What s differen non-carbonated What s different about these non-carbonated drinks? More news on acidity The scoop... powdered drinks Barbara Ingham, PhD - Food Science Extension Specialist University of Wisconsin-Madison - July 12, 2008 Propel.now vitamin and calcium enhanced S o

8 Tea - brewed teas Tea - brewed teas Tea - ready to Smoothies Adding calcium to juices Digestive aid other supplements Mouth rinses!!! ph levels 3.5 to 5 Bottled water!!! ph levels of are common And it Pontefract H, Hughes J, et al. The erosive effects of some mouthrinses on enamel. A study in situ. J Clin Periodontol Apr;28(4):