Loading...
Publication
Abordagem terapêutica de desgastes erosivos: revisão narrativa
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 457.24 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O desgaste erosivo é um fenómeno progressivo e irreversível, da estrutura do tecido dentário duro. É causada pela dissolução de substâncias minerais dentárias iniciando-se após exposição excessiva a ácidos não bacterianos de origem intrínseca e extrínseca.
Para além da erosão, existem três causas possíveis para o desgaste dentário: atrição, abrasão e abfração, sendo muitas vezes provocadas por um processo multifatorial. A erosão é um fenómeno que se manifesta por um processo puramente químico em busca de um equilíbrio ácido-base no meio oral. Deve ser bem diferenciado da perda de tecido dentário por outros tipos de desgaste, podendo ser complicado por certas semelhanças clínicas das lesões, bem como pela origem multifatorial das mesmas.
A intervenção clínica face à perda estrutural implica o controlo dos fatores etiológicos nomeadamente dietéticos, comportamentais e patológicos, associado a medidas preventivas de reforço da estrutura dentária e em casos mais avançados a medidas restauradoras.
O objectivo desta revisão narrativa, pretende reunir informação sobre o desgaste dentário erosivo de forma a realizar um correto diagnóstico, e permitir ainda uma abordagem preventiva e restauradora eficaz de forma a minimizar as sequelas da patologia.
Erosive wear is a progressive and irreversible phenomenon in the structure of hard dental tissue. It is caused by the dissolution of dental mineral substances starting after excessive exposure to nonbacterial acids of intrinsic and extrinsic origin. In addition to erosion, there are three possible causes for tooth wear: attrition, abrasion and abrasion, which are often caused by a multifactorial process. Erosion is a phenomenon that manifests itself by a purely chemical process in search of an acid-base balance in the oral environment. It must be well differentiated from the loss of dental tissue due to other types of wear, which can be complicated by certain clinical similarities of the lesions, as well as by their multifactorial origin. The clinical intervention in the face of structural loss implies the control of the etiological factors, namely dietary, behavioral and pathological, associated with preventive measures to strengthen the dental structure and in more advanced cases with therapeutic measures. The purpose of this narrative review is to gather information on dental erosive wear in order to make the correct diagnosis, and also to allow an effective preventive and therapeutic approach in order to minimize the sequelae of the disease.
Erosive wear is a progressive and irreversible phenomenon in the structure of hard dental tissue. It is caused by the dissolution of dental mineral substances starting after excessive exposure to nonbacterial acids of intrinsic and extrinsic origin. In addition to erosion, there are three possible causes for tooth wear: attrition, abrasion and abrasion, which are often caused by a multifactorial process. Erosion is a phenomenon that manifests itself by a purely chemical process in search of an acid-base balance in the oral environment. It must be well differentiated from the loss of dental tissue due to other types of wear, which can be complicated by certain clinical similarities of the lesions, as well as by their multifactorial origin. The clinical intervention in the face of structural loss implies the control of the etiological factors, namely dietary, behavioral and pathological, associated with preventive measures to strengthen the dental structure and in more advanced cases with therapeutic measures. The purpose of this narrative review is to gather information on dental erosive wear in order to make the correct diagnosis, and also to allow an effective preventive and therapeutic approach in order to minimize the sequelae of the disease.
Description
Keywords
Esmalte Desgaste dentário Erosão Tratamento desgaste dentário erosivo Alteração DVO Enamel Tooth wear Erosion Erosive dental wear rehabilitation DVO alteration