Publication
Erosão dentária: diagnóstico, causas e abordagens terapêuticas para uma gestão clínica eficiente
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| Projeto de pós-graduação_39497 | 692.11 KB | Adobe PDF |
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Abstract(s)
O impacto da acidez nos dentes é um tema crucial na medicina dentária, explorando os efeitos devastadores da acidez no esmalte dentário e na saúde oral como um todo. O ácido, proveniente de várias fontes, pode causar danos consideráveis aos dentes, resultando em problemas como a erosão dentária, sensibilidade dentária e cáries. Essa problemática é estudada atentamente para compreender os mecanismos, fatores de risco e os meios de prevenção. A exposição frequente aos ácidos pode enfraquecer o esmalte, a camada protetora externa dos dentes, tornando-os mais suscetíveis a danos e deterioração. A erosão é um processo gradual, mas contínuo, que pode tornar os dentes sensíveis a temperaturas extremas e a estímulos externos. Além da erosão do esmalte, uma exposição prolongada ao ácido pode afetar os tecidos dentários subjacentes, resultando em complicações como cáries, fissuras e fragilidades. Um diagnóstico precoce pode ajudar na identificação de áreas vulneráveis e na implementação de medidas preventivas específicas para proteger o esmalte. Adicionalmente, a consciencialização sobre os efeitos prejudiciais dos ácidos na saúde oral é fundamental. Desta forma, esta revisão narrativa tem como objetivo elucidar sobre as causas, diagnóstico e abordagens terapêuticas da erosão dentária, de forma a permitir uma gestão clínica eficiente. Para tal, foi efetuada uma pesquisa bibliográfica nas bases de dados eletrónicas PubMed, B-On e Google Scholar, com os termos de pesquisa "Tooth wear", "dental erosion", "Prevalence", "Diagnosis", "Treatment", sendo estes combinados e articulados com os marcadores booleanos "AND" e "OR". Foram incluídos na revisão 58 artigos que se enquadravam na temática abordada. Verificou-se que, devido à irreversibilidade do dano tecidual duro, é importante reconhecer os primeiros sinais clínicos da erosão, informar adequadamente o paciente sobre a condição e as possíveis consequências, a fim de aumentar a sua conscientização tanto quanto possível para otimizar a adesão aos cuidados e estabelecer um tratamento não intervencionista precoce, no caso de lesões iniciais (conselhos de higiene e dietéticos, produtos de prevenção, particularmente à base de flúor, para proteger e remineralizar superfícies, etc.), sendo que o tratamento deve ser abrangente e adaptado a cada pessoa para ser bem sucedido.
The impact of acidity on teeth is a crucial topic in dentistry, exploring the devastating effects of acidity on tooth enamel and oral health as a whole. Acid from various sources can cause considerable damage to teeth, resulting in problems such as tooth erosion, tooth sensitivity, and cavities. This problem is carefully studied to understand the mechanisms, risk factors, and means of prevention. Frequent exposure to acids can weaken the enamel, the protective outer layer of teeth, making them more susceptible to damage and deterioration. Erosion is a gradual but ongoing process that can make teeth sensitive to extreme temperatures and external stimuli. In addition to enamel erosion, prolonged exposure to acid can affect the underlying dental tissues, resulting in complications such as cavities, fissures, and brittleness. An early diagnosis can help in identifying vulnerable areas and implementing specific preventive measures to protect the enamel. Additionally, awareness of the harmful effects of acids on oral health is critical. Thus, this narrative review aims to elucidate the causes, diagnosis, and therapeutic approaches of dental erosion to allow efficient clinical management. To this end, a bibliographic search was carried out in the electronic databases PubMed, B-On, and Google Scholar, with the search terms "Tooth wear", "dental erosion", "Prevalence", "Diagnosis", "Treatment", which were combined and articulated with the Boolean markers "AND" and "OR". A total of 58 articles that fit the theme were included in the review. It has been found that due to the irreversibility of hard tissue damage, it is important to recognize the early clinical signs of erosion, properly inform the patient about the condition and the possible consequences to increase their awareness as much as possible to optimize adherence to care, and establish early non-interventional treatment in the event of initial injuries (hygiene, dietary advice, prevention products, particularly fluoride-based to protect and remineralize surfaces, etc.). Treatment must be comprehensive and tailored to each person to be successful.
The impact of acidity on teeth is a crucial topic in dentistry, exploring the devastating effects of acidity on tooth enamel and oral health as a whole. Acid from various sources can cause considerable damage to teeth, resulting in problems such as tooth erosion, tooth sensitivity, and cavities. This problem is carefully studied to understand the mechanisms, risk factors, and means of prevention. Frequent exposure to acids can weaken the enamel, the protective outer layer of teeth, making them more susceptible to damage and deterioration. Erosion is a gradual but ongoing process that can make teeth sensitive to extreme temperatures and external stimuli. In addition to enamel erosion, prolonged exposure to acid can affect the underlying dental tissues, resulting in complications such as cavities, fissures, and brittleness. An early diagnosis can help in identifying vulnerable areas and implementing specific preventive measures to protect the enamel. Additionally, awareness of the harmful effects of acids on oral health is critical. Thus, this narrative review aims to elucidate the causes, diagnosis, and therapeutic approaches of dental erosion to allow efficient clinical management. To this end, a bibliographic search was carried out in the electronic databases PubMed, B-On, and Google Scholar, with the search terms "Tooth wear", "dental erosion", "Prevalence", "Diagnosis", "Treatment", which were combined and articulated with the Boolean markers "AND" and "OR". A total of 58 articles that fit the theme were included in the review. It has been found that due to the irreversibility of hard tissue damage, it is important to recognize the early clinical signs of erosion, properly inform the patient about the condition and the possible consequences to increase their awareness as much as possible to optimize adherence to care, and establish early non-interventional treatment in the event of initial injuries (hygiene, dietary advice, prevention products, particularly fluoride-based to protect and remineralize surfaces, etc.). Treatment must be comprehensive and tailored to each person to be successful.
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Keywords
Desgaste dentário Erosão dentária Prevalência Diagnóstico Tratamento Tooth wear Dental erosion Prevalence Diagnosis Treatment