The use of fluoride for the prevention of dental erosion and erosive tooth wear in children and adolescents.

Lussi, Adrian; Buzalaf, M A R; Duangthip, D; Anttonen, V; Ganss, C; João-Souza, Samira Helena; Baumann, Tommy; Saads Carvalho, Thiago (2019). The use of fluoride for the prevention of dental erosion and erosive tooth wear in children and adolescents. European archives of paediatric dentistry, 20(6), pp. 517-527. Springer 10.1007/s40368-019-00420-0

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BACKGROUND Erosive tooth wear (ETW) has gained increasing clinical relevance. It is estimated that worldwide 30-50% of deciduous and 20-45% of permanent teeth are affected. One of the most important nutritional factors causing ETW is the overconsumption of soft drinks, but also patient-related factors like reflux or eating disorders can lead to erosive lesions. Whether acids lead to erosive demineralisation depends on their degree of saturation with respect to tooth mineral at their actual pH. REVIEW Fluoride compounds like sodium or amine fluoride seem to be of limited efficacy against erosion, the main reason for this is the missing biofilm in the erosive process as well as the lower pH of the acids compared to bacterial acids. This means that to achieve some kind of preventive effect it would be necessary to use products with higher fluoride concentration, which is not an appropriate option for small children, and/or to increase the frequency of application. In addition, the fluoride compound plays a role as promising effects were found when fluoride is combined with titanium or stannous ions. TiF4 can cause acid-resistant surface coatings and when Sn2+/F- formulations are applied, Sn is not only found on the surface but is also incorporated into enamel and dentine. Both effects make the tooth surface more resistant against acid demineralisation. Different fluoride-containing vehicles have been tested to prevent erosion/ETW, such as toothpastes, rinses, gels and varnishes. Toothpastes offer some degree of protection, especially Sn2+-containing formulations, but effects of the active ingredients are sometimes counteracted by the presence of abrasives. CONCLUSION Detecting associated factors and influencing them is the main instrument in arresting erosive tooth wear. Additionally, patients at risk for dental erosion should always use an additional fluoride source preferably containing Sn2+.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry

UniBE Contributor:

Lussi, Adrian; João de Souza, Samira Helena; Baumann, Tommy and Saads Carvalho, Thiago

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1818-6300

Publisher:

Springer

Language:

English

Submitter:

Daniela Zesiger

Date Deposited:

04 Dec 2019 09:18

Last Modified:

04 Dec 2019 09:18

Publisher DOI:

10.1007/s40368-019-00420-0

PubMed ID:

30762211

Uncontrolled Keywords:

Acquired salivary pellicle Deciduous Dental erosion Enamel Erosive tooth wear Fluoride Permanent Prevention Stannous fluoride Tin Titanium tetrafluoride

BORIS DOI:

10.7892/boris.135547

URI:

https://boris.unibe.ch/id/eprint/135547

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