Extrinsic causes of erosion. Diet. Chemical factors

Lussi, Adrian; Jaeggi, Thomas (2006). Extrinsic causes of erosion. Diet. Chemical factors. In: Lussi, Adrian (ed.) Dental Erosion: From Diagnosis to Therapy. Monographs in Oral Science: Vol. 20 (pp. 77-87). Basel: Karger 10.1159/000093353

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pH value, calcium, and phosphate and to a lesser extent fluoride content of a drink or foodstuff are important factors explaining erosive attack. They determine the degree of saturation with respect to tooth minerals, which is the driving force for dissolution. Solutions oversaturated with respect to dental hard tissue will not dissolve it. Addition of calcium (and phosphate) salts to erosive drinks showed protection of surface softening. Today, several Ca-enriched soft drinks are on the market or products with naturally high content in Ca and P are available (such as yoghurt), which do not soften the dental hard tissue. The greater the buffering capacity of the drink or food, the longer it will take for the saliva to neutralize the acid. The buffer capacity of a solution has a distinct effect on the erosive attack when the solution remains adjacent to the tooth surface and is not replaced by saliva. A higher buffer capacity of a drink or foodstuff will enhance the processes of dissolution because more ions from the tooth mineral are needed to render the acid inactive for further demineralization. Further, the amount of drink in the mouth in relation to the amount of saliva present will modify the process of dissolution. There is no clear-cut critical pH for erosion as there is for caries. Even at a low pH, it is possible that other factors are strong enough to prevent erosion.

Item Type:

Book Section (Book Chapter)

Division/Institute:

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

UniBE Contributor:

Lussi, Adrian; Jaeggi, Thomas and Lussi, Adrian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0077-0892

ISBN:

978–3-8055–8097–7

Series:

Monographs in Oral Science

Publisher:

Karger

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

04 Oct 2013 14:48

Last Modified:

25 Jan 2017 12:17

Publisher DOI:

10.1159/000093353

PubMed ID:

16687886

URI:

https://boris.unibe.ch/id/eprint/20041 (FactScience: 3123)

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