Oral hygiene products, medications and drugs - hidden aetiological factors for dental erosion.

Hellwig, Elmar; Lussi, Adrian (2014). Oral hygiene products, medications and drugs - hidden aetiological factors for dental erosion. Monographs in oral science, 25, pp. 155-162. Karger 10.1159/000359942

[img] Text
Oral Hygiene Products.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (735kB) | Request a copy

Acidic or EDTA-containing oral hygiene products and acidic medicines have the potential to soften dental hard tissues. The low pH of oral care products increases the chemical stability of some fluoride compounds and favours the incorporation of fluoride ions in the lattice of hydroxyapatite and the precipitation of calcium fluoride on the tooth surface. This layer has some protective effect against an erosive attack. However, when the pH is too low or when no fluoride is present these protecting effects are replaced by direct softening of the tooth surface. Oral dryness can occur as a consequence of medication such as tranquilizers, antihistamines, antiemetics and antiparkinsonian medicaments or of salivary gland dysfunction. Above all, patients should be aware of the potential demineralization effects of oral hygiene products with low pH. Acetyl salicylic acid taken regularly in the form of multiple chewable tablets or in the form of headache powder, as well as chewing hydrochloric acids tablets for the treatment of stomach disorders, can cause erosion. There is most probably no direct association between asthmatic drugs and erosion on the population level. Consumers and health professionals should be aware of the potential of tooth damage not only by oral hygiene products and salivary substitutes but also by chewable and effervescent tablets. Several paediatric medications show a direct erosive potential in vitro. Clinical proof of the occurrence of erosion after use of these medicaments is still lacking. However, regular and prolonged use of these medicaments might bear the risk of causing erosion. Additionally, it can be assumed that patients suffering from xerostomia should be aware of the potential effects of oral hygiene products with low pH and high titratable acidity.

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

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0077-0892

Publisher:

Karger

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

26 Jan 2015 15:44

Last Modified:

28 Sep 2017 22:08

Publisher DOI:

10.1159/000359942

PubMed ID:

24993264

BORIS DOI:

10.7892/boris.61761

URI:

https://boris.unibe.ch/id/eprint/61761

Actions (login required)

Edit item Edit item
Provide Feedback