RESUMO
Dental wear is loss of tooth structure resulting from erosion, attrition, abrasion and, possibly, abfraction. Clinical/experimental data suggest no single damaging mechanism, but rather simultaneous interaction of these destructive processes. The most important interaction is abrasion/attrition potentiated by dental erosion. Awareness of this pathosis is not well-appreciated by the public and dental professionals because the signs may be subtle. This article focuses on recognizing, diagnosing and managing dental wear. Dental wear is a challenging problem for clinicians because of the subtlety of early changes; confusion about the etiology of the problem; and the dilemma of when or how to manage the etiology. Unfortunately, failure to recognize and manage the process often results in inaction until the breakdown is severe. At that point, the structural breakdown is so advanced that major rehabilitative treatment often is needed. This introductory article discusses diagnosing and managing dental wear.
RESUMO
Few studies have focused on the role of nutrition in periodontal disease. The purpose of this trial was to determine the effect of a nutritional supplement on gingival inflammation, bleeding, probing depth, clinical attachment level, carotenoid antioxidant level, and C-reactive protein. The test supplement, consisting of a standard multivitamin formula, as well as several phytonutrients associated with antiinflammatory/antioxidant effects, provided modest benefits in reducing inflammation; however, further studies with larger populations and longer intervention are warranted.
Assuntos
Suplementos Nutricionais , Gengivite/tratamento farmacológico , Fitoterapia , Extratos Vegetais/uso terapêutico , Adulto , Idoso , Análise de Variância , Anti-Inflamatórios/uso terapêutico , Antioxidantes/análise , Proteína C-Reativa/análise , Carotenoides/análise , Feminino , Gengivite/sangue , Humanos , Masculino , Pessoa de Meia-Idade , Minerais/uso terapêutico , Índice Periodontal , Vitaminas/uso terapêutico , Adulto JovemRESUMO
Dental wear is loss of tooth structure resulting from erosion, attrition, abrasion, and, possibly, abfraction. Clinical/experimental data suggest no single damaging mechanism but rather simultaneous interaction of these destructive processes. The most important interaction is abrasion/attrition potentiated by dental erosion. Awareness of this pathosis is not well-appreciated by the public and dental professionals because the signs may be subtle. This article focuses on the recognition, diagnosis, and management of dental wear.
Assuntos
Desgaste dos Dentes , Ácidos/efeitos adversos , Bebidas/efeitos adversos , Bruxismo/complicações , Bulimia/complicações , Refluxo Gastroesofágico/complicações , Humanos , Concentração de Íons de Hidrogênio , Mastigação , Fatores Sexuais , Abrasão Dentária/etiologia , Abrasão Dentária/patologia , Atrito Dentário/etiologia , Atrito Dentário/patologia , Colo do Dente/fisiopatologia , Erosão Dentária/etiologia , Erosão Dentária/patologia , Desgaste dos Dentes/diagnóstico , Desgaste dos Dentes/etiologia , Desgaste dos Dentes/terapia , Escovação Dentária/efeitos adversos , Cremes Dentais/efeitos adversosRESUMO
This report describes a case of localized aggressive periodontitis (localized juvenile periodontitis) that was jointly treated with conventional periodontal therapy, selective extractions to eliminate localized areas of vertical bone loss, and orthodontic therapy. A 20-year follow-up is described in this report. The success of periodontal treatment in a case such as this depends on making an accurate diagnosis, providing periodontal treatment to control the disease, and providing regular periodontal maintenance during and after orthodontic treatment.
