Diagnóstico y epidemiología de erosión dental

RESUMEN La erosión dental es la pérdida localizada, crónica y patológica de tejido duro dental. Ésta es causada por soluciones químicas las cuales entran en contacto con los dientes. La apariencia de los dientes erosionados es suave, sedosa y brillante, a veces mate, la superficie del esmalte tiene una ausencia de periquimatíes y esmalte intacto en el margen gingival. Se ha hipotetizado que la banda de esmalte preservado a lo largo del margen vestibular y lingual pudiera ser debido a que algunos remanentes de placa podían actuar como una barrera de difusión para los ácidos. Un diagnóstico temprano de este daño del tejido duro dental es de importancia clínica. El objetivo de este artículo es mostrar algunos aspectos básicos de erosión dental en términos de diagnóstico y epidemiología. Este documento enfatiza sobre factores de riesgo extrínsecos los cuales son discutidos con respecto a su relevancia para el desarrollo de erosión dental. Salud UIS 2011; 43 (2): 179-189 Palabras clave: Erosión de los dientes, esmalte dental, diagnóstico, epidemiología, etiología, dieta       ABSTRACT Dental erosion is a pathologic, chronic, localized loss of dental hard tissue. It is caused by chemical solutions which come into contact with the teeth. The appearance of eroded teeth is smoothing, silky-glazed, sometimes dull, the enamel surface has an absence of perikymata and intact enamel on the gingival margin. It has been hypothesized that the preserved enamel band along the oral and facial gingival margin could be due to some plaque remnants could act as a diffusion barrier for acids. Early diagnosis of this damage of dental hard tissue is of clinical importance. The aim of this article is to show some basic aspects of dental erosion in terms of diagnosis and epidemiology. This paper emphasize on extrinsic risk factors which are discussed with respect to their relevance for the development of dental erosion. Salud UIS 2011; 43 (2): 179-189 Keywords: Tooth erosion, dental enamel, diagnosis, epidemiology, etiology, die

Diagnóstico y epidemiología de erosión dental

RESUMEN La erosión dental es la pérdida localizada, crónica y patológica de tejido duro dental. Ésta es causada por soluciones químicas las cuales entran en contacto con los dientes. La apariencia de los dientes erosionados es suave, sedosa y brillante, a veces mate, la superficie del esmalte tiene una ausencia de periquimatíes y esmalte intacto en el margen gingival. Se ha hipotetizado que la banda de esmalte preservado a lo largo del margen vestibular y lingual pudiera ser debido a que algunos remanentes de placa podían actuar como una barrera de difusión para los ácidos. Un diagnóstico temprano de este daño del tejido duro dental es de importancia clínica. El objetivo de este artículo es mostrar algunos aspectos básicos de erosión dental en términos de diagnóstico y epidemiología. Este documento enfatiza sobre factores de riesgo extrínsecos los cuales son discutidos con respecto a su relevancia para el desarrollo de erosión dental. Salud UIS 2011; 43 (2): 179-189 Palabras clave: Erosión de los dientes, esmalte dental, diagnóstico, epidemiología, etiología, dieta       ABSTRACT Dental erosion is a pathologic, chronic, localized loss of dental hard tissue. It is caused by chemical solutions which come into contact with the teeth. The appearance of eroded teeth is smoothing, silky-glazed, sometimes dull, the enamel surface has an absence of perikymata and intact enamel on the gingival margin. It has been hypothesized that the preserved enamel band along the oral and facial gingival margin could be due to some plaque remnants could act as a diffusion barrier for acids. Early diagnosis of this damage of dental hard tissue is of clinical importance. The aim of this article is to show some basic aspects of dental erosion in terms of diagnosis and epidemiology. This paper emphasize on extrinsic risk factors which are discussed with respect to their relevance for the development of dental erosion. Salud UIS 2011; 43 (2): 179-189 Keywords: Tooth erosion, dental enamel, diagnosis, epidemiology, etiology, die

Prevalence and extrinsic risk factors for dental erosion in adolescents

Objective: This manuscript examined the prevalence and extrinsic risk factors for dental erosion (DE) in early and middle adolescents in Pasto, Colombia. Study design: Dental erosion was evaluated in a random sample of 384 individuals aged 10-15 years attending three primary and high schools in this cross-sectional study. Clinical dental assessment for DE was done using O'Sullivan index. Data on general sociodemographic variables and extrinsic risks factors were obtained. Descriptive and univariate binary logistic regression analyses were performed. Results: Dental erosion was observed in 57.3% of individuals. The univariate binary logistic regression analysis showed that frequency of drinking natural fruit juices (OR 2.670, 95% CI 1.346 -5.295, P=0.004) and their pH (OR 2.303, 95% CI 1.292 -4.107, P=0.004) were more associated with the odd of DE in early adolescence. However, a high SES (OR 10.360, 95% CI 3.700 -29.010, P<0.001) and frequency of snacks with artificial lemon taste (OR 3.659, 95% CI 1.506 -8.891, P=0.003) were highly associated with the risk of DE in middle adolescence. Conclusions: The results suggest that DE is a prevalent condition in adolescents living in a city in southern Colombia. The transition from early to middle adolescence implies new bio-psychosocial changes, which increase the risk for [email protected]@campusucc.edu.c