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These individual wear processes rarely act alone, and usually act together [1,2]. Erosive impact on the tooth tissues renders the surfaces more vulnerable to mechanical wear (abrasion and attrition) and accelerates the processes of tooth wear . When dentin is exposed by expedited wear, erosive agents have even more severe effects on wear processes because dentin is more soluble than enamel . Rehabilitation of severe cases of tooth wear is one of the most complex treatment modalities in dentistry because not only dentists should be involved, but also many other health professionals.
The stress that’s causing your heartburn can also cause you to grind your teeth (also called bruxism) resulting a great deal of wear and tear on your teeth. Patients who grind their teeth can develop temporomandibular joint disorders (TMD), leading to jaw, ear and head pain. The patient was advised about smoking consequences after and during dental treatment and also on general health.
All participants were aged between 18 and 70 years and were recruited from July 2017 to April 2018 Chronic TMD was diagnosed by trained dentists using the criteria in the Orofacial Pain Prospective Evaluation and Risk Assessment Study. Trained gastroenterologists made blinded diagnoses of GERD according to the Montreal definition and classification (at least 2 d of mild symptoms, or 1 d of moderate or severe symptoms per week).
Gastric juice has greater erosive effects on both enamel and dentin, compared to extrinsic acids from diet [4,5]. Tooth erosion in GERD patients has also been associated with impaired salivary function . Abrasion is caused by the friction of extrinsic stuff (most commonly food) that is pressed on the tooth surface .
Also known as acid reflux or heartburn, GERD occurs when the contents of the stomach breach the valve at the lower esophagus and spill upward into the throat. The high-acid contents can burn the tissues of the upper airway. They can also be (dangerously) inhaled (or aspirated) into the lungs while one sleeps.
In addition, your doctor may recommend a dental guard or oral splint to prevent damage to the teeth caused by grinding and gnashing. This condition sometimes can actually be noted by a dentist long before it is acknowledged by a patient or physician. The dentist will see a characteristic smooth and circular erosion of the cusp tips of the lower first molars.
Diet and lifestyle contribute to acid reflux. Chocolate, peppermint, citrus, tomatoes, fried or fatty foods, coffee (especially acidic coffee), alcoholic beverages, garlic, and onions are foods to avoid. Weight gain (also weight gain associated with pregnancy) and smoking (by relaxing the LES) may be contributing factors.
In many cases, the results of a PSG are not exact due to patientsâ€™ discomfort from being connected to machines and not being in their own beds. Depending on the severity of the grinding, a patient could wear their teeth down to little nubs. If you have a constant dry mouth, you may be at increased risk of dental erosion. Talk to your dental professional to identify the cause. Consider using dental products containing â€˜stannous fluorideâ€™ [tin (II) fluoride].
The exogenous sources of corrosion have been related to any food substance with a critical pH value of less than 5.5, which is known to become a corroding agent and demineralize teeth 9 . This may occur as a result of consuming and/or mulling highly acidic foods and beverages, such as mangoes, lemons and other citrus fruits, drinking carbonated soft drinks and sucking sour candies 9 . Clinical signs are broad concavities within smooth surface enamel, cupping of occlusal surfaces, incisal grooving with dentin exposure, increased incisal translucency, wear on non-occluding surfaces and “raised” amalgam restorations 7 . GERD or acid reflux is another common symptom of OSA. When breathing becomes obstructed, the muscles in the throat and windpipe tighten.
The relationship between GERD and bruxism reported herein is in line with previous literature [9,10]. The relationship between GERD and bruxism has been discussed in detail previously . This relationship is applicable to patients with awake bruxism alone as well as those with sleep bruxism alone . Although evaluation of bruxism by polysomnography has superiority in providing objective profiles, diagnoses based on symptoms and signs have advantage in evaluating the clinical impact of the disorder .