Document Detail


Oral hygiene products, medications and drugs - hidden aetiological factors for dental erosion.
MedLine Citation:
PMID:  24993264     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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. © 2014 S. Karger AG, Basel.
Authors:
Elmar Hellwig; Adrian Lussi
Related Documents :
7128634 - Exchange transfusion in acute episodes of maple syrup urine disease. studies on branche...
7787304 - Selective use of l-valine and l-isoleucine for the biosynthesis of branched-chain fatty...
18931964 - Factors affecting the conversion of apple polyphenols to phenolic acids and fruit matri...
19157014 - Redox regulation and trapping sulfenic acid in the peroxide-sensitive human mitochondri...
24682954 - Effect of chemical and metallic compounds on biomass, mrna levels and laccase activity ...
16510394 - Changes in freezing tolerance, plasma membrane h+-atpase activity and fatty acid compos...
Publication Detail:
Type:  Journal Article     Date:  2014-06-26
Journal Detail:
Title:  Monographs in oral science     Volume:  25     ISSN:  0077-0892     ISO Abbreviation:  Monogr Oral Sci     Publication Date:  2014  
Date Detail:
Created Date:  2014-07-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0327545     Medline TA:  Monogr Oral Sci     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  155-62     Citation Subset:  D; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Erosion in relation to nutrition and the environment.
Next Document:  Understanding the chemistry of dental erosion.