Dental Erosion
Dental erosion occurs when gastric acid erodes dentin and enamel. Patients with bulimia and severe GERD are at great risk for enamel erosions, even at very young ages.
Symptoms
- Teeth become smooth and glassy.
- Pulp exposure causes hot and cold sensitivity.
Etiology
- Bulimia
- Severe gastroesophageal reflux (GERD)
- Acidic drinks
- Medication effects
Preventive Measures
- Rinse with water after reflux or vomiting.
- Do not brush teeth immediately after reflux or vomiting as this may further hasten enamel erosion.
Severe enamel erosions in a young person with bulimia nervosa
POHEK
Lingual erosions in a patient with severe GERD
Mandibular tori are also present
John McDowell, DDS
References
Gandara BK, Truelove EL, Diagnosis and Management of Dental Erosions, Journal of Contemporary Dental Practice 1999 Oct;(1)1:16-23.
Li H, Zou Y, Ding G. Dietary Factors Associated with Dental Erosion: A Meta-Analysis. 2012. PLoS ONE; 2012, 7(8): Special section p1.
Bassiouny MA. Dental erosion due to abuse of illicit drugs and acidic carbonated beverages. Gen Dent. 2013; 61(2):38-44.