Erosion.

Abstract

With the current substantial decline in dental caries in adults, and increasing retention of teeth into old age, dental erosion is now being recognised as a major cause of tooth damage. It is easily recognised in its more advanced form, though more difficult to detect in its initial stages. Its mechanisms of action is generally not well understood. In this paper, current concepts of the chemistry of demineralisation of the mineral components of teeth are examined, with view to their providing a better understanding of some of the clinical characteristics of dental erosion of enamel. Categories and properties of potential erosive substances are reviewed. Speculation as to the potential effects of erosive substances on exposed root surfaces leads to consideration of the possible relationship between erosion and rapid caries development. The more commonly recommended mechanisms of control or prevention of erosion are described, and the rationale of their use analysed.