Prevalence of dental erosions in routine dental patients flow and recommendations of their treatment

Abstract

Purpose: to identify patients with erosions at a dental appointment and draw up an individual plan for preventive and therapeutic measures,  depending on the identified etiological factors, the degree of destruction of the hard tissues of the tooth and the activity of the process. Materials and methods: 30 patients (14 men and 16 women) were examined for dental erosions, the average age of the participants was 33.66  (±9.58) years. The treatment plan and preventive recommendations were made on the basis of the identified etiological factors, the degree of  destruction and the stage of activity of the process. Results: оf the 30 patients, tooth erosion was detected in six of them (20%). Taking hormonal drugs to correct estrogen levels was detected  in two patients (6.6%), gastritis with high acidity in one patient (3.3%), an acidic diet combined with aggressive brushing of teeth in one patient (3.3%), Sjögren’s syndrome – in one patient (3.3%), frequent use of carbonated drinks – in one patient (3.3%). According to the degree  of destruction of the six patients in whom erosions were detected, I degree was observed in one patient (16.6%), II degree – in two patients (33.3%),  III degree – in three patients (50%). According to the activity of the process, out of the identified six patients with erosions, the active stage was  observed in four patients (66.6%), the stabilized stage – in two patients (33.3%). Conclusion: the location of erosive lesions is due to an etiological factor or a combination of them. Identification and elimination / minimization  of the etiological factor is the most important step in preventing the progression of erosive lesions. The choice of treatment method in patients  with dental erosions depends on the degree of destruction of hard tissues and the stage of process activity