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[Erosion and abrasion of the dental enamel. Experimental study].

The clinical aspects, epidemiology, etiology and pathogenesis of dental erosions in man and experimental animals are reviewed. Abrasion of enamel, softened in orange juice for 3 minutes and brushed with various dentifrices, was studied with Knoop hardness measurements and scanning electron microscopy. Knoop indentations made on softened enamel surfaces were almost totally removed by 2-minute brushings with highly abrasive tooth pastes. Brushing without dentifrices only slightly changed the distinctness of the indentation outlines. Recommendations for primary and secondary prevention of erosions are given.

Animals↗

A survey of the correspondence between abrasions and tooth brushing habits in Erzurum, Turkey.

AIM: To determine whether there is a correlation between dental abrasions and the frequency and technique of tooth brushing, as well as to examine the prevalence of dental abrasion according to age and gender. MATERIALS AND METHODS: This study was carried out on 428 adults (242 female, 186 male) 20 years of age and older, who attended the Department of Operative Dentistry, Department of Oral Diagnosis and Oral Radiology Faculty of Dentistry, Atatürk University. RESULTS: The study revealed a statistically significant relationship between abrasive lesions and age groups as well as between abrasive lesions and gender. A statistically significant difference was determined between abrasions and tooth brushing frequency, while there was no statistically significant relation between abrasions and tooth brushing technique (p>0.05). CONCLUSION: The prevalence of tooth brushing abrasions increases with age, and lesions are seen more frequently in males than in females. Also, tooth brushing technique is not important to the presence of abrasions, but increased tooth brushing frequency results in an increase in the number of abrasions.

Adult↗

A survey of factors possibly associated with cervical abrasion of tooth surfaces.

The study indicates that cervical abrasion is related in some way to a factor or factors associated with the initial stages of the tooth-brushing procedure. The evidence, furthermore, demonstrates that an excessive use of dentifrice habitually placed, undiluted, on the same area of the mouth, may produce the abrasion. In view of this evidence, it would seem prudent to advise patients to use decreased quantities of dentifrice and to initiate the brushing procedure on the occlusal surfaces of the teeth to effect a dilution of the dentrifrice. The same effect might be accomplished by alternating the initial placement of the brush between the quadrants to more evenly distribute the abrasive effect. The high percentage of these lesions found in this young age group demonstrates a higher prevalence of the lesion in a younger age group than was previously suspected. We can further conclude that cervical abrasion is related to age and gingival recession. Furthermore, the study indicates that patients who exhibit cervical abrasion have less plaque and the lower bleeding scores than those who do not.

Adolescent↗

Dental abrasion caused by a cobalt-chromium denture base.

A case of abrasive tooth surface loss caused by repeated sliding contact with the tissue surface of a cobalt-chromium denture base is described. The mode of material-tooth contact was brought about by an unusual patient habit which would have been difficult to foresee when the choice of denture base material was made.

Adult↗

Recent findings in classification of osteogenesis imperfecta by means of existing dental symptoms.

The findings are based on a clinical investigation conducted on forty-nine patients suffering from osteogenesis imperfecta (OI), as well as on a questionnaire study in which 117 osteogenesis imperfecta-affected persons or their parents were involved. The survey established pathological tooth discolorations as well as tooth abrasions. Dentinogenesis imperfecta (DI) was more frequently found in primary teeth than in permanent teeth. There were no gender-specific differences. Radiological abnormalities were found in both, abraded and/or discolored teeth, as well as in clinically normal appearing teeth. In most cases there were club-shaped extensions of the pulp chambers and obliterations of the root canals. The probability that dentinogenesis imperfecta occurs as an accompanying symptom of osteogenesis imperfecta was not dependent on the degree of skeletal severity. The self-assignment according to A and B forms of osteogenesis imperfecta types I and IV in accordance with the presence/absence of dental symptoms was contradictory, since the literature was based on varying classifications.

Adolescent↗

Tooth brush abrasion of paint-on resins for shade modification of crown and bridge resins.

The purpose of this study was to evaluate the surface roughness and resistance to toothbrush abrasion of three experimental paint-on composite resins developed for the shade modification of crown and bridge resins. The paint-on resins had less filler volume fraction than restorative composites or the crown and bridge resins and consequently were of low viscosity. The maximum surface roughness (Rmax) and the maximum depth loss by abrasion for the paint-on resins following 40,000 cycles of brushing ranged from 2.45 to 4.07 microm and 8.63 to 13.67 microm, respectively. Rmax values were 37.7-67.5% lower than that for the crown and bridge resin subjected to the same test. Wear depth was 19.9-49.4% lower than for the crown and bridge resin. These results suggest that the paint-on resins are expected to have adequate resistance to toothbrush abrasion and may therefore be suitable for clinical use.

Color↗

A scanning electron-microscopic study of in vitro abrasion of mammalian tooth enamel under compressive loads.

Microscopic tooth-wear (microwear) patterns can be an important tool for assessing modes and rates of abrasive tooth wear, but their analysis and interpretation is complicated by the fact that microwear is influenced by many factors. Three of these factors were here tested under conditions of compressive loading: (1) species differences in enamel structure, (2) abrasive particle size and (3) magnitude of force. Teeth of four species (Homo sapiens, Lemur fulvus, Ovis aries and Crocodylus rhombifer) were abraded in vitro using three sizes of abrasive silicon-carbide grit (average diameters 73, 23 and 14 microns), at two loads (50 and 100 kg). Microwear features were assessed by scanning electron microscopy of lightly etched enamel surfaces and epoxy replicas. Microwear pits (length:width < 4:1) were the predominant feature type. Factorial analysis of variance of rank-transformed, feature-area measurements demonstrated that, under conditions of compressive loading, the size of abrasive particles was the primary determinant of microwear size. These results contrast with previous experimental tests of abrasion by predominantly shearing loads, where feature size was influenced by interaction among experimental factors, including the microscopic orientation of enamel crystallites. Although magnitude of compressive force was not a factor in microwear size variation, it may be a critical factor in explaining the presence or absence of microwear on tooth surfaces. The relatively small compressive bite force generated during typical chewing may not consistently produce abrasive pitting. These experiments demonstrate that, as the same abrasive regime can produce both large and small pits, the mechanism by which wear features are formed (i.e. compression or adhesion) cannot be determined from the size of features alone. Nevertheless, the dependence of pit size on abrasive particle size demonstrates that metrical variation in wear features can elucidate important attributes of an animal's diet.

Alligators and Crocodiles↗

[Characteristics of wearing resistance of materials for repair of masticatory teeth].

Wear resistance parameters were evaluated for 5 materials used for masticatory teeth filling. The study was carried out on an Uism-1 device for evaluation of abrasion resistance of dental materials by the friction method during circular movement of a premolar (removed for orthodontic indications) along the surface of reference material. Similar abrasion resistance in the material-tooth pair was detected for 4 materials: Herculite XRV (Kerr-Sybron), Unirest (Stomadent), Dyract AP (Dentsply/De Trey), and Tytin amalgams (S.S. White); the parameters of wear differed. The highest wear of material paralleled by high tooth abrasion were detected for Filtek P-60 (3M/Dental) material.

Bicuspid↗