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Acid erosion and abrasion

As a leading oral care company committed to improving oral health and well-being, GlaxoSmithKline Consumer Healthcare takes this new threat to dental health just as seriously as it did for other oral conditions. David Alexander, Director, Worldwide Dental Affairs, GlaxoSmithKline Consumer Healthcare David Alexander

Prevention

Early intervention is key. Increased vigilance during routine examinations together with lifestyle advice can slow the progression of symptoms.

Due to the range of potential causes, options for tackling tooth wear should ideally be tailored to an individual's circumstances. Ask the patient whether they swill carbonated drinks around their mouth or retain food or drinks in their mouth for extended periods. Enquire after tooth brushing habits, and possible gastric conditions involving heartburn (oesophageal reflux).

Once clinical examination has identified the key factors, and a differential diagnosis of acid erosion has been made, recommendations may include:

  • Reduce or eliminate intake of carbonated drinks
  • Cease retaining acidic foods and drinks inside the mouth
  • Chew gum or suck a sugar-free lozenge to encourage saliva production and protect enamel, or eat a piece of cheese after an acidic meal
  • Leave brushing of teeth for at least one hour after consuming acidic food or drink
  • Brush with a soft toothbrush, using a low-abrasion, low-acidity, high-fluoride dentifrice 1

Tooth wear is closely associated with lifestyle choices, and we at GlaxoSmithKline Consumer Healthcare believe that education is vital to maintaining good oral health.

AcidErosion.co.uk is a contribution to that process, and we hope that its message will be taken up widely by health care professionals.

  1. Zero DT, Lussi A. Erosion - chemical and biological factors of importance to the dental practitioner. int Den J 2005: 55: 295-299.