UNIVERSIDAD CENTRAL DEL ECUADOR

Desgaste dentario erosivo en bebés, niños y adolescentes: Una visión contemporánea

Caleb Shitsuka, Gustavo Tello, Maria Salete Nahás Pires Corrêa

Resumen


La erosión dental es un problema de salud bucal ocasionado por procesos químicos de “agresiones ácidas” al diente, sin la participación bacteriana, promoviendo la perdida irreversible de la estructura dentaria. Este proceso ocurre en una condición multifactorial, pudiendo haber la interacción entre los factores químicos, biológicos y comportamentales. En la actualidad el término apropiado a este problema es Desgaste Dentario Erosivo, ya que el proceso químico de la erosión no sucede de manera aislada en la boca, estando asociada al desgaste mecánico producido por la atrición y la abrasión. Su etiología puede ser intrínseca o extrínseca, los ácidos intrínsecos son provenientes del propio organismo ya los ácidos que vienen de fuera del organismo y entran en contacto con los dientes son los extrínsecos. En los últimos años este problema de perdida mineral de los dientes ha estado en evidencia, principalmente debido a su alta prevalencia, resultantes principalmente por el cambio en el estilo de vida de los niños y jóvenes, disturbios alimentales producidos por el patrón de belleza, así como una alimentación extremamente ácida, como las gaseosas y jugos industrializados. Esto hace con que el desgaste dentario erosivo sea un desafío para los Cirujanos Dentistas, especialmente cuando ella alcancía etapas más avanzadas, pudiendo causar perdida de la función y estética de los dientes, como también generar hipersensibilidad al paciente. Es importante considerar las diferencias anatómicas e histológicas de los dientes primarios y permanentes, esto puede influenciar su susceptibilidad a la disolución. El conocimiento sobre los factores etiológicos del desgaste dentario erosivo se torna importante para evitar la progresión de este problema, además de establecer medidas preventivas eficaces desde edades tempranas. El Cirujano Dentista debe realizar un diagnóstico precoz y realizar el tratamiento adecuado de este problema, siendo principalmente las orientaciones referentes a la alimentación y la higiene bucal además de terapias con flúor.


Palabras clave


Erosión de los dientes desgaste de los dientes; lesiones no cariosas; odontología pediátrica

Texto completo:

PDF HTML

Referencias


World Health Organization, ICD – International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Version for; 2010.

Bartlett DW. The role of erosion in tooth wear: A etiology, prevention and management. Int. Dent. Jour. 2005; 55:277-84.

Salas MM, Nascimento GG, Huysmans MC, Demarco FF. Estimated prevalence of erosive tooth wear in permanent teeth of children and adolescentes: an epidemiological systematic review and meta-regression analysis. J Dent. 2015; 43(1):42-50.

Huysmans MC, Chew HP, Ellwood RP. Clinical studies of dental erosion and erosive wear. Caries Res 2011; 45 Suppl 1:60-8.

Bönecker M, Abanto J, Tello G, Oliveira LB. Impact of dental caries on preschool children’s quality of life: an update. Braz Oral Res. 2012; 26(1):103-7.

Tello Meléndez, Percy Gustavo. Estudo epidemiológico sobre as condições de saúde bucal de crianças menores de cinco anos de idade no município de Diadema, São Paulo-2012. [Tesis de Doctorado]. São Paulo: Universidade de São Paulo, Faculdade de Odontologia; 2015.

Murakami C, Tello G, Abanto J, Oliveira LB, Bonini GC, Bönecker M. Trends in the prevalence of erosive tooth wear in Brazilian preschool children. Int J Paediatr Dent. 2016, 26(1): 60-65.

Corrêa MSNP, Corrêa FNP, Corrêa JPNP, Murakami C, Mendes FM. Prevalence and associated factors of dental erosion in children and adolescents of a private dental practice.Int JPaediatrDent. 2011:1-8.

Schlueter N, Jaeggi T, LussiA.Is dental erosion really a problem? Adv Dent Res. 2012; 24(2):68-71.

Jaeggi T, Lussi A. Prevalence, incidence and distribution of erosion. Monogr Oral Sci. 2014; 25:55-73.

Lussi A, Carvalho TS. Erosive tooth wear: a multifactorial condition of growing concern and increasing knowledge. Monogr Oral Sci. 2014;25:1-15.

Shitsuka C, Mendes FM, Corrêa MS, Leite MF. Exploring some aspects associated with dentine hypersensitivity in children. Scientific World Journal. 2015.

Lussi A, Jaeggi T. Erosion-diagnosis and risk factors. Clin Oral Investig. 2008;12 Suppl 1:S5-13.

Dodds MWJ, Johnson DA, Yeh C. Health benefits of saliva: a review. Jour. of Dent. 2005;33:223-33.

Bartlett D, Ganss C, Lussi A. Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Invest. 2008;12(Suppl.1): S65-S68.

Buzalaf MA, Hanna SAR, Kato MT. Saliva and dental erosion. J Appl Oral Sci. 2012; 20(5):493-502.

Zero DT, Lussi A. Erosion: chemical and biological factors of importance to the dental practitioner. Int Dent Jour. 2005;55(4): 285-90.

Carvalho TS, Baumann T Lussi A. Does erosion progress differently on teeth already presenting clinical signs of erosive tooth wear than on sound teeth? An in vitro pilot trial. BMC Oral Health. 2016;17(1):262-78.

Alvarez LL, Fabruccini FA, Alves LS, Alvarez Vaz R, Maltz M. Erosive Tooth Wear among 12-Year-Old Schoolchildren: A Population-Based Cross-Sectional Study in Montevideo, Uruguay. Caries Res. 2015; 28;49(3):216-25.

Linnett V, Seow K. Dental erosion in children: A literature review. Pediatr. Dent. 2001;23(1):37-43.

Marsicano JA, de Moura-Grec PG, Bonato RC, Sales-Peres MdeC, Sales-Peres A, Sales-Peres SH. Gastroesophageal reflux, dental erosion, and halitosis in epidemiological surveys: a systematic review. Eur J Gastroenterol Hepatol. 2013; 25(2):135-41.

Hermont AP, Oliveira PA, Martins CC, Paiva SM, Pordeus IA, Auad SM. Tooth erosion and eating disorders: a systematic review and meta-analysis. PLoS One. 2014; 9(11):221-227.

Sánchez GA, Preliasco MVF. Salivary pH changes during soft drinks consumption in children. Int J Paediatr Dent. 2003;3: 251-7.

Waterhouse PJ, Auad SM, Nunn JH, Steen IN, Moynihan PJ. Diet and dental erosion in young people in south-east Brazil. Int J Paediatric Dent. 2008;18: 353-60.

Hellwig E, Lussi A. Oral hygiene products, medications and drugs - hidden aetiological factors for dental erosion.Monogr Oral Sci. 2014;25:155-62.

Li H, Zou Y, Ding G. Dietary factors associated with dental erosion: a meta-analysis. PLoS One. 2012; 7(8): 200-217.

Murakami C, Oliveira LB, Sheiham A, Corrêa MSNP, Haddad AE, Bönecker M. Risk indicators for erosive tooth wear in Brazilian preschool children. Caries Res. 2011; 45(2): 121-9.

Bartlett DW, Shah P. A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion and abrasion. J dent Res. 2006; 85(4):206-312.

Kreulen CM, van ‘t Spijker A, Rodriguez JM, Bronkhorst EM, Creugers NH, Bartlett DW. Systematic review of the prevalence of tooth wear in children and adolescents.Caries Res. 2010;44(2):151-9.

Ganss C, Lussi A. Diagnosis of erosive tooth wear. Monogr Oral Sci. 2014; 25:22-31.

Walter C, Kress E, Gotz H, Taylor K, Willershausen I, Zampelis A. The anatomy of non-carius cervical lesion. Clin Oral Investig. 2014; 18(1): 139-146.

Honório HM, Rios D, Santos CF, Buzalaf MA, Machado MA. Influence of dental plaque on human enamel erosion: in situ / ex vivo study. Oral Health Prev. Dent. 2010;8(2):179-84.

Lussi A, Schlueter N, Rakhmatullina E, Ganss C. Dental erosion – An overview with emphasis on chemical and histopathological aspects. Caries Res. 2011;45(1):2-12

O´Brien M. Children´s dental health in the United Kingdom, 1993. Office of population censuses and surveys. London: Her Majesty´s Stationery Office 1994; 74-6.

Al-Malik MI, Holt RD, Bedi R. The relationship between erosion, caries and rampant caries and dietary habits in preschool children in Saudi Arabia. Int J Paediatr Dent. 2001;11(6):430-9.

Deshpande S D, HugarSM. Dental erosion in children: An increasing clinical problem. JourIndSocPrev Dent. 2004;22(3):118-27.

Mantonanaki M, Koletsi-Kounari H, Mamai-Homata E, PapaioannouW. Dental erosion prevalence and associated risk indicators among preschool children in Athens, Greece.Clin Oral Investig. 2013;17(2):585-93

Dugmore CR, Rock WP. The prevalence of tooth erosion in 12-year-old children. Br Dent J. 2004;196(5):279-82.

Hou XM, Zhang Q, Chen XC, Wang JD. Prevalence of dental erosion and associated drinks in 12-year-old population of Beijing.Zhonghua Kou Qiang Yi XueZaZhi. 2009;44(4):208-11

Huew R, Waterhouse PJ, Moynihan PJ, Kometa S, Maguire A. Dental erosion and its association with diet in Libyan schoolchildren. Eur Arch Paediatr Dent. 2011;12(5):234-40.

Wiegand A, Müller J, Werner C, Attin T. Prevalence of erosive tooth wear and associated risk factors in 2-7-year-old German kindergarten children. Oral Dis. 2006; 12(2):117-24.

Mangueira DF, Sampaio FC, Oliveira AF. Association between socioeconomic factors and dental erosion in Brazilian schoolchildren. J Public Health Dent. 2009; 69(4): 254-9.

Peres KG, Armênio MF, Peres MA, Traebert J, De Lacerda JT. Dental erosion in 12-year-old schoolchildren: a cross-sectional study in Southern Brazil. Int J Paediatr Dent. 2005; 15(4):249-55.

Bönecker M, Tenuta LM, Pucca Junior GA, Costa PB, Pitts N. A social movement to reduce caries prevalence in the world. Braz Oral Res. 2013 Jan-Fev;27(1):5-6.

Dissenha R, Lara J, Shitsuka C, Raggio D, Corrêa F, Imparato J, Corrêa MS. Assessment of glass ionomer cements (GIC) restorations after acidic erosive challenges: Na in vitro study. Braz Research in Ped Dent and IntegClin. 2016. 16(1): 323-330.

Ganss C, Young A, Lussi. Tooth wear and erosion: methodological issues in epidemiological and public health research and the future research agenda. A Community Dent Health. 2011;28(3):191-5.

Luo Y, Zeng XJ, Du MQ, Bedi R. The prevalence of dental erosion in preschool children in China. J Dent. 2005; 33(2):115-21.

Harding M, Whelton H, O’Mullane D, Cronin M. Dental erosion in 5-year-old Irish school children and associated factors: a pilot. Community Dent Health. 2003; 20(3):165-70.

Nunn J, Gordon P, Morris A, Pine C, Walker A. Dental erosion – changing prevalence? A review of British National children’s surveys. Int J Paediatr Dent. 2003; 8:4-9.

Auad SM, Waterhouse PJ, Nunn JH, Steen N, Moynihan PJ. Dental erosion amongst 13- and 14-year-old Brazilian schoolchildren. Int Dent J. 2007; 57(3):161-7.

Vargas-Ferreira, Piovesan C, Praetzel JR, Mendes FM, Allison PJ, Ardenghi TM. Tooth erosion with low severity does not impact child oral health-related quality of life. Caries Res. 2010;44(6):531-9.

Hara AT, Zero DT. The potential of saliva in protecting against dental erosion.Monogr Oral Sci. 2014;25:197-205.

Salas MM, Nascimento GG, Vargas-Ferreira F, Tarquinio SB, Huysmans MC, Demarco FF. Diet influenced tooth erosion prevalence in children and adolescents: Results of a meta-analysis and meta-regression. J Dent. 2015; 43(8):865-75.

Huysmans MC, Young A, Ganss C. The role of fluoride in erosion therapy. Monogr Oral Sci. 2014; 25:230-243.

O´Toole S, Mistry M, Mutahar M, Moazzez R, Bartlett D. Sequence of stannous and sodium fluoride solutions to prevent enamel erosion. J Dent. 2015; 43(12):1498-1503.

Hannas AR, Kato MT, Cardoso CA, Magalhães AC, Pereira JC, Tjaderhane L, Buzalaf MA. Preventive effect of tooth pastes with MMP inibitors on human dentine erosion and abrasion in vivo. J Appl Oral Sci. 2016; 24(1):61-66.

Wahengbam P, Tikku AP, Lee WB. Role of titanium tetrafluoride (TiF(4)) in conservative dentistry: A systematic review. J Conserv Dent. 2011; 14(2):98-102.

Levy FM, Rios D, Buzalaf MA, Magalhães AC. Efficacy of TiF4 and NaF varnish and solution: a randomized in situ study on enamel erosive-abrasive wear. Clin Oral Investig. 2014; 18(4):1097-102.

Comar LP, Cardoso Cde A, Charone S, Grizzo LT, Buzalaf MA, Magalhães AC. TiF4 and NaF varnishes as anti-erosive agentes on enamel and dentine erosion progression in vitro. J Appl Oral Sci. 2015; 23(1):14-8.


Enlaces refback

  • No hay ningún enlace refback.


Licencia de Creative Commons
Este obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.

          
Pie de Pagina