Dental erosion is increasingly recognized as a common condition in paediatric dentistry with complications of tooth sensitivity, altered aesthetics and loss of occlusal vertical dimension.
The prevalence of erosion in children has been reported to range from 10% to over 80%. The primary dentition is thought to be more susceptible to erosion compared to the permanent dentition due to the thinner and less mineralized enamel.
The aim of this paper was to critically review dental erosion in children with regards to its prevalence, aetiology, diagnosis and prevention. The associations between erosion and other common conditions in children such as caries and enamel hypoplasia are also discussed.
INTRODUCTION : Dental erosion, defined as the progressive, irreversible loss of dental hard tissues by a chemical process without bacterial involvement, is currently considered a significant clinical challenge.
Even though erosion has been considered the major component of toothwear in children, it often co-exists with other forms of toothwear such as attrition (wear resulting from tooth to tooth grinding) and abrasion (wear resulting from tooth to other hard surfaces).
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As subjects with erosion in the primary dentition have increased risk of erosion in the permanent dentition, early diagnosis and prevention from an early age will help prevent damage to the permanent teeth.
Erosion in children may be associated with many clinical problems such as dental hypersensitivity, altered occlusion, eating difficulties, poor aesthetics, pulp exposure and abscesses.
° Australian Dental Journal
° S Taji / WK Seow