Erosão dental: diagnóstico e opções de tratamento
Dental erosion: diagnosis and treatment options
Branco, C.A.; Valdivia, A.D.C.M.; Soares, P.B.F.; Fonseca, R.B.; Fernandes Neto, A.J.; Soares, C.J.
Rev. odontol. UNESP, vol.37, n3, p.235-242, 2008
Resumo
A erosão dental é definida como perda progressiva e irreversível de tecido dental duro por processo químico que não envolve ação bacteriana. Diversos fatores contribuem no processo da erosão do esmalte, sejam esses oriundos de fontes extrínsecas ou intrínsecas. Enquanto as fontes extrínsecas estão relacionadas a hábitos alimentares e estilo de vida, as causas intrínsecas podem ser provocadas por doenças sistêmicas, o que faz do cirurgião-dentista profissional decisivo no diagnóstico dessas alterações. Para que esse diagnóstico seja feito de forma segura, possibilitando a indicação de tratamento eficaz, o conhecimento de sinais, sintomas e forma de evolução é imprescindível, e acaba por diferenciar a atuação profissional. O objetivo deste trabalho é discutir a erosão dental, abordando a importância de se fazer diagnóstico precoce e as possíveis formas de tratamento para minimizar as seqüelas da doença. As bases de dados PubMed e Bireme foram consultadas, além de artigos clínicos relacionados com o assunto, selecionando referências de 1999 a 2007 com os termos dental erosion e "erosão dental" e relacionadas ao caráter clínico da patologia.
Palavras-chave
Corrosão dental, erosão dental, desgaste dental, perimólise, esmalte
Abstract
Dental corrosion is defined as a progressive and irreversible loss of dental hard tissue by a chemical process that does not involve bacteria. Several factors are known to contribute to enamel corrosion, with extrinsic or intrinsic causes. Extrinsic causes are generated by the patient’s lifestyle, such as one’s alimentary habits. Intrinsic factors may be caused by systemic diseases that should be identified by the clinician. In order to obtain the correct and secure diagnosis, by means of an efficient treatment plan, further information about dental corrosion and other associated issues become essential. The aim of this study was to discuss dental corrosion, searching to show the importance of a well done diagnosis and also to show the treatment possibilities. Besides clinical reports, a PubMed and Bireme database search was conducted using the keywords “dental erosion” and “erosão dental”, limited to the period between 1999 and 2007 and related with the clinical aspect of this pathology.
Keywords
Dental corrosion, dental erosion, dental wear, perimolysis, enamel
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