還在狂喝可樂or橙汁?口腔酸蝕症正在走向年輕人
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Dental Erosion:
Erosion is the progressive loss of tooth substance by chemical processes that do not involve bacterial action,producing defects that are wedge-shaped depressions often in occlusal, facial and cervical areas;
<The Glossary of Prosthodontic Terms:Ninth Edition 2018>
口腔酸蝕症,英文解釋見於九版JPD詞條,應該算是比較權威的解釋
通俗易懂的講,就是因消化系統疾病、日常大量攝入酸性物質,或者接觸酸性環境,導致的牙齒酸蝕損害。
目前來看,隨著碳酸飲料及果汁飲料在國內的消費量日趨增大,酸蝕的發生率也在快速上升。
酸蝕,是一種化學現象,在我們的初高中化學中大家都學過,大家應該也記得教科書力有一張圖,是石刻雕像遭受酸雨侵蝕後的表現
emm圖有點綠
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其實酸對牙齒的作用,在某種意義上跟酸對大理石雕像的作用是類似的。
這是因為,牙齒釉質的主要組成結構是羥基磷灰石(HA),大量含鈣,
如封面圖一樣,酸蝕的牙齒表現也類似與對酸雨對大理石的腐蝕表現,主要為:牙齒咬合面或者其他面上的光滑釉質缺損(凹坑樣),上前牙切端的磨耗、齶側的釉質缺損,以及牙齒頸部的非齲性損害(我盡量通俗易懂的描述)
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飲料已成為日常生活中很多人必不可少的消費品,甚至在某種程度上取代了飲用水成為日常攝取水的一種新形勢,但隨之而來的,是酸蝕症的大量出現,而且越來越出現年輕化的趨勢。
接下來讓我們簡單看一下世界各地有關酸蝕的發生情況:
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那麼究竟,口腔酸蝕與我們的日常生活中什麼樣的習慣息息相關呢?
1.檸檬酸攝取:
檸檬酸是一種常見於水果及飲料中的有機酸
大量含有此酸水果如下:檸檬、葡萄,橙子、蘋果、蔓越莓
呵呵,有時候你覺得「健康」的生活方式,也許在某些方面也並不「健康」。
2.碳酸飲料:
碳酸飲料包括可樂、雪碧、芬達等含二氧化碳氣體的飲料,一般而言PH可以達到2-3左右。
嗯。。。相應報道層出不窮。
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那酸蝕症能治么?
能治,但很難也很貴,重在預防
當然,最後再提醒愛喝飲料 的大家一些酸蝕症的有關癥狀,有這樣一些情況應該及時識別並就醫:
1. 牙齒表面出現凹坑,特別是前牙的唇側面
2. 牙齒冷熱刺激敏感
3. 牙齒的磨耗程度跟身邊人不一樣
4. 有長期反酸的胃部不適癥狀
References:
Loomans B, Opdam N, Attin T, et al. Severe Tooth Wear: European
Consensus Statement on Management Guidelines.[J]. Journal of AdhesiveDentistry, 2017, 19(2).Salas M M, Nascimento G G,
Huysmans M C, et al. Estimated prevalence of erosive tooth wear in permanent
teeth of children and adolescents: An epidemiological systematic review andmeta-regression analysis.[J]. Journal of Dentistry, 2015, 43(1):42-50.Lussi A, Jaeggi T. Erosion—diagnosis and risk
factors[J]. Clinical Oral Investigations, 2008, 12(1):5-13.Bartlett D W, Lussi A,
West N X, et al. Prevalence of tooth wear on buccal and lingual surfaces andpossible risk factors in young European adults[J]. Journal of Dentistry, 2013,41(11):1007-1013.Bardsley P F. The evolution of tooth wear
indices[J]. Clinical Oral Investigations, 2008, 12 Suppl 1(1):S15.
Alix Y, Amaechi B T, Christopher D, et al. Current
erosion indices—flawed or valid? Summary[J]. Clinical Oral Investigations,2008, 12 Suppl 1(1):S1.Liu B, Zhang M, Chen Y, et al. Tooth wear
in aging people: an investigation of the prevalence and the influential factorsof incisal/occlusal tooth wear in northwest China[J]. Bmc OralHealth, 2014, 14(1):1-5.Bartlett D. A New Look at Erosive Tooth
Wear in Elderly People[J]. Journal of the American Dental Association, 2007,138(supplement 1):S21-S25.
Bartlett D W, Palmer I, Shah P. An audit
of study casts used to monitor tooth wear in general practice.[J]. BritishDental Journal, 2005, 199(3):143-5.Bartlett D W, Fares J, Shirodaria S,
et al. The association of tooth wear, diet and dietary habits in adults aged18-30 years old.[J]. Journal of Dentistry, 2011, 39(12):811-816.Phelan J, Rees J. The erosive potential
of some herbal teas.[J]. Journal of Dentistry, 2003, 31(4):241-6.Bartlett D W. The role of erosion in
tooth wear: aetiology,
prevention and management[J]. International Dental Journal, 2005, 55(4 Suppl1):277-284.Vailati F, Belser U C. Classification and treatment of the
anterior maxillary dentition affected by dental erosion: the ACEclassification.[J]. International Journal of Periodontics & RestorativeDentistry, 2010, 30(6):559.Bartlett D, Ganss C, Lussi A.
Basic Erosive Wear Examination (BEWE): a new scoring system for scientific andclinical needs[J]. Clinical Oral Investigations, 2008, 12(1):65-68.Margaritis V, Nunn J. Challenges in assessing
erosive tooth wear[J]. Monographs in Oral Science, 2014, 25:46.Lee S H, Nam S E, Lee S P. Evaluation of
the effectiveness of the new tooth wear measurement parameters[J]. Anatomy& Cell Biology, 2015, 48(4):284-291.Wetselaar P, Faris A, Lobbezoo F. A
plea for the development of an universally accepted modular tooth wearevaluation system[J]. Bmc OralHealth, 2016, 16(1):115.Wetselaar P, Lobbezoo F. The tooth wear evaluation system: a
modular clinical guideline for the diagnosis and management planning of worndentitions[J]. Journal of Oral Rehabilitation, 2016, 43(1):69-80.Wetselaar P, Lobbezoo F. The tooth wear evaluation system: a
modular clinical guideline for the diagnosis and management planning of worndentitions[J]. Journal of Oral Rehabilitation, 2016, 43(1):69-80.推薦閱讀:
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