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Tooth Enamel Acid Erosion

Enamel Erosion is a dental condition or result that has a seemingly infinite number of causes.

Mountain Dew Acid Enamel Eroding
Mountain Dew addiction
Paul Sussman, DMD
The actual "process" of enamel breakdown is essentially similar. Basic chemistry and molecular principles that operate in the "enamel environment" become disturbed.... unbalanced.

Most of us practice the basic interventions for correcting these inbalances on a daily basis.

Key Variable: Saliva

Brushing out teeth after each meal (not too soon), brushing in the morning when we get up.... and before we go to bed. Basic teeth brushing serves to remove food particles and flush the oral cavity, which stimulates saliva production.

When saliva production and it's presence is not routinely overwhelmed with highly acidic foods, tooth enamel can endure a lifetime, given routine dental care. Since tooth structures and enamel are not self-regenerating... any perceived changes in saliva production (the experience of dry mouth) should not be overlooked or disregarded.

Acidity Environments

Highly acidic conditions in the oral cavity occur for two reasons, encompassing a variety of causes:

Excess consumption of acidic foods

  • Soft Drinks (soda pop)
  • Sports Beverages
  • Energy Drinks
  • Energy Bars
  • Sugared candies
  • Sour candy
  • Lime - Lemon sucking (citrus fruits)
  • Processed snacks with high sugar content
  • Coffee and tea beverages flavored with sugar
Meth Mouth Acid
Classic Meth Mouth
Paresh Patell, DDS

Xerostomia - Reduced levels saliva (also known as dry mouth)

  • Feature of an existing syndrome (e.g., Sjogren's Syndrome)
  • Diabetic medications
  • Post chemotherapy medications
  • Congenital Xerostomia
  • Amphetamine abuse (cotton mouth - meth mouth)
  • Alcohol based mouth rinses
  • Allergic reactions to restorative dentistry components
Meth Mouth Amphetamine Abuse
Severe Erosion - Saliva Chemistry Imbalance
Corinne Scalzitti, DMD MAGD

Early Intervention

Enamel destruction is cumulative. Patients should not assume that early signs of enamel deterioration will be reversed with mere changes in habits or eating-drinking preferences.

Many dentists, like those represented in the photos, can provide a variety of medications or treatments that increase saliva production, including Salanium, Sensodyne toothpaste products, Oasis (saliva substitute) and a wide variety of Biotene products... some of which contain salivary enzymes (Lactoperoxidase, Lactoferrin, Lysozyme) that boosts and replenishes saliva's own defenses.

MI Paste is also available which helps to aid the natural remineralization process. In-office and at-home treatment programs can be developed for many patients.

New Teeth Enamel Austin TX
Successful Eroded Enamel Reconstruction
Corinne Scalzitti, DMD MAGD

Enamel Rehabilitation

In situations where enamel deterioration is becoming more evident, enamel resurfacing or replacement can be achieved through a choice of lamination technologies (porcelain veneers) or entire tooth replacement via cemented crowns, porcelain jackets or implant supported crowns.

Representative Treatment Example

The last two pictures provided here by Dr. Corinne Scalzitti represents a recent treatment of an actual enamel replacement and reconstruction need for a young adult patient. Combinations of porcelain crowns, veneer laminates and dental implants were used to recreate what Mother Nature once provided for this young male patient.

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