282:. Reduced salivary flow rate, a common symptom of bulimia, predisposes an individual to dental erosion due to increased vulnerability to the effects of acidic food and drinks. Self-induced vomiting increases the risk of dental erosion by a factor of 5.5 compared to healthy controls. Lesions are most commonly found on the palatal surfaces of the teeth, followed by the occlusal and then the buccal surfaces. The main cause of GERD is increased acid production by the stomach. This is not exclusive to adults, as GERD and other gastrointestinal disorders may cause dental erosions in children.
58:
243:
216:. Carbonated drinks, such as colas and lemonades, are also very acidic and hence have significant erosive potential. Foods such as fresh fruits, ketchup and pickled food in vinegar have been implicated in causing acid erosion. Frequency rather than total intake of acidic juices is seen as the greater factor in dental erosion; infants using feeding bottles containing fruit juices (especially when used as a comforter) are therefore at greater risk of acid erosion.
318:
yellowish tint on the eroded tooth. This occurs because the white enamel has eroded away to reveal the yellowish dentin beneath. On top of clinical examination, the dentist may take intra-oral photographs to monitor the extent and progress of erosion. Clinical photographs lead to comparable results to a visual examination; however, both may result in an underestimation of the extent of tooth wear.
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327:
184:
339:
restorations in the mouth may be clean and non-tarnished. As tooth substance around restorations erodes away, fillings may also appear to be rising out of the tooth. The teeth may form divots on the chewing surfaces when dental erosion is occurring. This mainly happens on the first, second, and third
344:
to guide their diagnosis and management of the condition. A scoring system referred to as Basic
Erosive Wear Examination (BEWE) grades the appearance or severity of wear on the teeth by the extent of hard tissue loss. It is noted that indices are useful in monitoring the most severe clinical changes
317:
One of the physical changes can be the colour of teeth. Dental erosion can lead to two major tooth colour change – the first being a change of colour that usually happens on the cutting edge of the central incisors. This causes the cutting edge of the tooth to become transparent. A second sign is a
115:
origin. Dental erosion is the most common chronic condition of children ages 5–17, although it is only relatively recently that it has been recognised as a dental health problem. There is widespread ignorance of the damaging effects of acid erosion; this is particularly the case with erosion
334:
A change in shape of the teeth is also a sign of dental erosion. Teeth will begin to appear with a broad rounded concavity, and the gaps between teeth will become larger. There can be evidence of wear on surfaces of teeth not expected to be in contact with one another. If dental erosion occurs in
222:
acts as a buffer, regulating the pH when acidic drinks are ingested. Drinks vary in their resistance to the buffering effect of saliva. Studies show that fruit juices are the most resistant to saliva's buffering effect, followed by, in order: fruit-based carbonated drinks and flavoured mineral
135:
below 5.0–5.7 have been known to trigger dental erosion effects. Numerous clinical and laboratory reports link erosion to excessive consumption of such drinks. Those thought to pose a risk are soft drinks, some alcohol and fruit drinks, fruit juices such as
348:
One of the most severe signs of dental erosion is cracking, where teeth begin to crack off and become coarse. Other signs include pain when eating hot, cold, or sweet foods. This pain is due to the enamel having been eroded away, exposing the sensitive dentin.
298:. Abrasion is most often caused by brushing teeth too hard. Any frothing or swishing acidic drinks around the mouth before swallowing increases the risk of widespread acid erosion. Sucking citrus fruits can also contribute to acid erosion.
365:(LSI) it is possible to acquire information on the microstructure of the enamel and detect minimal changes, such as early non-carious lesions. No clinical data has been published to demonstrate the effectiveness of this technique in vivo.
345:
in tooth wear. However, they lack comprehensiveness as they cannot measure the rate of progression and cannot monitor all teeth affected by erosion. There is also a lack of an index which is universally accepted and standardised.
175:. In children with chronic diseases, the use of medicines with acid components is a risk factor too. Dental erosion has also been recorded in the fossil record and was likely caused by the consumption of acidic fruits or plants.
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1746:
1489:
Koshoji NH, Bussadori SK, Bortoletto CC, Oliveira MT, Prates RA, Deana AM (2015). Rechmann P, Fried D (eds.). "Analysis of eroded bovine teeth through laser speckle imaging".
309:
studies are advantageous in assessing erosion directly from the patient's mouth. There are numerous signs of dental erosion, including changes in appearance and sensitivity.
1741:
274:. Dental erosion can also occur by non-extrinsic factors. There is evidence linking eating disorders with a range of oral health problems including dental erosion,
230:
A number of medications such as chewable vitamin C, aspirin and some iron preparations are acidic and may contribute towards acid erosion. Certain drugs can cause
987:
1927:
200:
Extrinsic acid erosion is when the source of acid originates from outside of the body. Acidic food and drink lowers the pH level of the mouth resulting in
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has been shown to erode teeth, with the pH of wine as low as 3.0–3.8. Other possible sources of erosive acids are from exposure to poorly regulated
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1582:
589:
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Nunn JH, Ng SK, Sharkey I, Coulthard M (June 2001). "The dental implications of chronic use of acidic medicines in medically compromised children".
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1284:"Squamous cell carcinoma of the oral cavity: a case series analysis of clinical presentation and histological grading of 1,425 cases from Iraq"
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molars. To monitor the change in shape over time, dentists can create and retain accurate, serial study casts. Dentists may also employ
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Carlsson GE, Johansson A, Lundqvist S (May 1985). "Occlusal wear. A follow-up study of 18 subjects with extensively worn dentitions".
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Al-Malik MI, Holt RD, Bedi R, Speight PM (February 2001). "Investigation of an index to measure tooth wear in primary teeth".
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Fareed K, Johansson A, Omar R (August 1990). "Prevalence and severity of occlusal tooth wear in a young Saudi population".
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Monagas J, Suen A, Kolomensky A, Hyman PE (November 2013). "Gastrointestinal issues and dental erosions in children".
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903:"UK National Clinical Guidelines in Paediatric Dentistry: diagnosis, prevention and management of dental erosion"
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due to consumption of fruit juices because they tend to be seen as healthy. Acid erosion begins initially in the
1021:
Rosten A, Newton T (November 2017). "The impact of bulimia nervosa on oral health: A review of the literature".
705:"Prevalence of dental erosion in adolescent competitive swimmers exposed to gas-chlorinated swimming pool water"
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being the least resistant. Because of this, fruit juices in particular may prolong the drop in pH levels.
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111:. It is defined as the irreversible loss of tooth structure due to chemical dissolution by acids not of
1866:
853:"Oral diagnosis and treatment planning: part 4. Non-carious tooth surface loss and assessment of risk"
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The most common causes of erosion are acidic foods and drinks. In general, foods and drinks with a
31:
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from the stomach comes into contact with the teeth. This is often secondary to conditions such as
1973:
125:
82:
967:
1882:
1771:
1235:"Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs"
204:. A variety of drinks contribute to dental erosion due to their low pH level. Examples include
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On the basis of the optical changes induced in eroded tissue by the lesions, in 2015 Koshoji
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2041:
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754:"Dental Erosion and Medical Conditions: An Overview of Aetiology, Diagnosis and Management"
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Koshoji NH, Bussadori SK, Bortoletto CC, Prates RA, Oliveira MT, Deana AM (2015-02-13).
234:(low quantity or quality of saliva) which is considered a risk factor for acid erosion.
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Buczkowska-Radlińska J, Łagocka R, Kaczmarek W, Górski M, Nowicka A (March 2013).
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940:"Buffering capacities of soft drinks: the potential influence on dental erosion"
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Intrinsic dental erosion, also known as perimolysis, is the process whereby
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440:"Root grooves on two adjacent anterior teeth of Australopithecus africanus"
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1333:"Techniques to Evaluate Dental Erosion: A Systematic Review of Literature"
1219:
1184:
769:
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509:
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590:"Dental Erosion: An Increasingly Common Cause of Dentin Hypersensitivity"
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2012:
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528:"A multifactorial analysis of factors associated with dental erosion"
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waters, non-fruit-based carbonated drinks, sparkling mineral waters;
75:
1432:"Laser speckle imaging: a novel method for detecting dental erosion"
2031:
1787:
1715:
1710:
627:
Mandel L (January 2005). "Dental erosion due to wine consumption".
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112:
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1331:
Joshi M, Joshi N, Kathariya R, Angadi P, Raikar S (October 2016).
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30:
This article is about the medical condition. For other uses, see
1429:
1555:
488:
ten Cate JM, Imfeld T (April 1996). "Dental erosion, summary".
219:
121:
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children, a loss of enamel surface characteristics can occur.
938:
Edwards M, Creanor SL, Foye RH, Gilmour WH (December 1999).
438:
Towle I, Irish JD, Elliott M, De Groote I (September 2018).
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124:, giving the tooth a dull yellow appearance and leading to
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An example of severe dental damage due to acid erosion.
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1928:
Periodontitis as a manifestation of systemic disease
1533:
372:
1197:
120:, causing it to become thin, and can progress into
1232:
617:
361:also demonstrated in a novel method that by using
208:, such as apple and orange juices, sports drinks,
2113:
1117:. Academy of General Dentistry. 6 February 2008.
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894:
892:
890:
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985:
1380:The Cleveland Clinic Department of Dentistry.
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1107:
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1103:
981:
979:
977:
487:
1603:
907:International Journal of Paediatric Dentistry
885:
521:
519:
1020:
988:"Diagnosis and management of dental erosion"
751:
156:is not the cause of erosion, but citric and
1337:Journal of Clinical and Diagnostic Research
1233:Bartlett D, Ganss C, Lussi A (March 2008).
1100:
992:The Journal of Contemporary Dental Practice
974:
901:O'Sullivan E, Milosevic A (November 2008).
655:
525:
237:
195:
1617:
1610:
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629:Journal of the American Dental Association
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191:5.0–5.7 may initiate dental erosion.
56:
1465:
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1307:
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986:Gandara BK, Truelove EL (November 1999).
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325:
241:
187:Frequently eaten foods and drinks below
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1943:Combined periodontic-endodontic lesions
1752:Combined periodontic-endodontic lesions
587:
447:International Journal of Paleopathology
14:
2114:
1404:Davenport, Tammy (14 September 2007).
1282:Al-Rawi NH, Talabani NG (March 2008).
626:
1591:
1406:"Signs and Symptoms of Tooth Erosion"
846:
844:
842:
840:
752:Paryag A, Rafeek R (September 2014).
352:
1923:Generalized aggressive periodontitis
909:. 18 Suppl 1 (Supplement 1): 29–38.
433:
431:
246:Severe wear of the lower teeth in a
664:"Dietary advice in dental practice"
24:
1918:Localized aggressive periodontitis
1482:
1423:
837:
526:Dugmore CR, Rock WP (March 2004).
502:10.1111/j.1600-0722.1996.tb00073.x
25:
2133:
1529:
745:
568:"'Health juices' harm baby teeth"
490:European Journal of Oral Sciences
428:
290:Acid erosion often coexists with
1933:Necrotizing periodontal diseases
1383:Dental Health: Tooth Sensitivity
956:10.1046/j.1365-2842.1999.00494.x
916:10.1111/j.1365-263X.2008.00936.x
588:Guignon, Anne (September 2013).
570:. BBC News Online. 2 August 2007
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1121:
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758:The West Indian Medical Journal
641:10.14219/jada.archive.2005.0029
268:gastroesophageal reflux disease
1200:Acta Odontologica Scandinavica
1165:Acta Odontologica Scandinavica
944:Journal of Oral Rehabilitation
696:
581:
560:
481:
13:
1:
1938:Abscesses of the periodontium
1142:10.1016/S0300-5712(00)00064-6
662:Moynihan PJ (November 2002).
421:
202:demineralisation of the teeth
1747:Chronic apical periodontitis
1583:Saliva and Tooth Dissolution
1457:10.1371/journal.pone.0118429
1349:10.7860/JCDR/2016/17996.8634
1288:Clinical Oral Investigations
1239:Clinical Oral Investigations
803:Pharmacy World & Science
709:Clinical Oral Investigations
538:(5): 283–6, discussion 273.
301:
285:
171:water, and regurgitation of
7:
1862:Calcifying odontogenic cyst
1408:. About.com. Archived from
851:Kaidonis JA (August 2012).
368:
10:
2138:
1867:Glandular odontogenic cyst
1742:Acute apical periodontitis
459:10.1016/j.ijpp.2018.02.004
29:
2011:
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1300:10.1007/s00784-007-0184-2
1251:10.1007/s00784-007-0181-5
1212:10.3109/00016359009005886
1177:10.3109/00016358509046491
721:10.1007/s00784-012-0720-6
312:
178:
81:
69:
64:
55:
47:
42:
2122:Acquired tooth pathology
2062:Linear gingival erythema
1960:A. actinomycetemcomitans
1078:10.1177/0009922812460429
321:
238:Intrinsic acidic sources
196:Extrinsic acidic sources
32:Erosion (disambiguation)
1491:Lasers in Dentistry XXI
1035:10.1038/sj.bdj.2017.837
870:10.1038/sj.bdj.2012.722
815:10.1023/A:1011202409386
126:dentin hypersensitivity
2057:Horizontal bony defect
1883:Cracked tooth syndrome
1772:Vertical root fracture
1023:British Dental Journal
857:British Dental Journal
681:10.1038/sj.bdj.4801628
668:British Dental Journal
545:10.1038/sj.bdj.4811041
532:British Dental Journal
331:
251:
192:
1913:Chronic periodontitis
1833:Chronic periodontitis
1726:Pink tooth of Mummery
1711:Irreversible pulpitis
770:10.7727/wimj.2013.140
329:
245:
186:
2097:Vertical bony defect
2042:Gingival enlargement
1634:Caries (tooth decay)
1130:Journal of Dentistry
597:Colgate Dental Aegis
496:(2 ( Pt 2)): 241–4.
363:laser speckle images
2077:Periodontal disease
1839:Periodontal disease
1811:Gingiva/periodontal
1716:Reversible pulpitis
1706:Internal resorption
1701:External resorption
1669:Internal resorption
1665:External resorption
1503:2015SPIE.9306E..0DK
1448:2015PLoSO..1018429K
1066:Clinical Pediatrics
272:rumination syndrome
2072:Periodontal pocket
1967:Capnocytophaga sp.
1798:Periapical abscess
1762:Periapical abscess
1511:10.1117/12.2075195
1245:(Suppl 1): S65-8.
353:Optical properties
332:
330:Dental study casts
252:
193:
2109:
2108:
2105:
2104:
1806:
1805:
1683:Pulp/periapical (
1578:
1577:
1343:(10): ZE01–ZE07.
160:). Additionally,
146:carbonated drinks
102:
101:
37:Medical condition
27:Medical condition
16:(Redirected from
2129:
2037:Furcation defect
1901:
1900:
1857:Dentigerous cyst
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1660:tooth resorption
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87:Oral infection,
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2047:Gingival pocket
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232:hyposalivation
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194:
180:
177:
152:(in which the
100:
99:
85:
79:
78:
73:
67:
66:
62:
61:
53:
52:
51:Dental erosion
49:
45:
44:
36:
26:
9:
6:
4:
3:
2:
2134:
2123:
2120:
2119:
2117:
2098:
2095:
2093:
2090:
2088:
2085:
2083:
2082:Periodontitis
2080:
2078:
2075:
2073:
2070:
2068:
2065:
2063:
2060:
2058:
2055:
2053:
2050:
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2035:
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2030:
2028:
2025:
2023:
2020:
2019:
2017:
2014:
2010:
2004:
2003:
1999:
1997:
1996:
1992:
1990:
1989:
1988:P. intermedia
1985:
1983:
1982:
1981:P. gingivalis
1978:
1976:
1975:
1971:
1969:
1968:
1964:
1962:
1961:
1957:
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1944:
1941:
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1892:To be grouped
1890:
1884:
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1863:
1860:
1858:
1855:
1854:
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1830:
1829:Periodontitis
1827:
1825:
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1737:
1733:
1727:
1724:
1722:
1721:Pulp necrosis
1719:
1717:
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1707:
1704:
1702:
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1632:
1631:
1629:
1625:
1621:
1620:tooth disease
1613:
1608:
1606:
1601:
1599:
1594:
1593:
1590:
1584:
1581:
1580:
1570:
1566:
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1536:
1520:
1516:
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1508:
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1496:
1492:
1485:
1477:
1473:
1468:
1463:
1458:
1453:
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1437:
1433:
1426:
1412:on 2016-04-19
1411:
1407:
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1256:
1252:
1248:
1244:
1240:
1236:
1229:
1221:
1217:
1213:
1209:
1206:(4): 279–85.
1205:
1201:
1194:
1186:
1182:
1178:
1174:
1170:
1166:
1159:
1151:
1147:
1143:
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1124:
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1005:
1001:
997:
993:
989:
982:
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978:
969:
965:
961:
957:
953:
950:(12): 923–7.
949:
945:
941:
934:
926:
922:
917:
912:
908:
904:
897:
895:
893:
891:
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880:
876:
871:
866:
863:(4): 155–61.
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858:
854:
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845:
843:
841:
832:
828:
824:
820:
816:
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808:
804:
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789:
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775:
771:
767:
763:
759:
755:
748:
740:
736:
731:
726:
722:
718:
715:(2): 579–83.
714:
710:
706:
699:
691:
687:
682:
677:
674:(10): 563–8.
673:
669:
665:
658:
650:
646:
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638:
634:
630:
623:
621:
606:on 2021-04-29
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569:
563:
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484:
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448:
441:
434:
432:
427:
417:
416:Stephan curve
414:
412:
409:
407:
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402:
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392:
389:
388:
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373:
366:
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293:
283:
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277:
273:
269:
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257:
249:
244:
235:
233:
228:
226:
225:mineral water
221:
217:
215:
211:
207:
203:
190:
185:
176:
174:
173:gastric acids
170:
169:swimming pool
167:
163:
159:
155:
154:carbonic acid
151:
147:
143:
139:
134:
129:
127:
123:
119:
114:
110:
107:is a type of
106:
98:
94:
90:
86:
84:
83:Complications
80:
77:
74:
72:
68:
63:
59:
54:
50:
46:
41:
33:
19:
2002:T. denticola
2000:
1995:T. forsythia
1993:
1986:
1979:
1974:F. nucleatum
1972:
1965:
1958:
1952:Pathogenesis
1658:
1627:Hard tissues
1562:
1550:
1494:
1490:
1484:
1439:
1435:
1425:
1414:. Retrieved
1410:the original
1399:
1388:. Retrieved
1382:
1375:
1340:
1336:
1326:
1291:
1287:
1277:
1242:
1238:
1228:
1203:
1199:
1193:
1171:(2): 83–90.
1168:
1164:
1158:
1136:(2): 103–7.
1133:
1129:
1123:
1114:
1069:
1065:
1059:
1026:
1022:
1016:
1008:the original
998:(1): 16–23.
995:
991:
968:the original
947:
943:
933:
906:
860:
856:
809:(3): 118–9.
806:
802:
796:
761:
757:
747:
712:
708:
698:
671:
667:
657:
632:
628:
608:. Retrieved
601:the original
596:
583:
572:. Retrieved
562:
535:
531:
493:
489:
483:
450:
446:
358:
356:
347:
333:
316:
305:
289:
256:gastric acid
253:
229:
218:
206:fruit juices
199:
138:orange juice
130:
105:Acid erosion
104:
103:
43:Acid erosion
18:Acid erosion
1815:Periodontal
1294:(1): 15–8.
1115:Acid Attack
635:(1): 71–5.
453:: 163–167.
270:(GERD) and
166:chlorinated
142:citric acid
89:tooth decay
48:Other names
2052:Gingivitis
2027:Edentulism
2013:Pathologic
1824:Gingivitis
1735:Periapical
1685:Endodontal
1497:: 93060D.
1416:2008-03-09
1390:2008-03-09
610:2018-01-03
574:2009-05-21
422:References
401:Abfraction
391:Tooth wear
280:xerostomia
109:tooth wear
97:xerostomia
93:tooth loss
2092:Recession
1905:Diagnoses
1849:Bone cyst
1781:Ungrouped
1639:Attrition
1618:Acquired
1519:122579104
406:Attrition
302:Diagnosis
296:attrition
286:Behaviour
113:bacterial
76:Dentistry
71:Specialty
2116:Category
2032:Fremitus
2022:Calculus
2015:entities
1788:Pulpitis
1644:Abrasion
1476:25679807
1436:PLOS ONE
1367:27891489
1318:17701430
1269:18228057
1150:11239584
1086:22984193
1043:28972588
1004:12167897
964:10620154
925:18808545
879:22918343
823:11468877
788:25781289
739:22476450
690:12481178
649:15693499
554:15017418
475:52056962
467:30126662
396:Abrasion
369:See also
292:abrasion
148:such as
1757:Fistula
1649:Erosion
1569:D014077
1559:: K03.2
1499:Bibcode
1467:4332687
1444:Bibcode
1386:. WebMD
1358:5121827
1309:2238784
1260:2238785
1220:2220336
1185:3863449
1051:7589860
831:7071706
779:4655683
730:3579418
510:8804892
411:Bruxism
337:Amalgam
307:In-vivo
250:person.
248:bulimic
2087:Plaque
1694:Pulpal
1517:
1474:
1464:
1365:
1355:
1316:
1306:
1267:
1257:
1218:
1183:
1148:
1094:113677
1092:
1084:
1049:
1041:
1002:
962:
923:
877:
829:
821:
786:
776:
737:
727:
688:
647:
552:
508:
473:
465:
359:et al.
313:Colour
276:caries
220:Saliva
179:Causes
144:) and
122:dentin
118:enamel
1894:from
1876:Other
1515:S2CID
1090:S2CID
1047:S2CID
827:S2CID
604:(PDF)
593:(PDF)
471:S2CID
443:(PDF)
322:Shape
150:colas
1564:MeSH
1495:9306
1472:PMID
1363:PMID
1314:PMID
1265:PMID
1216:PMID
1181:PMID
1146:PMID
1082:PMID
1039:PMID
1000:PMID
960:PMID
921:PMID
875:PMID
819:PMID
784:PMID
735:PMID
686:PMID
645:PMID
550:PMID
506:PMID
463:PMID
294:and
278:and
214:beer
212:and
210:wine
162:wine
1552:ICD
1507:doi
1462:PMC
1452:doi
1353:PMC
1345:doi
1304:PMC
1296:doi
1255:PMC
1247:doi
1208:doi
1173:doi
1138:doi
1074:doi
1031:doi
1027:223
952:doi
911:doi
865:doi
861:213
811:doi
774:PMC
766:doi
725:PMC
717:doi
676:doi
672:193
637:doi
633:136
540:doi
536:196
498:doi
494:104
455:doi
2118::
1671:,
1667:,
1567::
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1080:.
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990:.
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855:.
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782:.
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451:22
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430:^
266:,
262:,
189:pH
133:pH
128:.
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91:,
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1831:(
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