Tactics of Using Modern Materials for Prevention and Treatment of Enamel Damage During Erosion

Abstract

Typical clinical signs of erosion are the presence of a smooth, silk-glazed, sometimes dull surface with an intact enamel zone along the gingival margin. In later stages, further changes in morphology can be detected, resulting in the formation of a depression in the enamel that is wider than it is deep. Erosion on the vestibular surface of the teeth should be distinguished from wedge-shaped defects, which are located at the cement-enamel junction or apical to it. The coronal part of wedge-shaped defects, as a rule, has a sharp border and is located at a right angle to the surface of the enamel, and the “bottom” of the apical part reaches the surface of the root. Thus, the depth of the wedge-shaped defect exceeds its width. Erosive defects should also be differentiated from increased tooth abrasion, in which the defects are often flat, have smooth shiny areas with clear boundaries, and, as a rule, there are corresponding signs on the antagonist teeth.