대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제43권2호
  • /
  • Pages.213-220
  • /
  • 2016
  • /
  • 1226-8496(pISSN)
  • /
  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
권호 표지
DOI QR코드

DOI QR Code

치아침식증

Dental Erosion

  • 김지연 (부산대학교 치의학전문대학원 소아치과학교실, 중개치의학연구소/부산대학교 치과병원 치의학연구소) ;
  • 김신 (부산대학교 치의학전문대학원 소아치과학교실, 중개치의학연구소/부산대학교 치과병원 치의학연구소) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실, 중개치의학연구소/부산대학교 치과병원 치의학연구소)
  • Kim, Jiyeon (Department of Pediatric Dentistry & Institute of Translational Dental Sciences, School of Dentistry, Pusan National University, Dental Research Institute, Pusan National University Dental Hospital) ;
  • Kim, Shin (Department of Pediatric Dentistry & Institute of Translational Dental Sciences, School of Dentistry, Pusan National University, Dental Research Institute, Pusan National University Dental Hospital) ;
  • Jeong, Taesung (Department of Pediatric Dentistry & Institute of Translational Dental Sciences, School of Dentistry, Pusan National University, Dental Research Institute, Pusan National University Dental Hospital)
  • 투고 : 2015.05.09
  • 심사 : 2016.05.11
  • 발행 : 2016.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

최근 들어 치아침식증(이하 침식증)의 유병률이 증가하면서 이에 대한 관심이 급증하고 있지만 아직 우리 사회나 치과계 내에서 인식이 부족한 상황이다. 침식증은 비가역적 치아 경조직 소실로, 방치될 경우 복합적인 문제를 야기할 수 있으므로 조기에 진단하여 질환의 진행을 예방해야 하며 특히 어린이와 청소년에 있어서는 조기 개입이 더 중요하다. 침식증은 다인자성 질환이므로 조기 진단을 위해서는, 위험인자에 대한 충분한 사전 지식을 갖추고 체계적인 임상검사와 철저한 병력청취가 필요하다. 주 원인요소가 파악되면 이를 가급적 제거하고 예방적 방법을 동원하여 질환의 진행을 막도록 노력한다. 치료는 치질 소실이 일정 기준 이상 되었을 때 시작하며 가장 덜 침습적인 방법을 선택해야 한다.

In recent decades, dental erosion has received a considerable amount of attention with a steady increase of the prevalence. However, the awareness of this matter in our society, including dentistry is still lacking. Dental erosion is an irreversible loss of dental hard tissue leading to a complex condition. To prevent detrimental effects, it is important to detect conditions as early as possible and inhibit progression. In children and adolescents, early intervention is more important than in adults. As dental erosion is a multifactorial condition, dentists need to fully understand the phenomena and do systematic oral examination with thorough history taking for early diagnosis. When the main etiological factor is detected, it is necessary to make an effort to eliminate it and stop progression of the lesions with preventive measures. Restorative treatment should not be started unless substance loss reaches a certain level. Once the decision is made for treatment, care must be taken to choose the least invasive method.

키워드

참고문헌

  1. Twetman S : The evidence base for professional and self-care prevention - caries, erosion and sensitivity. BMC Oral Health, 15(Suppl 1):S4, 2015. https://doi.org/10.1186/1472-6831-15-S1-S4
  2. Lussi A, Jaeggi T : Erosion-diagnosis and risk factors. Clin Oral Invest, 12:S5-13, 2008. https://doi.org/10.1007/s00784-007-0179-z
  3. Mulic A, Tveit AB, Skaare AB, et al. : Reliability of two clinical scoring systems for dental erosive wear. Caries Res, 44:294-299, 2010. https://doi.org/10.1159/000314811
  4. Tao DY, Hao G, Feng XP, et al. : Dental erosion among children aged 3-6 years and its associated indicators. J Public Health Dent, 75:291-297, 2015. https://doi.org/10.1111/jphd.12098
  5. Lussi A, Jaeggi T, Zero D : The role of diet in the aetiology of dental erosion. Caries Res, 38:34-44, 2004.
  6. Fejerskov O, Kidd E : Dental Caries - The Disease and its Clinical Management, 2nd Ed. Blackwell Publishing Professional, 233-247, 2008.
  7. Wang X, Lussi A : Assessment and Management of Dental Erosion. Dent Clin N Am, 54:565-578, 2010. https://doi.org/10.1016/j.cden.2010.03.003
  8. Bartlett DW : The role of erosion in tooth wear: aetiology, prevention and management. International Dental Journal, 55:277-284, 2005. https://doi.org/10.1111/j.1875-595X.2005.tb00065.x
  9. Wetselaar P, Lobbezoo F : The tooth wear evaluation system: a modular clinical guideline for the diagnosis and management planning of worn dentitions. J Oral Rehabil, 43:69-80, 2016. https://doi.org/10.1111/joor.12340
  10. Paryag A, Rafeek R : Dental Erosion and Medical Conditions: An Overview of Aetiology, Diagnosis and Management. West Indian Med J, 63:499-502, 2014.
  11. GABA's Erosion E-learning Tool. GABA International. Available from URL: http://www.elearningerosion.com/en/elearning_erosion.html (Accessed on March 5, 2016)
  12. Carvalho TS, Colon P, Wiegand A : Consensus report of the European Federation of Conservative Dentistry: erosive tooth wear-diagnosis and management. Clin Oral Invest, 19:1557-1561, 2015. https://doi.org/10.1007/s00784-015-1511-7
  13. Bardsley PF : The evolution of tooth wear indices. Clin Oral Investig, 12(Suppl 1):S15-9, 2008.
  14. Bartlett D, Ganss C, Lussi A : Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Investig, 12(Suppl 1):S65-S68, 2008. https://doi.org/10.1007/s00784-007-0181-5
  15. The Sixth Korea National Health and Nutrition Examination Survey (KNHANES). Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Available from URL: https://knhanes.cdc.go.kr/knhanes/index.do (Accessed on March 5, 2016).
  16. Chelating effect of citric acid is negligible for development of enamel erosions. Available from URL: http://link.springer.com/article/10.1007%2Fs00784-015-1634-x (Accessed on March 5, 2016).
  17. Johansson AK, Lingstrom P, Birkhed D : Comparison of factors potentially related to the occurrence of dental erosion in high- and low-erosion groups. Eur J Oral Sci, 110:204-11, 2002. https://doi.org/10.1034/j.1600-0447.2002.11211.x
  18. Thomas MS, Vivekananda Pai AR, Yadav A : Medication-related dental erosion: a review. Compend Contin Educ Dent, 36:662-6, 2015.
  19. Mesquita-Guimaraes KSF, Scatena C, Serra MC : Effect of foods and drinks on primary tooth enamel after erosive challenge with hydrochloric acid. Braz Oral Res, 29:1-7, 2015.
  20. Lussi A, Megert B, Shellis RP, Wang X : Analysis of the erosive effect of different dietary substances and medications. Br J Nutr, 107:252-62, 2012. https://doi.org/10.1017/S0007114511002820
  21. Lussi A, Carvalho TS : The Future of Fluorides and Other Protective Agents in Erosion Prevention. Caries Res, 49(suppl 1):18-29, 2015.
  22. Wiegand A, Attin T : Influence of Fluoride on the Prevention of Erosive Lesions - a Review. Oral Health Prev Dent, 1:245-53, 2003.
  23. Eating disorder professionals'perceptions of oral health knowledge. Available from URL: http://onlinelibrary.wiley.com/doi/10.1111/idh.12183/abstract?systemMessage= (Accessed on March 5, 2016)
  24. Pauwels A : Dental erosions and other extraoesophageal symptoms of gastro-oesophageal reflux disease: Evidence, treatment response and areas of uncertainty. United European Gastroenterol J, 3:166-70, 2015. https://doi.org/10.1177/2050640615575972
  25. Ahmed KE, Murbay S : Survival rates of anterior composites in managing tooth wear: systematic review. J Oral Rehabil, 43:145-53, 2016. https://doi.org/10.1111/joor.12360
  26. Alghilan MA, Cooka NB, Haraa T : Susceptibility of restorations and adjacent enamel/dentine to erosion under different salivary flow conditions. J Dent, 43:1476-1482, 2015. https://doi.org/10.1016/j.jdent.2015.10.007