Pronamel Es

Acid erosion: a challenge for modern dentistry

Jan. 28, 2014
ProNamel panel makes recommendations for identification and management of acid erosion in practice.
Tooth wear is an increasingly common problem, particularly among young adults.

ESCARCEL, a recent pan-European study supported by GSK, found that almost one-third (29.4%) of study subjects, ages 18-35, have experienced tooth wear. This identifies a need to regularly screen patients for the condition.

The ESCARCEL study looked at tooth wear risk factors and found that those with frequent acidic food intake had higher levels of damage. Adherence to modern lifestyles including consumption of diets rich in acidic food such as fruits, juices, tea, and sodas, was identified as a likely contributor to the increase of the condition.

While initial enamel softening is reversible, once the enamel is lost from teeth, it is lost forever. This shows the importance of proactive prevention and management of the condition.

A round table of highly recognized dentists and dental hygienists met Oct. 28, 2013, in New Jersey supported by GSK, the manufacturers of ProNamel toothpaste. The meeting discussed the recently released European data (ESCARCEL study) and insights on prevalence and significance of tooth surface acid erosion, approaches to identifying erosion in the dental office, and the management of patients at risk of wear.

The panel universally reported seeing acid erosion on a weekly basis in clinical practice, confirmed the condition is a significant threat to a patient’s oral health, and agreed that the prevention of acid erosion is the most effective form of management. The role of the dental professional in identifying those patients at risk was recognized as critical.

The need for recommendations was made evident by the lack of a simple and accepted index for the identification and recording of acid erosion in the dental office, as well as the lack of robust data on the prevalence of acid erosion within the U.S. population.

The Basic Erosive Wear Examination, a simple recording tool for use in practice to guide clinicians through the diagnostic process and assist them in determining appropriate case management, was presented and discussed. The panel determined that the Basic Erosive Wear Examination would be a useful tool in indexing and recording acid erosion amongst patients at risk.

The panel made a series of recommendations to raise awareness of the condition and the Basic Erosive Wear Examination among practicing dental professionals, and to improve dental education. The meeting also highlighted the need for further research within the U.S. dental patient population.

Summary of key findings
• Acid erosion presents a significant risk to patients’ oral health

• There is a growing need to establish the prevalence of acid erosion among the U.S. population

• A healthy balanced diet is important but care needs to be exercised in the frequency and method of consumption of acidic foods

• Prevention of acid erosion is the most effective form of management and the role of the dental professional in identifying patients at risk is critical

• Management of acid erosion should be targeted at those patients most at risk

• The Basic Erosive Wear Examination index could be a valuable tool in supporting dental professionals in accurately and consistently identifying and recording acid erosion

ProNamel toothpaste has been developed with an optimized fluoride formulation to help reharden acid-softened enamel and make it more resistant to future acid challenges. The fluoride polymer technology of ProNamel Fluoride Rinse helps enhance the delivery of fluoride to the tooth surface.

Use of ProNamel toothpaste and ProNamel Fluoride Rinse together can help to provide extra protection against the effects of acid erosion.

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References available from company upon request.