Erosion diagnosis

For successful diagnosis of erosion, dental professionals should consider the following factors:
  • Clinical appearance
  • A patient’s background with respect to general health, diet and behavioural factors in order to differentiate erosion from other tooth wear processes
  • An assessment of the salivary flow rate and buffering capacity
Visual diagnosis of erosive lesions can be difficult in some cases. Recently, the accuracy of erosion diagnosis has been tested: erosive lesions restricted to enamel were detected in 88% of samples, lesions with exposed dentine were detected only in 65% and overall, erosive defects were diagnosed in 67% of the cases, when compared with the results of a follow-up histological evaluation (Ganss et al. 2006).