Erosion prevention and treatment

To prevent erosion, individual risk factors have to be identified, preferably before the diagnosis of first erosive lesions.

Primary prevention:

Primary prevention includes concrete measures to control dietary intake, oral hygiene habits, treatment of any underlying diseases and behavioural risk factors associated with exposure to erosive conditions. With regard to oral hygiene, the use of a soft toothbrush and an effective erosion protection toothpaste is recommended to minimize toothbrushing-related abrasion of erosion-softened enamel.

  • Patient has no clinical signs of erosion
  • Goal: to prevent the initiation of new erosive lesions

Secondary prevention:

Secondary prevention often includes primary prevention measures with specific additional measures—like the use of a stannous-containing dental rinse and topical fluoridation (for additional caries protection).

  • Patient has clinical signs of erosion
  • Goal: to prevent progression of already existing erosive lesions

If aspects of primary prevention are ignored, treatment is likely to fail.