酸蝕

酸蝕
酸蝕
	神經性暴食症患者的下牙磨損嚴重
分類和外部資源
醫學專科	牙醫學
ICD-9-CM	521.3
	[編輯此條目的維基數據]

酸蝕是一種牙齒磨損（英語：tooth wear）現象，指的是酸（非細菌帶來）溶解牙齒後牙齒出現磨損狀況，牙齒磨損情況不可逆轉。^[1]牙齒糜爛是5-17歲兒童最常見的慢性疾病^[2]。飲用果汁是造成牙齒酸蝕的原因之一^[3]。酸蝕的過程先從牙釉質開始，牙釉質變薄後，腐蝕過程蔓延至牙本質，此時牙齒呈現暗黃色，並引發牙本質過敏（英語：dentin hypersensitivity）^[4]。

引起牙齒腐蝕最常見原因是飲用酸性食物和飲料（例如果汁^[5]）。一般來說，PH值低於5.0-5.7的食物和飲料都會引發牙齒腐蝕。^[6]許多臨床和實驗室報告都將牙齒糜爛與飲用過多的飲料聯繫起來。一些酒精和水果飲料、橙汁等含有檸檬酸的果汁和可樂等軟性飲料（其中檸檬酸和磷酸是導致腐蝕的原因，碳酸則不是）被認為是引發牙齒酸蝕的因素之一。^[7] 此外，葡萄酒已被證明可以腐蝕牙齒，因為葡萄酒的pH值會低至3.0-3.8。^[6]氯化過的游泳池的水^[8]和胃酸反流等也會侵蝕牙齒。^[9] 在患有慢性疾病的兒童中，他們服用含有酸性成分的藥物也是引發牙齒腐蝕的原因之一。^[10]人們在化石中也發現有動物出現牙齒腐蝕的現象，很可能是由它們食用的酸性水果或植物所造成。^[1]

參考來源

^ ^1.0 ^1.1 Towle I, Irish JD, Elliott M, De Groote I. Root grooves on two adjacent anterior teeth of Australopithecus africanus (PDF). International Journal of Paleopathology. September 2018, 22: 163–167 [2021-04-29]. PMID 30126662. doi:10.1016/j.ijpp.2018.02.004. （原始內容 (PDF)存檔於2021-04-29）.
^ ten Cate JM, Imfeld T. Dental erosion, summary. European Journal of Oral Sciences. April 1996, 104 (2 ( Pt 2)): 241–4. PMID 8804892. doi:10.1111/j.1600-0722.1996.tb00073.x.
^ Dugmore CR, Rock WP. A multifactorial analysis of factors associated with dental erosion. British Dental Journal. March 2004, 196 (5): 283–6; discussion 273. PMID 15017418. doi:10.1038/sj.bdj.4811041  .
^ Guignon, Anne. Dental Erosion: An Increasingly Common Cause of Dentin Hypersensitivity (PDF). Colgate Dental Aegis. September 2013 [2021-04-29]. （原始內容 (PDF)存檔於2021-04-29）.
^ 'Health juices' harm baby teeth. BBC News Online. 2 August 2007 [2009-05-21]. （原始內容存檔於2009-01-11）.
^ ^6.0 ^6.1 Mandel L. Dental erosion due to wine consumption. Journal of the American Dental Association. January 2005, 136 (1): 71–5. PMID 15693499. doi:10.14219/jada.archive.2005.0029.
^ Moynihan PJ. Dietary advice in dental practice. British Dental Journal. November 2002, 193 (10): 563–8. PMID 12481178. doi:10.1038/sj.bdj.4801628  .
^ Buczkowska-Radlińska J, Łagocka R, Kaczmarek W, Górski M, Nowicka A. Prevalence of dental erosion in adolescent competitive swimmers exposed to gas-chlorinated swimming pool water. Clinical Oral Investigations. March 2013, 17 (2): 579–83. PMC 3579418  . PMID 22476450. doi:10.1007/s00784-012-0720-6.
^ Paryag A, Rafeek R. Dental Erosion and Medical Conditions: An Overview of Aetiology, Diagnosis and Management. The West Indian Medical Journal. September 2014, 63 (5): 499–502. PMC 4655683  . PMID 25781289. doi:10.7727/wimj.2013.140.
^ Nunn JH, Ng SK, Sharkey I, Coulthard M. The dental implications of chronic use of acidic medicines in medically compromised children. Pharmacy World & Science. June 2001, 23 (3): 118–9. PMID 11468877. S2CID 7071706. doi:10.1023/A:1011202409386.

外部鏈接

Saliva and Tooth Dissolution

[:5-1] 1.0 ^1.1 Towle I, Irish JD, Elliott M, De Groote I. Root grooves on two adjacent anterior teeth of Australopithecus africanus (PDF). International Journal of Paleopathology. September 2018, 22: 163–167 [2021-04-29]. PMID 30126662. doi:10.1016/j.ijpp.2018.02.004. （原始內容 (PDF)存檔於2021-04-29）.

[2] ten Cate JM, Imfeld T. Dental erosion, summary. European Journal of Oral Sciences. April 1996, 104 (2 ( Pt 2)): 241–4. PMID 8804892. doi:10.1111/j.1600-0722.1996.tb00073.x.

[Dugnore2004-3] Dugmore CR, Rock WP. A multifactorial analysis of factors associated with dental erosion. British Dental Journal. March 2004, 196 (5): 283–6; discussion 273. PMID 15017418. doi:10.1038/sj.bdj.4811041  .

[4] Guignon, Anne. Dental Erosion: An Increasingly Common Cause of Dentin Hypersensitivity (PDF). Colgate Dental Aegis. September 2013 [2021-04-29]. （原始內容 (PDF)存檔於2021-04-29）.

[5] 'Health juices' harm baby teeth. BBC News Online. 2 August 2007 [2009-05-21]. （原始內容存檔於2009-01-11）.

[DentalErosionMandel-6] 6.0 ^6.1 Mandel L. Dental erosion due to wine consumption. Journal of the American Dental Association. January 2005, 136 (1): 71–5. PMID 15693499. doi:10.14219/jada.archive.2005.0029.

[pmid12481178-7] Moynihan PJ. Dietary advice in dental practice. British Dental Journal. November 2002, 193 (10): 563–8. PMID 12481178. doi:10.1038/sj.bdj.4801628  .

[8] Buczkowska-Radlińska J, Łagocka R, Kaczmarek W, Górski M, Nowicka A. Prevalence of dental erosion in adolescent competitive swimmers exposed to gas-chlorinated swimming pool water. Clinical Oral Investigations. March 2013, 17 (2): 579–83. PMC 3579418  . PMID 22476450. doi:10.1007/s00784-012-0720-6.

[:4-9] Paryag A, Rafeek R. Dental Erosion and Medical Conditions: An Overview of Aetiology, Diagnosis and Management. The West Indian Medical Journal. September 2014, 63 (5): 499–502. PMC 4655683  . PMID 25781289. doi:10.7727/wimj.2013.140.

[10] Nunn JH, Ng SK, Sharkey I, Coulthard M. The dental implications of chronic use of acidic medicines in medically compromised children. Pharmacy World & Science. June 2001, 23 (3): 118–9. PMID 11468877. S2CID 7071706. doi:10.1023/A:1011202409386.

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