酸蝕
外觀
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 |
酸蝕是一種牙齒磨損現象,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[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
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- ^ 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.
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- ^ 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.
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- ^ 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.