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Tooth enamel erosion is a wearing and breakdown of the thin outer layer covering the teeth called enamel. This extremely strong outer layer (enamel) is the hardest tissue in the human body. The main part of your tooth is the layer under the tooth enamel and that is area is called dentin.

Tooth enamel helps protect your teeth from daily use. This includes things such as chewing, biting, crunching, and tooth grinding. Even though tooth enamel is super strong it can chip and crack over time with use. Tooth enamel also acts as an insulator from potentially painful temperature changes or even harsh chemicals (acids).

Tooth enamel does not have the ability to repair itself like a broken bone can. Once a tooth fractures or chips the damage is permanent. The reason for this is that the tooth enamel has no living cells, unlike the second layer (dentin), which does. So the body is unable to repair enamel like it might a  broken bone.

erosion of tooth enamel

Tooth Enamel Erosion

Tooth Enamel Erosion

Tooth enamel erosion is the process that occurs when acids  wear away the tooth enamel. Tooth enamel erosion is just one of the many causes of tooth discomfort or pain. Tooth enamel erosion occurs when excess acid in the mouth wears away the tooth enamel. Usually the calcium present in saliva will help to neutralize the acids in the foods or liquids we ingest. But if you eat or drink a lot of highly acidic foods,

(alcohol, soda, citrus, (lemons, limes), cheeses are a few examples), the calcium in your saliva will not be able to keep up its job. This will shift the balance from one of a neutral environment to one that is more acidic. Pure fruit juices and Carbonated drinks are highly acidic. If you drink large amounts of these drinks you are increasing your chances for tooth enamel erosion.

Other causes of Tooth Enamel Erosion

-Dry mouth or Xerostomia. This is lowered salivary flow that can be due to many factors. These factors include systemic disease or even medications.

-Acid reflux disease (GERD=gastroesophageal reflux disease)

-Gastrointestinal problems

-Medications. Such as aspirin or antihistamines or even penicillin.

-Genetics. This plays a role in how acidic your mouth may be. Your mouth may lean towards acidic anyway and your lifestyle will just exacerbate the issue of tooth enamel erosion.

tooth enamel erosion acid reflux

Tooth Enamel Erosion from Acid Reflux Disease

-Environmental factors. Teeth grinding and stress will increase the amount of tooth enamel erosion by causing physical damage to the teeth. This will thin out the tooth enamel giving the acids in your diet an even easier time of causing tooth enamel erosion.

-Bulimia. This disease has been shown to cause tooth enamel erosion. Bulimia is associated with binge eating and vomiting. The release of stomach acids into the mouth will cause tooth enamel erosion over time.

Signs and Symptoms of Tooth Enamel Erosion

Tooth Pain. When tooth enamel erosion occurs, you may experience tooth pain from hot and cold food. Remember, the tooth enamel serves as a protective insulating layer. As it thins out you are more susceptible to these changes.

Discoloration. You may begin to notice a yellowing of teeth during tooth enamel erosion. This is because the dentin ( which, is naturally yellow in color ) is becoming exposed as the enamel wears thin and translucent and allows the dentin color to show through.

Transparency. As the tooth enamel erodes and this layer becomes thinner light may be able to shine thru and give the appearance that the tooth is transparent.

Cracks and Cups. Cracks and small indentations may develop from tooth enamel erosion.

Severe and Painful Sensitivity. Certain foods (sweets) and temperatures of foods (hot or cold) may cause a twinge of pain and discomfort in the early stage of tooth enamel erosion.

man smiling-Smooth, shiny surfaces on the teeth. Tooth enamel erosion causes mineral loss on these areas  which gives the teeth a glazed look to them.

When tooth enamel erosion occurs, the tooth is more prone to cavities or tooth decay. When the tooth decay enters the hard enamel, it has an easier entry to the inner parts of the tooth.

Prevention

-Maintain proper dental hygiene. This includes visiting your dentist regularly for dental examinations and cleanings. As well as brushing after every meal and flossing at least once a day.

Eliminate highly acidic foods and drinks. These include carbonated sodas, lemons, and other citrus fruits and juices. An important tip is to rinse your mouth immediately with water after ingesting these liquids. This will wash the acids from your mouth as well as bring your mouth back to a neutral pH state. If you do decide to continue to drink citrus or fruit juices choose ones that are low acidic in content. Wait for a minimum of 1 hour to brush teeth after it has been exposed to acids in food or drinks. Acid leaves the enamel softened and more prone to tooth enamel erosion during brushing.

-Use a straw. When drinking acidic drinks use a straw. This pushes the acidic liquid to the back of your mouth bypassing the teeth.

-Keep track of snacks. Snacking during the day with out brushing increases the risk for tooth decay. Following snacking the mouth will be acidic for a few hours until you are able to brush and rinse your mouth. Try to avoid snacking unless you are able to rinse your mouth and brush your teeth afterwards.

-Chew sugar free gum. Chewing gum stimulates salivary flow. Studies have shown it can increase up to 10X normal when chewing gum. Try to choose xylitol gum as it has been shown to reduce the acids in the mouth.

-Drink more water throughout your day if you have low saliva volume or dry mouth.

-Use a fluoride toothpaste. Fluoride strengthens teeth so use a commercially available fluoride toothpaste.

-Talk to your dentist about daily fluoride mouthwash, like ACT anti cavity rinse, if you have a history of cavities.

Restoration

There  are a few ways to restore the damages to tooth enamel caused by erosion. Your dentist will be able to evaluate the best course of treatment for your situation. In some cases, dental bonding can be used to protect the tooth as well as increase the aesthetics. If the tooth enamel erosion is more significant, a crown may be necessary to restore and protect the tooth from any more damage that might occur.

Tooth enamel erosion can be a very serious problem for patients as it worsens over time. Regular dental examinations will reveal the problem before it becomes too hard to contain. If you have any concerns about tooth enamel erosion ask your dentist at your next visit.



Maintaining good oral hygiene is essential for healthy teeth and gums, but did you know that the kind of foods you eat can also help (or hurt) your oral health? Eating foods that are good for your teeth and being careful about those that are not is a key component to maintaining healthy teeth and gums.

Diet plays a very large role in the maintenance of our oral health and prevention of cavities. Changes can occur in your oral cavity as soon as you eat certain food or drinks. Bacteria in the mouth convert the sugars in the food we eat into acids. The acids are what start to attack the enamel on teeth, beginning the decay process. The more often we eat and snack, the more frequently we are exposing our teeth to the cycle of decay. A tooth’s biggest nemesis is acid, either directly contained in the food and drink, or produced by bacteria that thrive on sugar and convert it to acid. The mouth’s best friends are foods that are able to neutralize the acids, providing minerals and vitamins to allow for repair of tooth enamel and stimulate salivary flow.

How we eat is also just as important. In a recent study, researchers looked at more than 1,000 people (both male and female) between the ages of 18 and 30 for links between diet and tooth decay. They found that eating high-acid foods (such as fruits and their juices) throughout the day can harm a person’s teeth if no effort is made to counteract the effects (i.e. brushing, rinsing, and flossing).

Enamel is your teeth’s first defense against tooth decay. If the enamel on your teeth begins to erode or is damaged, you’re at an increased risk for tooth sensitivity and cavities. You can help strengthen your tooth enamel by eating foods high in calcium. Also, adding foods rich in vitamin D to your diet will allow you to better absorb the calcium that healthy teeth need.

Best Foods For Your Dental Health

Foods For Good Dental Health1) Calcium. Low-fat or fat-free dairy products without added sugar such as milk, cheese, and plain yogurt are calcium staples that don’t add unhealthy saturated fat to your diet. Hard cheese in particular also helps neutralize the acids found in foods that threaten tooth enamel. Also, cheese helps stimulate salivary flow, while its calcium helps replace vitamins and minerals leached from the teeth. Other good sources of calcium are green leafy vegetables like kale, bok choy, and even Brussels sprouts, which deliver a healthy boost of vitamin C, too.

2) Vitamin D. Egg yolks, mushrooms, and most fish are excellent sources of the vitamin D you need to absorb calcium, which builds and maintains healthy teeth.

3) Vitamin C. Red peppers and sweet potatoes can provide the vitamin C necessary for healthy gums. Citrus fruits like oranges are also high in vitamin C, but you have to be careful of their acidity.

4) High-fiber foods. Work like a detergent in the mouth, not only physically scrubbing the teeth, but also increasing salivary flow by requiring longer chewing times. Saliva is the mouth’s first line of defense against tooth decay, because it neutralizes acids that can damage teeth, and contains calcium and phosphates that help rebuild minerals leached away by bacterial acids. Juicy fruits and vegetables (Apples, pears, celery, and carrots are all good choices) also have a high water concentration that helps counteract their sugar content. High-fiber foods also lay a good foundation to the building of an overall healthy diet, so they are doubly beneficial. However, even a healthy food like an apple can expose teeth to damaging acid when eaten slowly. To reduce the impact of acid, brush your teeth before eating and drink water or rinse immediately after.

5)  Water. Water is indispensable when it comes to oral health. It’s the main component of saliva, and is important for both tooth and gum health. Water is valuable as the final rinsing agent for foods and sugary drinks. If the water is also fluoridated, it adds a secondary element in that it will strengthen the tooth enamel.

6) Xylitol. Sugar free gums of any kind can be very beneficial to dental health, because they stimulate salivary production and can help physically scrub your teeth while chewing. But Gum with Xylitolthose sweetened with xylitol (a type of sugar extracted from certain types of plants) can actually battle tooth decay. This occurs because xylitol works against mutans streptococci, the bacteria that causes tooth decay. Xylitol is available as a main ingredient for gums like Wrigley’s, Trident, or Epic brands.

7) Green and Black Teas. These contain poly phenols that interact with the bacteria that causes plaque. These poly phenols can kill or suppress bacteria, preventing them from growing or producing acid. The poly phenols in coffee also have cavity-fighting properties. Studies have also shown cocoa to have strong anti-mutans streptococci properties, although eating sugary chocolate bars is not very tooth friendly.

8) Nuts. Many nuts provide vitamins and minerals that help your teeth. These can include peanuts (vitamin D and calcium), almonds (high levels of calcium), cashews (increases salivary flow and helps clean teeth) and walnuts (fiber, folic acid, iron, thiamine, magnesium, iron, niacin, vitamin E, vitamin B6, potassium and zinc).

The Worst Foods for your Dental Health

1) Carbonated Sugary Soft Drinks. These types of drinks add so much sugar to our diets. The sugar content is bad for general body health as well as our teeth and gums. But teeth aren’t safe even for those who stick to diet drinks. Artificially sweetened soft drinks contain similar tooth eroding acids, such as phosphoric and citric. Even canned iced teas, which normally might be good for teeth, contain flavor-enhancing organic acids that can erode tooth enamel.

2)  Sport and Health Drinks. Advertised health drinks are filled with dangers for your teeth. Sports drinks are acidic and full of sugar. And vitamin waters can contain as much sugar as a regular size candy bar. Chewable vitamins are especially bad, because they contain concentrated acids that tend to stick to and between teeth.

Bad foods for teeth3)  Sticky Sweets. It is certainly not news that caramels and other gummy, sugary sweets are bad for teeth. It’s not just the sugar itself,  it is how long the teeth are exposed to that sugar. So while those caramels stick and cling tenaciously to tooth surfaces and crevices, hard candies and lollipops are also very bad. Ideally if you are to consume sugary sweets, you should brush and rinse right after eating them.

4) Dried fruits. Fresh grapes and plums are considered to be quite nutritious and good for you but if they are dried they are no longer considered as such. Although often advertised as healthy snacks, dried fruits like raisins, prunes and apricots, are very similar to caramels. Already sweet when fresh, their sugars are highly concentrated as the water is dried away, and their gummy texture can cling to teeth as much as gooey caramels. Even worse, the fruit is packed with non soluble cellulose fiber, which can bind and trap sugars on and around the tooth. This ends upm making it potentially worse than candies.

6) Carbohydrates. Many white starches, like white bread, white sugar, white rice, and French Fries can easily become lodged between teeth and in crevices of the teeth. These foods will not taste sweet on their own but the starches can begin converting to sugar very quickly. This occurs not only from the bacteria, but also by the by the enzymes in the saliva as part of the digestive process. Try brown rices and whole wheat pastas instead. these do not begin to break down until they get to your stomach.

7) Drinks and Foods High in Acid. Citrus fruits and drinks contain powerful citric acid. While oranges, lemons and grapefruit can be a healthy part of the diet, they should be consumed quickly, preferably as part of a meal, and the teeth should be rinsed well afterwards. Sucking on citrus fruits should be avoided. There is a common home remedy working its way around the internet using lemon wedges for at home DIY tooth whitening. This is not a smart remedy.

It can be very difficult to give up a food that you desire, but you do not have to stop eating sugary and acidic foods altogether. Most dentists would agree that any food can cause plaque which in turn will make you more susceptible to decay. Maintaining proper oral hygiene is key.

Here are a few tips if you crave something sugary or acidic:

-Moderation is the key. Enjoy it but do not go overboard.

-Eat it with different kinds of foods to help neutralize the acid before it does damage to your teeth and gums.

-Drink water to rinse away bacteria and any food particles that remain in the mouth.

It is also important to brush and rinse after eating. It is recommended though to wait 30 minutes to an hour after you have an acidic food or beverage because the acid weakens your tooth enamel, making your teeth more susceptible to damage from brushing. Another option is to chew a piece of sugar-free gum for 20 minutes to neutralize saliva and to reduce plaque buildup. Following these tips (along with regular dental visits) will help keep your teeth healthy for years to come.

Best (and Worst) Foods for Best Dental Health
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