還在狂喝可樂or橙汁?口腔酸蝕症正在走向年輕人

還在狂喝可樂or橙汁?口腔酸蝕症正在走向年輕人

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Dental Erosion:

Erosion is the progressive loss of tooth substance by chemical processes that do not involve bacterial action,producing defects that are wedge-shaped depressions often in occlusal, facial and cervical areas;

<The Glossary of Prosthodontic Terms:Ninth Edition 2018>

口腔酸蝕症,英文解釋見於九版JPD詞條,應該算是比較權威的解釋

通俗易懂的講,就是因消化系統疾病、日常大量攝入酸性物質,或者接觸酸性環境,導致的牙齒酸蝕損害。

目前來看,隨著碳酸飲料及果汁飲料在國內的消費量日趨增大,酸蝕的發生率也在快速上升。

酸蝕,是一種化學現象,在我們的初高中化學中大家都學過,大家應該也記得教科書力有一張圖,是石刻雕像遭受酸雨侵蝕後的表現

emm圖有點綠

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其實酸對牙齒的作用,在某種意義上跟酸對大理石雕像的作用是類似的。

這是因為,牙齒釉質的主要組成結構是羥基磷灰石(HA),大量含鈣,

如封面圖一樣,酸蝕的牙齒表現也類似與對酸雨對大理石的腐蝕表現,主要為:牙齒咬合面或者其他面上的光滑釉質缺損(凹坑樣),上前牙切端的磨耗、齶側的釉質缺損,以及牙齒頸部的非齲性損害(我盡量通俗易懂的描述)

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飲料已成為日常生活中很多人必不可少的消費品,甚至在某種程度上取代了飲用水成為日常攝取水的一種新形勢,但隨之而來的,是酸蝕症的大量出現,而且越來越出現年輕化的趨勢。

接下來讓我們簡單看一下世界各地有關酸蝕的發生情況:

這是歐洲的酸蝕症發生情況(歐洲學派一般將成年人酸蝕併入tooth wear(重度磨耗)來進行流行病學調查,這個比例並不完全對應酸蝕症的發生率,但有參考價值。因為重度磨耗的發生與酸蝕密切相關

美洲及中東的酸蝕癥狀發生率,其中中東的兒童酸蝕症發生率,根據不同的調查指數,有些報告在70%以上,這可能跟中東兒童極端的嗜甜習慣有一定關係

國內對於酸蝕的調查數據比較少,但是仍能發現國內的酸蝕症發病率也非常高,某些區域70-90%也是挺嚇人的

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那麼究竟,口腔酸蝕與我們的日常生活中什麼樣的習慣息息相關呢?

1.檸檬酸攝取:

檸檬酸是一種常見於水果及飲料中的有機酸

大量含有此酸水果如下:檸檬、葡萄,橙子、蘋果、蔓越莓

呵呵,有時候你覺得「健康」的生活方式,也許在某些方面也並不「健康」。

2.碳酸飲料:

碳酸飲料包括可樂、雪碧、芬達等含二氧化碳氣體的飲料,一般而言PH可以達到2-3左右。

嗯。。。相應報道層出不窮。

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那酸蝕症能治么

能治,但很也很,重在預防

當然,最後再提醒愛喝飲料 的大家一些酸蝕症的有關癥狀,有這樣一些情況應該及時識別並就醫:

1. 牙齒表面出現凹坑,特別是前牙的唇側面

2. 牙齒冷熱刺激敏感

3. 牙齒的磨耗程度跟身邊人不一樣

4. 有長期反酸的胃部不適癥狀

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teeth of children and adolescents: An epidemiological systematic review and

meta-regression analysis.[J]. Journal of Dentistry, 2015, 43(1):42-50.

Lussi A, Jaeggi T. Erosion—diagnosis and risk

factors[J]. Clinical Oral Investigations, 2008, 12(1):5-13.

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West N X, et al. Prevalence of tooth wear on buccal and lingual surfaces and

possible risk factors in young European adults[J]. Journal of Dentistry, 2013,

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Wetselaar P, Lobbezoo F. The tooth wear evaluation system: a

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dentitions[J]. Journal of Oral Rehabilitation, 2016, 43(1):69-80.


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