Various assessment techniques have been applied to evaluate the loss of dental hard tissue and the surface-softened zone in enamel induced by erosive challenges. In this chapter, the most frequently adopted techniques for analyzing the erosively altered dental hard tissues are reviewed, such as profilometry, measuring microscope techniques, microradiography, scanning electron microscopy, atom force microscopy, nano-and microhardness tests and iodide permeability test. Moreover, methods for chemical analysis of minerals dissolved from dental hard tissue are discussed. It becomes evident that the complex nature of erosive mineral loss and dissolution might not be comprehended by a single technique, but needs application of different approaches for full understanding.
Chapter 10Lussi A (ed): Dental Erosion. Monogr Oral Sci. Basel, Karger, 2006, vol 20, pp 152-172
Methods for Assessment of Dental Erosion Thomas Attin, Florian Just WegehauptCenter for Dental Medicine, Clinic for Preventive Dentistry, Periodontology and Cariology, University of Zurich, Zürich, Switzerland
AbstractVarious assessment techniques have been applied to evaluate the loss of dental hard tissue and the surface-softened zone in enamel induced by erosive challenges. In this chapter, the most frequently adopted techniques for analyzing the erosively altered dental hard tissues are reviewed, such as profilometry, microradiography, scanning electron microscopy, atom force microscopy, nano-and microhardness tests and iodide permeability test. Moreover, methods for chemical analysis of minerals dissolved from dental hard tissue are discussed. It becomes evident that the complex nature of erosive mineral loss and dissolution might not be comprehended by a single technique, but needs application of different approaches for full understanding. Copyright © 2006 S. Karger AG, Basel Acid attack leads to an irreversible loss of the outermost enamel and dentin layers and to partial demineralization (softening) of the tooth surface. In enamel, the thickness of the softened layer is estimated to be 2-5 tJm [1,2] [1, 2]. The softened eroded tooth surface is highly susceptible to abrasive wear, and mechanical impacts such as toothbrushing can easily remove the superficially demineralized dental hard tissue [3][4][5] [3][4][5]. For simulating intra-oral erosion as closely as possible, it is desirable to assess the erosive effects on native tooth surfaces. Most of the methods described below need polished surfaces for precise assessment of the erosively induced defects or for creating reference surfaces, which means that the natural, often fluoridated surface of the tooth has to be removed. However, it should be considered that in the case of intra-oral erosion the outermost surface layers are also continuously removed by the acid attack, so that a 'polished' surface is Attin 2 cre-ated. When monitoring of erosive surface alterations within a period of time is performed, it could become necessary to fix a specimen in the measuring device i...