|LETTER TO EDITOR
|Year : 2016 | Volume
| Issue : 1 | Page : 34
Department of Oral and Maxillofacial Pathology and Microbiology, School of Dentistry, D. Y. Patil University, Mumbai, Maharashtra, India
|Date of Web Publication||2-Jul-2018|
Dr. Treville Pereira
Department of Oral and Maxillofacial Pathology and Microbiology, School of Dentistry, D. Y. Patil University, Sector 7, Nerul, Mumbai - 400 706, Maharashtra
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Pereira T. Salt abrasion. Niger J Exp Clin Biosci 2016;4:34
Abrasion is the wearing of the tooth surface through a mechanical process which is independent of occlusion. A common cause is the overzealous tooth brushing habit. The typical lesion depicts a “V-” shaped notch or a ditch on the buccal/labial surface of the tooth, with the canine and premolar teeth being most commonly affected.
A 58-year-old male patient visited the dental clinic with discolored teeth [Figure 1]. On examination, the patient had no carious teeth and the periodontal health was fair. A detailed history revealed that the patient used mishri (form of burnt tobacco mostly used by women in rural India) to brush his teeth. On further probing, he revealed that he would add powdered rock salt to the mishri because he felt that the teeth would be free of any cavity. He was a heavy smoker who smoked about 2–3 packets of beedis every day. Intraorally, severe abrasion was observed on all the teeth. The maxillary incisors had no enamel structure remaining while the mandibular anterior teeth had about 3 mm–4 mm of labial enamel remaining. The teeth were stained dark brown. The patient claimed to have no functional concern but was interested to find out about the aesthetic options which were available due to the impending marriage plans for his daughter.
|Figure 1: Clinical picture of the patient showing severe abrasion in the upper and lower teeth|
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Tooth wear due to abrasion has been attributed to detrimental habits such as nail biting, pencil chewing, use of bobby pins, or a wind instrument between the teeth. The management of a case of tooth wear depends a lot on the patients understanding of the condition. Of course, before any dental esthetic procedure dental professionals should be cautious that the patient may not let go of the deleterious habit, which might leave the dentist fighting tooth and nail!
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Shafer WG, Hine MK, Levy BM. A Textbook of Oral Pathology. 4th
ed. Philadelphia: WB Saunders; 1983. p. 318-23.
Bowles WH, Wilkinson MR, Wagner MJ, Woody RD. Abrasive particles in tobacco products: A possible factor in dental attrition. J Am Dent Assoc 1995;126:327-31.