“ADVANCED STRATEGIES IN PROFESSIONAL CLINICAL CARE FOR PREVENTING AND CONTROLLING DENTAL EROSION: A SYSTEMATIC REVIEW”
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Abstract
Objective: This systematic review aims to evaluate current professional clinical care strategies for the prevention and control of dental erosion, integrating traditional methods with innovative approaches to enhance patient outcomes.
Methods: A comprehensive search of PubMed, Scopus, Web of Science, and Cochrane Library databases was conducted, yielding 1,245 articles. After removing duplicates and applying inclusion and exclusion criteria, 10 studies were selected for detailed analysis. The studies included 5 randomized controlled trials, 2 controlled clinical trials, 1 cohort study, and 1 systematic review, focusing on preventive strategies, therapeutic interventions, and innovative techniques.
Results: The review identified several effective preventive strategies. Dietary counseling significantly reduced the consumption of acidic foods and beverages, while high-concentration fluoride varnishes and CPP-ACP (casein phosphopeptide-amorphous calcium phosphate) showed strong efficacy in enhancing enamel resistance and promoting remineralization. Therapeutic interventions such as resin infiltration and the use of glass ionomer cements and composite resins were effective in treating existing erosion, with laser treatments offering a promising non-invasive alternative. Innovative approaches, including biomimetic remineralization and nanotechnology, particularly nano-hydroxyapatite, demonstrated superior performance in enamel protection and restoration.
Conclusion: The findings underscore the importance of a multifaceted, personalized approach in the prevention and control of dental erosion. Combining traditional preventive methods with advanced therapeutic and innovative techniques can significantly improve clinical outcomes. Ongoing research and clinical trials are essential to further validate these approaches and develop new strategies for effective dental erosion management. Integrating these diverse methods into clinical practice will enable dental professionals to provide optimal care and mitigate the adverse effects of dental erosion.
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Dr Nabeel Khan
BDS,PGD,MS,CHPE Assistant Professor Oral Biology Department Karachi Medical and Dental College.
Dr Abdul Aleem
BDS,MCPS Senior Registrar,Community Dentistry,Karachi Medical and Dental College,PhD Scholar Jinnah Sindh Medical University Karachi
Dr Samra Bokhari
DS,MORTH,FCPS,CHPE,Senior Registrar Orthodontics, National Institute of Child Health Karachi.
Dr Syed Muhammed Faran Ali
BDS,MSc Oral Pathology. Assistant Professor and HOD Oral Pathology, Sir Syed College of Medical Sciences Karachi.
Dr Qudsia Sabhi
BDS Demonstrator Oral Surgery Department Karachi Medical and Dental College.
Dr Hasan Askari
BDS,MS Assistant Professor Dental Materials Department, Sir Syed College of Medical Sciences Karachi.