1)Avoid dietary acids in between meals.
2) Sporting and work-related activities can be dehydrating, so you have to rehydrate often.
3) Dehydration leads to a reduction in salivary protection of the teeth.
4) Meal times, breakfast, lunch and dinner, are the key times of salivary protection where the dentition is most capable of coping with acidic foods and beverages.
5) Chewing sugar-free gum for a few minutes after a meal is beneficial.
6) Drinking more water, particularly in between meals is ideal.
7) Dietary acids should be minimized and identified on food and beverage packaging. In particular, citric acid, ascorbic acid, sodium citrates, tartaric acid, phosphoric acid, acetic acid, lactic acid, malic acid and fumaric acid.
8) Acidic beverages should ideally be consumed quickly. Use of a straw is beneficial. Sipping or swishing of beverages is to be avoided.
9) Consumption of fruits with natural acids, in moderate quantities, stimulates salivary flow through taste and function and these are preferable sources of vitamins, as oranges are for Vitamin C.
10) Highly acidic vitamin supplements or medications should not be chewed and instead swallowed whole.
11) Avoid habits such as sucking lemon wedges, biting pens or pencils, stripping electrical wires or biting fishing lines.
12) Certain medications can dry the mouth and reduce salivary protection as a side effect. If a particular medication is drying the mouth, talk to your general practitioner to see if alternative medications are available.
13) A particular diet may be ‘healthy’ for the body but not so for the dentition.
14) Sensitivity indicates further loss of tooth structure in the recent period of time preceding the symptoms.
15) Absence of sensitivity indicates that the balance within the oral environment is better.
16) Toothpastes for sensitivity, whilst useful for short term use, mask the ability of the teeth to warn the patient of new periods of toothwear progression.
17) Small, soft bristle tooth brushes are ideal, utilising a circular brushing motion with bristles tilted forty-five degrees towards the gums.
18) Some whitening toothpastes may be particularly abrasive on the teeth.
19) Teeth should not be brushed for at least one hour after consuming an acidic beverage or teeth are exposed to any acids.
20) Toothwear is a condition where, in most patients, the advice offered by the clinician outweighs any treatment modality that can be offered. The acceptance of the patient to make lifestyle and dietary changes by following the WATCH Strategy (Water, Acids & alcohol, Taste, Calcium, Health) and compliance in following the practitioner’s specific advice, in Aesthetic Dental Clinic Galani, is central to achieving long term stability and success in treating toothwear.