Journal of the Korean Academy of Esthetic Dentistry ḡӽ ᙹ ᝎ֥ e ∊⊹ ᯕ⪹ᮉᮡ ĥᗮ ᵥᨕु ၹ໕, dental erosion ᨱ ᮹⦽ ⊹ᦥ Ğ᳑Ḣ᮹ ᗱᔢᮡ ᷾a⦹Ł ᯩܩ݅.
ᯕäᮡ š᮹ ᄡ⪵ಽ ᬒ ฯᮡ ᔑᖒ ᮭഭ ၰ ᔑᖒ ᮭᮥ ᖎ≉⦹۵ ߑ ʑᯙ⧊ܩ݅. əߑ ᩍʑᨱᕽ ⦹ӹ ᵝ༊⧁
ᱱᮡ ⪹ᯱ ᐱอ ᦥܩ ⊹ŝ᮹ᔍॅࠥ ᯕ ‘Dental Erosion’ ᨱ ݡ⦽ ∊ᇥ⦽ ḡᯕ ᇡ᳒⦹݅۵ ä᯦ܩ݅.
‘Our information regarding erosion is far from complete, and it now seems probable that much time may elapse before its investigation will have satisfactory results. Its increasing frequency and the great damage it is doing calls for the closest study that the profession can give.’
Ł Dr. G. V. Black ᯕ ᥕ äᯕ 1908 ֥ࠥ ᯦ܩ݅. ᯕ ⬥ᨱ Dental Erosion ᨱ š⦽ ₦ᯕ ᮭᮝಽ ӹ᪉ äᯕ 2006
֥ࠥ Dr. Adrian Lussi ᮹ ‘Dental Erosion – from diagnosis to therapy’ ᯕܩ Ñ᮹ 100 ֥᮹ eᯕ ⮹ౡܩ݅. Dr.
Blackᯕ ‘much time may elapse – ’ Ł ⧩ᮥ ভ 100 ֥᮹ eᮥ ษᮭᗮᨱ ᩝࢱ⧕ ࢱᨩᮥʭ?
Dental Erosionᮥ ⊹ഭ(ᙹᅖ)⧁ äᯙa? ั äᯙa? ᮹ ḩྙᨱ ݡ⦽ ᱢᱩ⦽ ݖᮥ ʑ ᭥⧕ᕽ ᩍ్aḡෝ Łಅ⧕
⧁ ä᯦ܩ݅. ᬱᯙᨱ ݡ⦽ Łₑᮥ ☖⦽ ḥ݉, ᭥⨹ ᗭᨱ ݡ⦽ ❱݉, ᯥᔢᨱᕽ ⧁ ᙹ ᯩ۵ ᩩႊ᳑⊹ॅᮥ ם⦹Ł ӹᕽ እಽᗭ ⊹ഭ⧁ äᯙa? ᨕਅ ᰍഭ, ᨕਅ ႊჶᮝಽ ⊹ഭ⧁ äᯙaෝ ᔕ⠕ᅕ۵ äᯕ ฿āḡอ, ᩍʑᨱᕽ۵ ᯥᔢᨱᕽ ⮵
⯩ ᱲ⦹í ࡹ۵ ᔢݚ⯩ ḥ⧪ࡽ erosion, attrition ᮥ aḡŁ ᯩ۵ ⍡ᯕᜅᨱ ⦽⧕ᕽอ Łₑ⧕ ᅕāܩ݅.
Fig 1ŝ zᮡ ᰆ֥᮹ ⪹ᯱෝ ᯥᔢᨱᕽ ⮵⦹í ᱲ⦹í ࢊܩ݅. ᙹᅖ(restore) ᮹ šᱱᨱᕽ ᅝ ভ, ᖁᔾܹॅᮡ ᨕਜí
⦹āܩʭ?
1.ᱢɚᱢᮝಽ ⊹ഭ⦽݅ !
2.əՆ əݡಽ ࢱŁ ᥙ ভʭḡ ᥑŁ ⦽݅ !
%FOUBM&SPTJPO
࠘Β ս҄ॣìۍÀ ϊìۍÀ
ওॢɰϸر̎ó
ʡᬑ⩥
ᩑᙹᕽᬙ⊹ŝ
᭥᮹ ྙᱽᨱ ݡ⦽ ݖᯕ əญ e݉⊹ ᦫᮡ äᮡ dental erosion ᮹ disease entity a dental caries ᪡۵ ᔍྨ ݅ʑ ভ
ྙ᯦ܩ݅.
՜տսՄԶՇՄᖙ᮹⪹ᯱಽᱡ᯲⦹ᦦǍ⊹ᇡᨱe⨱ᱢᯙIZQFSTFOTJUJWJUZෝᵝᗭಽԕᬱ⦹ᩡᮭ
՜տսՄԶՈՄᱥ⊹ᇡ Ǎ⊹ᇡ᮹PDDMVTBMWJFXDMPTFVQ
Journal of the Korean Academy of Esthetic Dentistry 'HQWDO&DULHV 'HQWDO(URVLRQ
Cavitation Extent of cavitationᮝಽ ⊹ഭ ᩍᇡෝ đᱶ⦽݅ No cavitation
Affected dentin Infected zone of bacteriaa ᯩ݅ Infected zone of bacteriaa ᨧ݅
ḥ݉ tool Transillumination, laser, radiograph॒ ḥ݉
toolᯕ ᯩ݅
No diagnostic modality
⪚ ⪶⦽ ḥ݉ tool ᯕ ᨧŁ ⪹ᯱ᮹ ӹᯕa 68ᖙᯙ ᱱᮥ qᦩ⧕ᕽ ⊹ഭෝ ᮁᅕ⦹Ł ḡ⍽ᅕʑಽ ⧩݅໕ ษӹ ᪅ఌ
࠺ᦩ, əญŁ ษӹ ᯱᵝ šₑ⧕ ⧁ʭ?
ᦥ௹᮹ እ⦽ ⪹ᯱෝ ᅕāܩ݅.
՜տսԶՉՄEFOUBMDBSJFT ՜տսԶՊՄEFOUBMFSPTJPO
՜տսՄԶՋՄGJH᮹⪹ᯱ᪡ᮁᔍ⦹ӹ⪶⦹íǍ⊹ᇡ᮹ḡḡᇶƕašₑࡹŁ⪹ᯱ۵ᱡ᯲ᝍ⦽ᇩ⠙qᮥ⪙ᗭ⧉
Fig 1᮹ ⪹ᯱ᪡ ᮁᔍ⧁ ᙹࠥ ᯩᮝӹ Ǎ⊹ᇡᨱᕽ Ųჵ᭥⦽ ⊹ḩ ❭ƕa šₑࡹ໑ ᙹᅖ⦹ʑ ᭥⧕ᕽ۵ crown lengthening, endodontic treatment, crown restoration॒ᮥ Łಅ⧕⦹۵ ᔢ⫊᯦ܩ݅.
Fig. 5⪹ᯱ۵ 73 ᖙ ᯦ܩ݅. ᨙᱽᇡ░ ᝍb⦽ ⊹ḩ ❭ƕa ḥ⧪ࡹᨩ۵ḡ ᱶ⪶⯩ ᙹ۵ ᨧᮝӹ ⪹ᯱ᮹ past dental historyಽ ၙᨕ ᅝ ভ ᯕ۵ ᇩŝ 3-4 ֥ᮥ չʑḡ ᦫᦹᮝญ ❱݉ࢊܩ݅.
Fig 1᮹ ⪹ᯱෝ ⊹ഭ⦹ḡ ᦫ۵݅໕ Fig 5 ᮹ ⪹ᯱౝ ḥ⧪ ࢁʭ? ༉ෝ ᯝ ᯦ܩ݅.
Fig. 6zᮡ 50 ᖙ᮹ ⪹ᯱ໕ ᙹᅖ⊹ഭෝ ⧕⧁ʭ?
ᙹᅖ⊹ഭෝ ⧁ äᯙa ั äᯙaᨱ ݡ⦽ ᯥᔢa bᯱ᮹ ❱݉ᯕ ᯩāḡอ ⪶⯩ Fig 1 ⪹ᯱᅕ݉ ‘ ᙹᅖ ⊹ഭ’ ෝ ⧕
⦽݅Ł ᔾb⦹۵ ᇥᯕ ฯᮥ äᯕ ᔾb⧊ܩ݅.
əäᮡ dental erosion ᨱ ݡ⦽ ᯕ⧕a ݅ᗭ ᇡ᳒⦹ࠥ ḩᄲ(ᩍʑᨱᖁ dental erosion) ᮹ ḥ⧪ᗮࠥa ʑ ভྙ
ᨱ ᙹᅖ⧕ᵝ۵ äᯕ ၵ௭Ḣ⦹݅Ł ᩍʑ۵ äᯕāḡ.
əߑ ⦽ ⪹ᯱa dental erosion ᨱ ᯕ⪹ ࡹᨩᮥ ভ ə ḥ⧪ ᗮࠥa ᯝᱶ⦹ḡ۵ ᦫܩ݅.
՜տսՄԶՌՄᖙ᮹EFOUBMFSPTJPOᮥaḥ݅ෙ⪹ᯱ
՜տսՄԶՍՄEFOUBMFSPTJPOᯕḥ⧪ࢁভ۵ᯝᱶ⦽
ᗮࠥa ᦥܭ ɪĊ⯩ ᦦ⪵ࡹ۵ Ǎeᯕ ᯩ݅ ə
ᦦ⪵Ǎeᮡᇡ༉᮹ᩢ⨆ᨱᕽწᨕӹʑ᯲
Journal of the Korean Academy of Esthetic Dentistry
ᕽ Fig 1 ᮹ ⪹ᯱa 68 ᖙ᮹ ӹᯕෝ Łಅ⧁ ভ ᦩᱶᱢᮝಽ ᅕᯝ ᙹࠥ ᯩᮝӹ Fig 5 ᮹ ⪹ᯱౝ ɪĊ⯩ ⊹ḩ ❭ ƕa ḥ⧪ࢁ ᙹࠥ ᯩܩ݅.
Fig 1᮹ ⪹ᯱ۵ ⦥ᯱ᮹ ᦥქḡ᯦ܩ݅.
թྕӹࠥ ⪶⦹ḡอ, ᙹᅖ⧁ äᯙa? ั äᯙa᮹ ߒѥݫࣺɳşܵᮡ
dental erosion ۆݕॱ՚ʪ
᯦ܩ݅. ੱ ɪĊ⦹í dental erosion ᯕ ḥ⧪ࡹŁ ᯩᮥ ভ hypersensitivity a symptom ᮝಽ ӹ┡ӽ݅۵ ᱱᮡ ಅᲙ ᯩܩ݅.
՜տսՄԶՎՄ᭥ᨱᕽᇡ░₉ಡݡಽᖙ⦥ᯱ᮹ᦥॅ ᖙ⦥ᯱ ᖙ⦥ᯱ᮹ᦥქḡ
˃ѥݫࣺɳşܵᮡ
İ०ۆ؋܁Ձ
᯦ܩ݅.
dental erosion ᯕ ݅ᗭ ḥ⧪ࡹᨩࠥ dentition ᮹ Ʊ⧊ ᦩᱶᖒᯕ ᮁḡࡹŁ ᯩ݅໕ ᯕᔢ᮹ ḥ⧪ᮥ ส۵ preventive measureᨱ Ḳᵲ⦹۵ äᮥ Łಅ⧁ ᙹ ᯩܩ݅. ə్ӹ ᯕၙ Ʊ⧊ ᦩᱶᖒᯕ đᩍ ࡹᨕ ᯩᮝ໑ ᯕäᯕ ⊹ḩ ᮹ ᔢᝅᨱ ʑᯙ⦹Ł ᯩ݅໕ ᱢɚᱢᮝಽ ᙹᅖ⦹۵ äᮥ ᩝࢱ⧕ ࢱᨕ⧁ ä᯦ܩ݅.
՜տսՄԶՏՂԶՇՆՄEFOUBMFSPTJPO QBSUJBMFEFOUVMJTN॒ᯕᯩ۵⪹ᯱಽNPVOUJOHࡽƱ⧊ʑᨱᕽᱥ⊹ᇡ᮹XFBSGBDFUᨱ
฿⇵໕Ǎ⊹ᇡaƱ⧊ᯕᦩࡹ໑ Ǎ⊹ᇡ᮹XFBSGBDFUᨱ฿⇵íࡹ໕ᱥ⊹ᇡaஉíࡽ݅
՜տսՄԶՇՈՄGJH⍡ᯕᜅ᮹Ⅹḥၰ↽
᳦ ᅕ℁ྜྷ &OEP USFBUNFOU ෝ
⧪⦽ Ŕᮡ DSPXOT ᮥ ᯕ ᮹ ⊹ᦥ ۵DFSBNJDPOMBZ QBMBUBMWFOFFS॒
᮹ BOUFSJPS QPTUFSUFSJPS CPOEFE
՜տսԶՇՇՄƱ⧊໕ษ༉ಽᱥᦦᙹᅖᮥ
⦹ᩡᮝӹ DPOWFOUJPOBM SFTUPSBUJPOT
᮹SFUFOUJPOBOESFTJTUBODFGPSNᮥ
wʑ᭥⧕ᕽŲჵ᭥⦽⊹ḩᔎᱽෝ࠺
ၹ⦹ᩡ݅
Journal of the Korean Academy of Esthetic Dentistry ՃѥݫČͲॣ۾ڹ
ر̅ܛΪۆ҃ߏНͿս҄ॠəÀ
⦹۵ ᱱ᯦ܩ݅.
Bonded restorationsᮝಽ ⦽݅໕ ⊹ᦥ᮹ ྕᔎᱽӹ ↽ᗭᔎᱽa a܆⦹ʑ ভྙᨱ ⪹ᯱ᮹ Ğᱽᱢ ᱽ⦽ᯕ ᨧ݅໕ ᅕ݅
ᱢɚᱢᮝಽ dental erosion ᮥ ⊹ഭ⧁ ᙹ ᯩ݅Ł ᔾbࢊܩ݅.
ᱥ☖ᱢᯙ ᅕ℁ྜྷᮡ retention and resistance form ᮥ อॅʑ ᭥⧕ᕽ, path of draw ෝ w⇵ʑ ᭥⧕ᕽ, occluso-cervical ಽ ฯᮡ ⊹ḩ᮹ ᔎᱽෝ ⧕⦹۵ äᯕ ݡᇡᇥ᯦ܩ݅.
՜տսՄԶՇՉՂՇՊՄGJH⪹ᯱ᮹⊹ഭ⬥
՜տսՄԶՇՋՂՇՌՄGJH⪹ᯱ᮹⊹ഭ⬥
՜տսՄԶՇՍՂՇՎՄGJH⪹ᯱ᮹⊹ഭᱥ⬥
Dental Erosion᮹ ᬱᯙᮥ Ł ḥ݉⦹۵ äᯕ ݚᩑ⯩ ⊹ഭ᮹ ᯲ᱱᯝ ä᯦ܩ݅.
Ṉᮡ ḡ໕ᮝಽ ə ᩍ్aḡ Łಅᱱॅᨱ ݡ⦽ i᷾ᮥ ⣡ ᙹ ᯩ݅Ł ᔾb⦹ḡ۵ ᦫܩ݅. ⊹ᦥ ᔎᱽa ᨧᯕ۵ Ǎv ԕᨱᕽ ┩ࡹḡ ᦫŁ ʑ܆⦹۵ ᅕ℁ྜྷᮥ อॅ äᯕ ᨕಖ ݡᨱᕽ ၵ⮱ಽ ↽ᗭ ⋉, ྕᔎᱽෝ ᇡḷ۵ ݡ a ࡹᨩܩ݅.
Bonded restorationsᮥ ⪽ᬊ⦽݅໕, dental erosion ᮹ ᙹᅖᨱ ᅕ݅ ᱢɚᱢᮝಽ ݡ⧁ ᙹ ᯩḡ ᦫᮥʭ ܩ݅.
ࠦᯱᩍ్ᇥᯕ ‘Dental Erosion -- ⊹ഭ⧁ äᯙa? ั äᯙa?’ ᮹ ᮹ྙᨱ ݡ⦽ ⧕ݖᮥ ⦥ᯱa ᥕ ⟹ᯕḡ᮹ ɡ ᗮ ᨱᕽ ᮥ ᙹ ᯩᮝ໕ ⦹۵ ၵఉᮝಽ ɡᮥ ๛ܩ݅.
3FGFSFODFT
1. Toothwear. The ABC of the worn dentition, F. Khan et al. Wiley-Blackwell, 2011
2. Dental Erosion. Diagnosis, Risk Assessment, Prevention, Treatment, A. Lussi. Quint Pub,2011 3. Dental Erosion. R. Graham Chadwick, Quint Pub, 2006
