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CLINICA: Lesioni dello smalto cariose e non, vecchie e nuove sfide per il team odontoiatrico","ricerca-clinica-lesioni-smalto-cariose-vecchie-nuove-sfide","\"Vecchie e nuove sfide per il team odontoiatrico: lesioni dello smalto cariose e non” è il titolo dell’evento promosso da GABA con Colgate e tenuto a Firenze dalla professoressa Livia Ottolenghi…","\u003Cp>\"Vecchie e nuove sfide per il team odontoiatrico: lesioni dello smalto cariose e non” è il titolo dell’evento promosso da GABA con Colgate e tenuto a Firenze dalla professoressa Livia Ottolenghi dell’Università La Sapienza di Roma e il professore Guglielmo Campus dell’Università di Sassari. Questo l’abstract dell’intervento.\u003C\u002Fp>\u003Cp>ABSTRACT\u003C\u002Fp>\u003Cp>L’erosione dentale è il risultato di attacchi acidi diretti, provenienti principalmente dalla dieta e dai succhi gastrici. A livello dello smalto l’erosione determina indebolimento della superficie fino alla perdita irreversibile del tessuto. Con la progressione del processo anche la dentina può essere coinvolta; il tessuto diventa più poroso e si può manifestare ipersensibilità dentinale. \u003C\u002Fp>\u003Cp>Vi è evidenza che il fenomeno dell’erosione dentale sia in continua crescita e stia inoltre diventando un problema rilevante se consideriamo la salute della dentizione a lungo termine. In effetti l’erosione dentale è un argomento di crescente interesse scientifico e, trattandosi di un disturbo indotto dagli acidi, viene principalmente ricondotto alla cariologia. \u003C\u002Fp>\u003Cp>Tuttavia, è importante considerare l’erosione dentale come un’entità distinta; difatti, l’attacco determinato dagli acidi erosivi è diverso da quello causato dal processo cariogeno mediato dalla placca. \u003C\u002Fp>\u003Cp>Essendo un processo irreversibile è di fondamentale importanza che la diagnosi di erosione dentale sia fatta precocemente attraverso l’analisi dell’aspetto clinico.\u003C\u002Fp>\u003Cp>E’ stato quindi presentato un nuovo indice di valutazione di erosione denominato BEWE (Basic Erosive Wear Examination) e un set diagnostico sviluppato da Università svizzere e tedesche, quale strumento pratico e di facile utilizzo per una diagnosi accurata. \u003C\u002Fp>\u003Cp>Inoltre sono stati discussi gli approcci per un’efficace prevenzione primaria e presentato un aggiornamento sullo stato d’arte delle più efficaci strategie causali e terapeutiche. A causa della natura aggressiva del processo erosivo, gli approcci terapeutici o preventivi sviluppati per combattere la carie non possono essere applicati direttamente al trattamento dell’erosione. \u003C\u002Fp>\u003Cp>Infatti, mentre in condizioni relativamente lievi di formazione della lesione cariosa, le preparazioni contenenti fluoruri risultano particolarmente efficaci, le stesse hanno un moderato effetto contro l’erosione. \u003C\u002Fp>\u003Cp>L’obiettivo delle terapie sintomatiche è quello di rafforzare e\u002Fo proteggere la superficie del dente in modo da inibire sia la demineralizzazione dei tessuti duri che la perdita di microdurezza del dente. 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