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Management of Dental Erosion

Originally published: 2019

Republished: 2022 (Global Agreement Validation)

Developed by: IAPD Science Committee

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Version Information

Originally published in 2019.
Republished in 2022 following global agreement validation.

The 2022 version reflects methodological standardisation within the IAPD Consensus & Foundational Articles framework and formal evaluation of international agreement. No substantive changes were made to the clinical recommendations.

Executive Summary

Dental erosion is the loss of dental hard tissue caused by chemical processes that do not involve bacterial action. In children and adolescents, erosion is commonly associated with dietary acids, acidic beverages, and certain medical conditions such as gastroesophageal reflux or eating disorders.

Early diagnosis and preventive management are essential to minimise progression and protect tooth structure.

Core principles include:

  • Early identification of erosive tooth wear through clinical examination

  • Identification of dietary, behavioural, and medical risk factors

  • Preventive strategies to reduce acid exposure

  • Reinforcement of appropriate oral hygiene practices

  • Monitoring and managing tooth wear to prevent further damage

Effective management of dental erosion requires a preventive approach combined with patient and caregiver education.

IAPD Recommendations

Evidence-Based Recommendations

Dental erosion should be diagnosed through careful clinical examination and assessment of potential risk factors, including dietary habits and medical conditions.

Frequent consumption of acidic foods and beverages is a major risk factor for dental erosion and should be addressed through dietary counselling.

Preventive strategies should focus on reducing exposure to dietary acids and promoting protective behaviours that minimise tooth wear.

(Evidence-based recommendations are not subject to global agreement scoring.)

Consensus-Based Recommendations

(Evaluated for Global Agreement in 2022)

Children presenting with signs of dental erosion should receive appropriate preventive advice and regular monitoring to detect progression.

Management of dental erosion may require collaboration with other healthcare professionals when underlying medical conditions are suspected.

Preventive strategies should include patient and caregiver education on dietary habits, timing of tooth brushing after acidic exposure, and appropriate fluoride use.

Related Educational Resources

To support clinical implementation and knowledge translation, IAPD has developed complementary educational materials.

🎙 IAPD Podcast Series

Relevant discussions within the IAPD Podcast Series may address dietary factors and preventive strategies related to dental erosion.

▶ Listen to the Podcast

🎥 IAPD Webinar

Webinars addressing preventive oral health care may include topics related to the diagnosis and management of dental erosion.

▶ Watch the Webinar Recording

Suggested Citation

International Association of Paediatric Dentistry (IAPD).
IAPD Foundational Articles and Recommendations on Management of Dental Erosion.
Originally published 2019. Global Agreement Validation 2022.

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