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Dentistry3571 papers

Erosion of teeth caused by medicine

Last edited: 4/23/2026

Overview

Erosion of teeth caused by medications, often referred to as medication-related osteonecrosis of the jaw (MRONJ) in severe cases, though more commonly manifests as dental erosion or enamel wear, particularly with prolonged use of certain drugs like aspirin, anticoagulants, and some chemotherapeutic agents. 3359

Diagnosis

  • Clinical Presentation: Tooth sensitivity, visible enamel wear, and changes in tooth structure.
  • Recommended Tests: Dental examination, radiographs to assess bone density and tooth root exposure.
  • Grading: Not universally standardized but often assessed based on severity and extent of erosion visible on clinical examination and imaging. 33
  • Management

  • First-Line Treatments:
  • - Fluoride Therapy: Use of fluoride mouth rinses or varnishes to strengthen enamel. - Dietary Modifications: Reducing intake of acidic foods and beverages.
  • Adjunctive Treatments:
  • - Dental Sealants: Application to protect tooth surfaces. - Regular Dental Check-ups: Monitoring and early intervention for erosion progression. 3359

    Special Populations

  • Pediatrics: Increased vigilance due to developing teeth; fluoride use should be carefully monitored. 33
  • Elderly: Higher prevalence of polypharmacy; comprehensive review of medications contributing to erosion is crucial. 33
  • Comorbidities: Patients with conditions requiring long-term medication use (e.g., cardiovascular disease, cancer) may require more frequent dental evaluations. 33
  • Key Recommendations

  • Regular Dental Assessments for patients on medications known to cause dental erosion to monitor and manage early signs of damage. (Evidence: Moderate 33)
  • Adjust Medication Regimens when possible, in consultation with prescribing physicians, to minimize dental side effects. (Evidence: Expert opinion 33)
  • Educate Patients on dietary habits and oral hygiene practices to mitigate erosion risk. (Evidence: Moderate 59)
  • References

    Showing 100 most recent of 1822 indexed papers.

    1 Alexander P, Umair M. Envisioning the Heart. Methodist DeBakey cardiovascular journal 2026. link 2 Holstrom-Mercader M, Flamm A. Wilderness Medicine Curricula in US Multidisciplinary Training Courses. Wilderness & environmental medicine 2026. link 3 Krzyzaniak SM, Rider A, Moran TP, Davis JJ, Gue S, Bhat R et al.. Gender Representation Among Invited Physician Speakers at National Emergency Medicine Conferences. Annals of emergency medicine 2026. link 4 Farquhar M, Vasudevan V, Woods N, Irwin J, Ng V. A lot on their plates? Examining the on-shift eating and drinking habits of Canadian emergency medicine physicians. CJEM 2026. link 5 Watkins KD, Gardner JM, Ferrise RJ. National Survey of Wilderness Medicine Scholarly Tracks in Emergency Medicine Residency Programs. Wilderness & environmental medicine 2026. link 6 Batson I, Ihenatu C, Shofer F, Magda M, Abboud ME, Conlon L et al.. Simulation Curriculum Improves Emergency Medicine Resident Preparedness for the New American Board of Emergency Medicine Certifying Exam. The western journal of emergency medicine 2026. link 7 Fındık M. Research trends and ethical perspectives on explainable artificial intelligence in emergency medicine: a bibliometric analysis. Scandinavian journal of trauma, resuscitation and emergency medicine 2026. link 8 Owda D, Radu C, Ross JS, Rothenberg C, Venkatesh AK. Trends in Nonresearch Industry Payments to Emergency Physicians Between 2016 and 2023. Annals of emergency medicine 2026. link 9 López-Picazo RP, García-Sanjuán S, Esteve-Ríos A, García-Aracil N, Moratalla-Cebrián ML, Juliá-Sanchís R. Perspectives of postgraduate emergency health sciences students and clinical educators on prehospital clinical placements: A qualitative study. Australasian emergency care 2026. link 10 Love JS, Tapper AR, Pasao MA, Moser JS, Samuels-Kalow ME, Lin MP. "Sink or Swim"-A National Qualitative Study Examining Negotiation Experiences of Early-Career Emergency Medicine Researchers. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2026. link 11 Tyler L, Bhakta Y, Gottlieb M, Kraus CK, Kowalenko T, Calderon Y et al.. Factors associated with corrective actions, remediation, and employment termination of emergency physicians. The American journal of emergency medicine 2026. link 12 Selman CJ, Ong SWX, Middleton M, Di Stefano L, Bourke EM, Long E et al.. Primer for Clinical Researchers on Ordinal Outcomes for Emergency Medicine. Emergency medicine Australasia : EMA 2026. link 13 Chanchlani S. Sustaining Emergency Medicine: Workforce Wellbeing, Moral Integrity and the Power of Action. Emergency medicine Australasia : EMA 2026. link 14 Janssens K, de Kruif E, Dodt C, Garcia-Castrillo Riesgo L, Heyworth J. Quality indicators for the practice of emergency medicine in Europe (EUSEM-QI-V1): results of a European-wide expanded Delphi consensus process. European journal of emergency medicine : official journal of the European Society for Emergency Medicine 2026. link 15 Ali S, Saleem SG, Arumuganathan P, Mukhtar S, Khatri A, Rybarczyk M. Harnessing predictive analytics to support high-risk learners in a one-year certification program in emergency medicine (CPEM) in Pakistan. Medical teacher 2026. link 16 Jones CL. Clinical Teacher in the Emergency Department: How Does It Benefit Emergency Medicine Trainees?. Emergency medicine Australasia : EMA 2026. link 17 Mejia P, Menegazzi JJ. An analysis of NIH research funding in emergency medicine. The American journal of emergency medicine 2026. link 18 Zhang D, Gao J, Niu X, Si H, Sun Y, Li M et al.. "Script Killing" immersive teaching improves the competency of emergency medicine residents rotating across departments. Frontiers in public health 2026. link 19 Ordonez E, Bhananker A, Molina M, Thomas YT, Gallegos M, Owda D et al.. A Double-Edged Sword: A Qualitative Study of the Minority Tax in Academic Emergency Medicine Faculty. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2026. link 20 Shi D, Choi K, Zhang A, Li-Ting-Wai G, Velmurugiah N. Demographic and socioeconomic characteristics of Royal College emergency medicine residents across Canada: a cross-sectional study. CJEM 2026. link 21 Duggan NM, Dias RD, Harari R, Borges P, Verly RJ, Schwid M et al.. Using artificial intelligence for automated assessment of point-of-care ultrasound (POCUS) skills in emergency medicine. The American journal of emergency medicine 2026. link 22 Lu DW, Gu B, Courtney DM, Kane BG, Lall MD, Gottlieb M et al.. Career Plans Among Graduating US Emergency Medicine Residents. JAMA network open 2026. link 23 Raine K, Darshan D. Barriers to research faced by geriatric and general medicine trainees: results of a statewide survey. Internal medicine journal 2026. link 24 Garg N, Totten VY, Greenberg MR, Wilkerson G, Finnell JT, Lau WB et al.. An Expert Consensus of Acceptable Scholarly Activities in Emergency Medicine Residency Training Programs. The Journal of emergency medicine 2025. link 25 Astin-Chamberlain R, Pott J, Cole E, Bloom BM. Sex and gender reporting in UK emergency medicine trials from 2010 to 2023: a systematic review. Emergency medicine journal : EMJ 2025. link 26 Rixon A, Wilson S, Wong LY, Elder E. Review article: Coaching in emergency medicine: A systematic review and future research agenda. Emergency medicine Australasia : EMA 2025. link 27 Thakur S, Chauhan V, Galwankar S, Lateef F, Daniel P, Cakir Z et al.. Gender Disparities and Burnout Among Emergency Physicians: A Systematic Review by the World Academic Council of Emergency Medicine-Female Leadership Academy for Medical Excellence. The western journal of emergency medicine 2025. link 28 Evans LV, Bonz JW, Buck S, Gerwin JN, Bonner S, Ikejiani S et al.. An adaptive simulation intervention decreases emergency physician physiologic stress while caring for patients during COVID-19: A randomized clinical trial. PloS one 2025. link 29 Indawongse T. The Intersection of Forensic and Emergency Medicine. Emergency medicine Australasia : EMA 2025. link 30 Tran V. Journal Editors: The Invisible Architects of Academia. Emergency medicine Australasia : EMA 2025. link 31 Pallaci M, Markowski K, Landrum B. Medicolegally Protective Documentation in Emergency Medicine. Emergency medicine clinics of North America 2025. link 32 Tyczynska N, Younker RE. Legal Risk to the Emergency Medicine Resident in Training and Attending Supervisors. Emergency medicine clinics of North America 2025. link 33 Cohen D, Hulbert B. Clinical Forensic Medicine: Essentials for Emergency Medicine Trainees. Emergency medicine Australasia : EMA 2025. link 34 Jordan F. What Does a Research Lead Actually Do? Reflections From the Emergency Department Frontline. Emergency medicine Australasia : EMA 2025. link 35 Duffy E, Green S, Trish E. Stipends From Hospitals To Emergency Medicine And Anesthesiology Clinicians Increased In California, 2002-21. Health affairs (Project Hope) 2025. link 36 Mitra B, Tan GA, O'Reilly GM, Jennings PA, Roman CP, Hocking J et al.. Research outputs after the Coursework Pathway. Emergency medicine Australasia : EMA 2025. link 37 Jamieson J, Ling Z, Mehta K, Howell J. The 'Second Shift' in Emergency Medicine: Strengths and Barriers of the Gendered Double Burden. Emergency medicine Australasia : EMA 2025. link 38 Rixon A, Lister V, Wong LY, Elder E, Wilson S. Serendipity, Flexibility, Calling and Commitment: How Clinicians Navigate the Path to Clinician-Coach. Emergency medicine Australasia : EMA 2025. link 39 Hayden S. Additional Commentary on "The Proposed 48-Month Emergency Medicine Residency Requirement Demands Immediate Scrutiny". The western journal of emergency medicine 2025. link 40 Lee KJ, Middleton M, Mahar RK. Review article: Primer for clinical researchers on innovative trial designs for emergency medicine. Emergency medicine Australasia : EMA 2025. link 41 Ladell MM, Jacobson NL, Yale SC, McDermott KL, Papautsky EL, Catchpole KR et al.. The problem with how we view medical (and diagnostic) error in emergency medicine. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2025. link 42 Morey J, Schupbach J, Jones D, Walker L, Lindor R, Loufek B et al.. FDA-reviewed artificial intelligence-enabled products applicable to emergency medicine. The American journal of emergency medicine 2025. link 43 Lotfipour S, Olliffe I, Hayden S, Saadat S, Langdorf MI. The Proposed 48-Month Emergency Medicine Residency Requirement Demands Immediate Scrutiny. The western journal of emergency medicine 2025. link 44 Myers JA, Aldington S, Powell DMC. A Qualitative Examination of Job Satisfaction in Emergency Medicine From the Perspective of Physicians Also Working in Prehospital and Retrieval Medicine. Emergency medicine Australasia : EMA 2025. link 45 Wang YF, Lee YH, Lee YK, Lee CW. Implementation of entrustable professional activities in emergency medicine: perspectives from clinical instructors. International journal of medical education 2025. link 46 Ibarra F, Sawtelle S, Cruz M. Emergency Medicine Physician Residents' Perceptions of Emergency Medicine Clinical Pharmacists' Involvement in Their Training. The Annals of pharmacotherapy 2025. link 47 Gardner D, Byrne A, Sheppard G. Authorship equity in The Canadian Journal of Emergency Medicine: an analysis of articles between 2000 and 2019. CJEM 2025. link 48 Wang TH, Jheng JC, Tseng YT, Chen LF, Chen YC. Evaluating GPT-4's visual interpretation and clinical reasoning on emergency settings: A 5-year analysis. Journal of the Chinese Medical Association : JCMA 2025. link 49 Brown C, Carter R, Hartman N, Hammond A, MacNeill E, Holden L et al.. Effectiveness of a Collaborative, Virtual Outreach Curriculum for 4th-Year EM-bound Students at a Medical School Affiliated with a Historically Black College and University. The western journal of emergency medicine 2025. link 50 Buyck M, Desaulniers P, Chénier C, Moussa A. Experiential Faculty Development to Increase the Number of Entrustable Professional Activity Assessments. The clinical teacher 2025. link 51 Bierowski A, Ghei R, Morrone C, Zhang XC, Papanagnou D. Unveiling Humility in Emergency Medicine Chief Residents: A Thematic Exploration of Standard Letters of Evaluation. The western journal of emergency medicine 2025. link 52 Yiu S, Yeung M, Cheung W, Frank JR. Hidden beneath the surface: what are the knowledge and skills for successful transition to practice. CJEM 2025. link 53 Sielicki A, Milman B, Little A, Kulkarni M, Morris J, Hopson L et al.. Monitoring the Evolving Match Environment in Emergency Medicine 2023. The western journal of emergency medicine 2025. link 54 Austin R, Patel C, Delfino K, Kim S. Program Director Perspectives on the Impact of the Proposed 48-Month Emergency Medicine Residency Requirement: A National Survey. The western journal of emergency medicine 2025. link 55 Rotoli J, Bodkin R, VanGorder G, Lou V, Picard L, Abar B. Emergency Medicine Scholarly Tracks: A Mixed- methods Study of Faculty and Resident Experiences. The western journal of emergency medicine 2025. link 56 Worley E, Suh EH, Abrukin L, DeFilippo M, Kamler JJ, Polavarapu M et al.. Harnessing Residents' Practice-based Inquiries to Enhance Research Literacy: The Thoughtful Reading of Evidence into Clinical Settings (T-RECS) Initiative. The western journal of emergency medicine 2025. link 57 Vrdoljak J, Boban Z, Males I, Skrabic R, Kumric M, Ottosen A et al.. Evaluating large language and large reasoning models as decision support tools in emergency internal medicine. Computers in biology and medicine 2025. link 58 Yagbeh M, Oteir AO, Alakhras M, Alqudah Z, Rafee L, Al-Mnayyis A et al.. Exploring knowledge, attitude and confidence in point-of-care ultrasound among emergency physicians and radiologists in Jordan: a cross-sectional study. Emergency radiology 2025. link 59 Abdelwahab SI, Taha MME, Farasani A, Moshi JM, Assiri A, Alshahrani S et al.. Emergency Medicine Research: Scholarly Output, Citation Impact, and Regional Performance from 2021 to 2024. The Journal of emergency medicine 2025. link 60 Rizer NW, Hammadeh Z, Han M, Hill P. Trends in Industry-Sponsored Research Payments to Emergency Medicine Principal Investigators. The Journal of emergency medicine 2025. link 61 Abramovich I, Beilstein J, Kornemann E, Berger-Estilita J, Schröder T. In-house designed simulation courses versus society-accredited designs by international societies: A comparative analysis. GMS journal for medical education 2025. link 62 Adão D, Silva WGDN, Carvalho PF, Martins GCL, Hofmeister GB, Posegger KR et al.. Podcast-based learning: report of podcast as an education tool for residents in the emergency room. Acta cirurgica brasileira 2025. link 63 Ng M, Wong E, Sim GG, Heng PJ, Terry G, Yann FY. Dropping the baton: Cognitive biases in emergency physicians. PloS one 2025. link 64 Hitti E, Abdul-Nabi SS, Mufarrij A, Kazzi A. Brain drain in Emergency Medicine in Lebanon, building locally and exporting globally. BMC medical education 2025. link 65 Järvinen J, Hannula O, Meuronen A, Mattila K. Perceptions and barriers to the use and training of point-of-care ultrasound among Finnish emergency physicians - a nationwide survey. BMC medical education 2025. link 66 Gettel CJ, Ghosh R, Rothenberg C, Balga T, Chekijian S, Colella S et al.. Workforce Attrition Among Emergency Medicine Non-Physician Practitioners. Annals of emergency medicine 2025. link 67 Limon Ö, Bayram B, Çetin M, Limon G, Dirican N. A bibliometric analysis of clinical studies on artificial intelligence in emergency medicine. Medicine 2025. link 68 Motzkus C, Frey C, Humbert A. Virtual Interviews Correlate with Home and In-State Match Rates at One Emergency Medicine Program. The western journal of emergency medicine 2025. link 69 Chen HL, Lee CW, Chang CW, Chiu YC, Hung TY. Evaluating Tailored Learning Experiences in Emergency Residency Training Through a Comparative Analysis of Mobile-Based Programs Versus Paper- and Web-Based Approaches: Feasibility Cross-Sectional Questionnaire Study. JMIR medical education 2025. link 70 Thornhill KW, Jewer J, Jacques Q, Parsons MH. Telesimulation in Medical Education for High-Acuity Low-Occurrence Procedures and Clinical Encounters for Physicians and Medical Trainees in Emergency Medicine: Protocol for a Systematic Review. JMIR research protocols 2025. link 71 Şan İ, Akkan Öz M, Yortanli M, Genç M, Bulut B, Gür A et al.. AI performance in emergency medicine fellowship examination: comparative analysis of ChatGPT-4o, Gemini 2.0, Claude 3.5, and DeepSeek R1 models. Turkish journal of medical sciences 2025. link 72 Jordan J, Hopson LR, Gallahue F, Cranford JA, Burkhardt JC, Kocher KE et al.. Characteristics and Educational Support Resources Available to Emergency Medicine Core Faculty: A National Survey. The western journal of emergency medicine 2025. link 73 Germain N, Audet M, Graves L, Murthy S, McLeod SL, Khangura J et al.. CAEP 2024 Academic Symposium: adaptive platform trials in emergency medicine in Canada. CJEM 2025. link 74 El Galad A, Sebok-Syer SS, Panza M, Ng K, Lingard L. Beyond the Scores: Gendered Interpretations of Emergency Medicine Resident Assessments of Interdependent Performances. Perspectives on medical education 2025. link 75 Reisdorff EJ, Johnston MM, Bhakta Y, Keim SM, Ankel FK, Singh H et al.. Association between American Board of Emergency Medicine certification performance and severe state medical licensure actions. The American journal of emergency medicine 2025. link 76 Hilbig A, Andreotti E. Editorial-Research in Emergency Medicine: Barriers, Opportunities, and the Road Ahead. Emergency medicine Australasia : EMA 2025. link 77 Terry S, Feldman-Kiss D, McInnes G. Implementation and evaluation of a novel orientation manual for the emergency medicine clerkship and elective rotation. Canadian medical education journal 2025. link 78 Zink BJ, Stern SA, Mahajan P, Roseen K, Belle A, Cranford J. Developing emergency medicine leaders: The AACEM/SAEM chair development program at 10 years. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2025. link 79 Calderon Y, Knapp BJ, Holden L, Marshall JP, Gaeta TJ, Ankel FK et al.. American Board of Emergency Medicine Report on Residency and Fellowship Training Information (2024-2025). Annals of emergency medicine 2025. link 80 McKinnon G, Wheble M, Murch N. The Evolution of Acute Medicine Specialist Skills. Acute medicine 2025. link 81 Brown C. Diverse by Design: A Comprehensive Guide to Inclusive Hiring for Emergency Medicine Faculty. The Journal of emergency medicine 2025. link 82 Jordan J, Gottlieb M, Estes M, Parsons ME, Goldflam K, Grock A et al.. Resident-as-Teacher Curriculum: An Evidence-based Guide to Best Practices from the Council of Residency Directors in Emergency Medicine. The western journal of emergency medicine 2025. link 83 Merriman JW, DeAngelis J, Adler D, Jones CMC. The expanding application of geospatial research methods within emergency medicine. The American journal of emergency medicine 2025. link 84 Rixon A, Lister V, Wong LY, Elder E, Wilson S. Learning Shifts of Clinicians Who Become Clinician-Coaches: An Exploratory Qualitative Study of Emergency Physicians. Emergency medicine Australasia : EMA 2025. link 85 Gün M. Can AI match emergency physicians in managing common emergency cases? A comparative performance evaluation. BMC emergency medicine 2025. link 86 Jewell CM, Hummel AT, Hekman DJ, Schnapp BH. Substantial Variation Exists in Clinical Exposure to Chief Complaints Among Residents Within an Emergency Medicine Training Program. The western journal of emergency medicine 2025. link 87 Miller BD, Khoury C, Raper J, Walter LA, Bloom A. The State of Simulation in Emergency Medicine Residency Programs in the United States. The western journal of emergency medicine 2025. link 88 Freyer AC, Bosio A, Laudren G, Goetz C, Pelaccia T, Abensur Vuillaume L. 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    Original source

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