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Dentistry · Caries, pulp and periodontal disease: dental erosion
Sample itemA 24-year-old woman with bulimia shows smooth glazed loss of enamel on the palatal surfaces of the upper incisors. What is this pattern called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Erosion
Erosion is chemical loss of tooth tissue without bacteria, caused by acid from gastric reflux, vomiting or diet. Palatal surfaces of upper teeth are most exposed in bulimia.
Option by option
A. Attrition
Attrition is from tooth contact.
B. Erosion (correct)
Correct. Acid from vomiting causes erosion of the palatal surfaces.
C. Abfraction
Abfraction is cervical loss thought to be due to occlusal flexure.
D. Abrasion
Abrasion is from mechanical agents such as a brush.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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