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Dental erosion focus of new ACE Panel report

October 01, 2018

By Michelle Manchir

ACE report
Dentists can get insight on dental erosion from an ADA Clinical Evaluators Panel Report released in October.

For the report, 322 practicing U.S. dentists and ADA members shared how they define dental erosion, how frequently they diagnose it, how prevalent it is compared to five years ago and whether they counsel patients with erosion.

“Second only to dental caries as a cause of tooth structure loss, dental erosion is critical to diagnose and follow over time,” said Dr. Martha Ann Keels, member of the ADA Council on Scientific Affairs and chair of the council’s dental erosion workgroup. “This ACE Panel Report provides data on the frequency dentists are observing erosion as well as the prevalence compared to five years ago.”

The document also includes clinical insight gathered from literature on the etiology of dental erosion.

“Progressive dental erosion predominantly on the surfaces of the posterior dentition can be symptom of gastroesophageal reflux disease, or GERD,” said Dr. Keels, who is an associate consulting professor in surgery and adjunct associate professor in pediatrics at Duke Health and also an adjunct professor in pediatric dentistry at the University of North Carolina School of Dentistry. “Early detection and treatment of GERD can aid in the prevention of adenocarcinoma of the esophagus. Dental erosion of the lingual of the maxillary incisors can be a marker for bulimia. Milder erosion can be attributed to consuming too many acidic foods or drinks. Many consumers do not realize that foods labeled ‘sour’ are very acidic and destructive to the tooth surface.”

View the entire ACE Panel report online at

ACE Panel Reports feature data compiled, in part, by surveys completed by ADA member dentists who have signed up to participate in short studies related to dental products, prescribing habits and other clinical topics. The ADA Council on Scientific Affairs’ Product Evaluation Subcommittee along with ADA Science Institute staff write the reports.

The resource aims to offer ADA members a way to understand their peers’ opinions on various dental products and practices, offering insight and awareness on new products and techniques that can benefit patients and the profession.

A previous ACE Panel Report, released in June, asked ACE Panel members about their use of bioactive materials. In March, ACE Panel members reported how often they place posterior composite restorations, their concerns regarding bulk fill product and their preferred restoration products. These reports are available to view online at

ADA members are encouraged to join the ACE Panel and contribute to forthcoming surveys, which take five to 10 minutes to complete and are sent no more than once a month.  For more information or to join the ACE Panel, visit