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Erosion Dietary Advice — ORE Part 1 MCQ

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EasyDental Public Health & EpidemiologyErosion Dietary AdviceORE Part 1

A patient presents with erosive tooth wear. A diet diary shows that they drink three cans of energy drink each day, mainly between meals. Which dietary advice is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BReduce energy-drink frequency, keep any intake to mealtimes, and avoid sipping or swishing it

Explanation lettering: E = shown as A · A = shown as B · D = shown as C · B = shown as D · C = shown as E

A is correct. The principal intervention for erosive tooth wear caused by energy drinks is to reduce the frequency of acidic exposure. UK guidance advises keeping identified acidic foods and drinks to mealtimes, choosing safer alternatives between meals, and avoiding prolonged contact behaviours such as sipping, swishing or holding the drink in the mouth. Energy drinks are specifically identified as a potential extrinsic acid source. Fluoride toothpaste, mouthrinses, varnish and sugar-free gum may have supplementary preventive roles in selected patients, but none removes the continuing repeated acid challenge in options C, D and E. Option B is also wrong because immediate brushing does not address the dietary cause; current UK guidance states that there is no strong evidence that toothbrushing timing is of major importance in preventing tooth wear.

Reference: Department of Health and Social Care et al. Delivering Better Oral Health: an evidence-based toolkit for prevention, Chapter 7: tooth wear, updated 2025. https://www.gov.uk/government/publications/delivering-better-oral-health-an-evidence-based-toolkit-for-prevention/chapter-7-tooth-wear