Overview
Tooth wear encompasses attrition, abrasion, and erosion, often resulting from multifactorial aetiologies that can obscure the primary cause 12.Diagnosis
Clinical Appearance: Assess for patterns indicative of attrition, abrasion, or erosion 12.
Risk Factor Identification: Evaluate for known risk factors including parafunctional habits, diet, and oral hygiene practices 2.
Combined Aetiologies: Consider the possibility of mixed causes affecting diagnosis and treatment planning 2.
Grading Systems: Utilize standardized grading systems to quantify the extent of tooth wear 1.Management
Behavioral Modifications: Address parafunctional habits and dietary factors 2.
Restorative Care: Implement restorative treatments tailored to the specific aetiology identified 1.
Preventive Measures: Recommend fluoride treatments and protective mouthguards as adjunctive therapies 2.
Patient Education: Educate patients on proper oral hygiene and lifestyle modifications 12.Special Populations
Elderly: Increased susceptibility due to reduced tooth structure and potential polypharmacy effects 1.Key Recommendations
Recognize and address multifactorial aetiologies to prevent further tooth wear (Evidence: Moderate) 12.
Identify specific risk factors for targeted management strategies (Evidence: Moderate) 2.
Incorporate grading systems for consistent assessment and monitoring of tooth wear progression (Evidence: Expert opinion) 1.References
1 Kelleher M, Bishop K. The aetiology and clinical appearance of tooth wear. The European journal of prosthodontics and restorative dentistry 1997. link
2 Milosevic A. Tooth wear: an aetiological and diagnostic problem. The European journal of prosthodontics and restorative dentistry 1993. link