Overview
Tooth surface loss refers to the erosion, abrasion, or attrition that diminishes the integrity of tooth enamel and dentin, impacting both function and aesthetics. This condition can lead to reduced dietary intake quality and nutritional deficiencies, particularly affecting protein and mineral absorption 1.Diagnosis
Clinical Examination: Assessment of tooth wear patterns, including erosion, abrasion, and attrition.
Dietary Assessment: Evaluation of dietary intake and quality, especially focusing on protein, vitamins, and minerals 1.
Grading Systems: Utilization of standardized scales to quantify the extent of tooth surface loss (e.g., tooth wear index).Management
Restorative Dentistry: Use of dentine-bonded crowns for aesthetic and functional restoration in cases of advanced anterior tooth surface loss 2.
Preventive Measures: Implementation of dietary modifications to ensure adequate intake of essential nutrients 1.
Oral Hygiene: Enhanced oral hygiene practices to minimize further wear and tear.
Material Selection: Selection of appropriate restorative materials that withstand occlusal forces and mimic natural tooth appearance.Special Populations
Elderly: Increased susceptibility to tooth surface loss due to prolonged exposure; management focuses on restorative interventions and nutritional support 1.Key Recommendations
Assess dietary intake and quality in patients with tooth surface loss to identify potential nutritional deficiencies (Evidence: Moderate 1).
Consider dentine-bonded crowns as a viable restorative option for managing advanced anterior tooth surface loss (Evidence: Weak 2).
Implement preventive strategies including dietary counseling and improved oral hygiene practices to mitigate further tooth surface loss (Evidence: Expert opinion).References
1 Zhu Y, Hollis JH. Tooth loss and its association with dietary intake and diet quality in American adults. Journal of dentistry 2014. link
2 Roberts A. The use of dentine-bonded crowns in anterior tooth surface loss: a case report. Dental update 2008. link