Overview
Abrasion of tooth refers to the wear of tooth enamel caused by mechanical forces, often due to improper tooth brushing techniques, occlusal forces, or environmental factors. 1Diagnosis
Clinical examination to assess wear patterns and tooth structure loss.
Radiographic imaging (e.g., bitewing X-rays) to evaluate extent of enamel loss and underlying dentin exposure. 1Management
Behavioral Modification: Educate patients on proper brushing techniques to reduce abrasive forces.
Fluoride Therapy: Application of fluoride varnishes or gels to strengthen enamel and reduce sensitivity. 1
Restorative Interventions: Consider fillings or other restorative procedures for significant enamel loss exposing dentin.
Oral Hygiene Instructions: Regular reinforcement of oral hygiene practices to prevent further abrasion. 1Special Populations
Pediatrics: Emphasize parental supervision and use of child-friendly toothbrushes to minimize abrasion risk. 1
Elderly: Monitor for wear exacerbated by brittleness of older enamel and adjust brushing techniques accordingly. 1Key Recommendations
Implement patient education on proper brushing techniques to prevent tooth abrasion. (Evidence: Expert opinion) 1
Utilize radiographic assessments to monitor the progression of tooth abrasion and guide intervention timing. (Evidence: Moderate) 1
Apply fluoride treatments to strengthen enamel and manage sensitivity associated with abrasion. (Evidence: Moderate) 1References
1 Neculau CS, Geamănu A, Purcărea RM. Patient Trust and Reputation Management in Dental and Ophthalmology Practices. Romanian journal of ophthalmology 2025. link