Abstract
Tooth substance loss (TSL) and related problems appears to be increasing in incidence. Patients may request treatment for a variety or reasons, such as poor aesthetics of chipped and worn teeth, sensitivity and reduced masticatory function. The patient's dentist may suggest treatment because (s)he feels that the TSL is progressing and the dentition requires protection by the placement of restorations. This paper discusses the role of the general dental practitioner in the referral of patients with TSL, the importance of an examination and history taking for these patients, and a classification of TSL related to possible treatment.