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Over the decades, the management of tooth wear has changed significantly. With the development in the materials available and an understanding of certain occlusal concepts, a minimally invasive strategy is now the preferred option. This article outlines these developments within an evidence-based framework. Contemporary research is referenced to support the clinical approaches to current management strategies and possible future expectations.
CPD/Clinical Relevance: Knowledge of current concepts of tooth wear management in general dental practice should facilitate good treatment decisions
Article
Tooth wear can have an adverse impact on a patient’s oral health related quality of life. 1,2 The latter, in conjunction with the well-documented global epidemiological trends,3,4 may account for the growing clinical, academic, research and commercial interest with this condition.5 Over the course of the past half century there have been several significant advances in dentistry. These advances have culminated in improvements in the knowledge and understanding of dental adhesion, dental materials and concepts in clinical occlusion. Developments in the application of digital technology in the clinical setting have also taken place. Each of these factors has had an impact on the management of tooth wear. This article provides an overview of these key developments, with further focus on aspects pertinent to the assessment, diagnosis and the management of tooth wear. For descriptive purposes, we will consider matters prior to the year 2000, between 2000 and the present and the future.
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