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References

Mehta SB, Lima VP, Bronkhorst EM, Crins L Clinical performance of direct composite resin restorations in a full mouth rehabilitation for patients with severe tooth wear: 5.5-year results. J Dent. 2021; 112 https://doi.org/10.1016/j.jdent.2021.103743
Schlueter N, Luka B. Erosive tooth wear – a review on global prevalence and on its prevalence in risk groups. Br Dent J. 2018; 224:364-370 https://doi.org/10.1038/sj.bdj.2018.167
Mehta SB, Loomans BAC, Banerji S An investigation into the impact of tooth wear on the oral health related quality of life amongst adult dental patients in the United Kingdom, Malta and Australia. J Dent. 2020; https://doi.org/10.1016/j.jdent.2020.103409
Bartlett David, Dattani Soha, Mills Ian Monitoring erosive toothwear: BEWE, a simple tool to protect patients and the profession. Br Dent J. 2019; 226:(12)930-932 https://doi.org/10.1038/s41415-019-0411-7
Loomans B, Opdam N, Attin T Severe tooth wear: European consensus statement on management guidelines. J Adhes Dent. 2017; 111-119 https://doi.org/10.3290/j.jad.a38102

Letters to the Editor

From Volume 48, Issue 10, November 2021 | Pages 887-888

Authors

Shamir B Mehta

BSc, BDS, MClinDent (Prosth), Dip FFGDP (UK), PhD, FCGDent, FDSRCS (Eng), FDSRCPS (Glas), FDTFEd, BSc, BDS, MClinDent (Prosth), Dip FFGDP (UK), PhD, FCGDent, FDSRCS (Eng), FDSRCPS (Glas), MClinDent (Prosth) Dip, FFGDP (UK)

Senior Clinical Teacher, KCL, London, UK

Articles by Shamir B Mehta

Veronica Pereira de Lima

Department of Dentistry, Radboudumc, Nijmegen, the Netherlands

Articles by Veronica Pereira de Lima

Bas AC Loomans

BDS, MSc, PhD

Department of Dentistry, Radboudumc, Nijmegen, the Netherlands

Articles by Bas AC Loomans

Bruce Pynn

Chief of Dentistry, Thunder Bay Regional Health Services, Ontario, Canada

Articles by Bruce Pynn

C Gunasena

Lecturer (Probationary) in Oral Medicine and Radiology); Department of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka

Articles by C Gunasena

PVKS Hettiarachchi

Senior Lecturer in Oral Medicine and Radiology, Consultant Maxillofacial Surgeon; Department of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka

Articles by PVKS Hettiarachchi

RD Jayasinghe

Chair Professor in Oral Medicine and Radiology, Consultant Maxillofacial Surgeon; Department of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka

Articles by RD Jayasinghe

Faye Doughty

BDS, MFDS RCS (Glasg)

Foundation Dentist, Liverpool Scheme

Articles by Faye Doughty

Article

We read with interest, Professor Burke's comments about our research article, reporting on the performance of directly bonded resin composite restorations placed at an increased occlusal vertical dimension for the treatment of generalized tooth wear.1 This research forms part of the overall Radboud Tooth Wear Project (RTWP), Radboudumc, Nijmegen, the Netherlands. In recent times, there has been much interest in the subject of tooth wear, especially given the known prevalence and impact of this condition on patients,2,3,4 and we are delighted to read about the Editor's interests in our work.

As part of the 2017, European Consensus Statement on the Management Guidelines for Severe Tooth Wear,5 when restorative intervention is indicated, a conservative and minimally invasive approach is recommended. Several studies have reported the performance of resin composite for the treatment of tooth wear; however, the data has been limited to relatively smaller sample sizes and/or shorter observation periods. Our study included a sample of patients with generalized moderate to severe tooth wear, where full mouth restorative treatment was indicated. In total, 1269 restorations were prescribed. Patients with potential risk factors for tooth wear such as severe bruxism or a marked gastro-oesophageal reflux, were not excluded. The patients were observed for a mean period of 62.4 months. With the relatively low annual failure rates reported (up to 2.2% and 2.9% for the anterior and posterior restorations, respectively) as well as a low overall rate of catastrophic failure (2.3%), it was concluded that this approach was justified for the medium-term treatment of patients with generalized tooth wear. We do hope that the outcomes of our investigation may help colleagues develop a better understanding of this contentious subject area.

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