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Management of generalized erosive tooth surface loss can be challenging. Careful pre-operative assessment of the patient and treatment planning is essential. The aim of any treatment provided is to prevent further tooth surface loss, restore aesthetics and function, and provide a stable occlusal relationship. Whilst attempting to fulfil these goals, it is important to protect the remaining tooth structure by using restorations which are conservative and do not cause further damage to teeth which are already compromised. This paper aims to describe a conservative approach to restoring patients with generalized tooth surface loss.
Clinical Relevance: To highlight conservative treatment options available for the management of generalized erosive tooth surface loss and show how they contrast with other destructive irreversible conventional techniques.
Article
Acid erosion is defined as the dissolution of dental hard tissues by acid derived from extrinsic and intrinsic sources (Tables 1 and 2) but not from bacteria which are part of the intra-oral flora.1 Erosive tooth surface loss is highly prevalent and a growing problem in terms of management.2 The 2003 survey of Children's Dental Health in the UK3 showed that 53% of 5-year-olds and a third of 12–15 year-olds showed signs of tooth surface loss which was predominantly erosive in nature. This was a 1–5% increase from the 1993 survey.4 The Adult Dental Health Survey in 19985 also showed that two-thirds of adults examined had signs of tooth surface loss into dentine on their anterior teeth and this was shown to increase with age. Tooth surface loss, which develops slowly with increasing age, is considered to be physiological, however, if a patient presents with tooth surface loss that is disproportionate to his/her age, or if the vitality of the tooth is threatened, then it is considered to be pathological and some intervention may be necessary to prevent further tooth surface loss or to restore the worn teeth.
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