Eccles JD. Tooth surface loss from abrasion, attrition and erosion. Dent Update. 1982; 9:373-381
Burke FM, McKenna G. Toothwear and the older patient. Dent Update. 2011; 38:165-168
Summary Report and Thematic Series (NS).: The Health and Social Care Information Centre; 2009
Kelly M, Steel J, White D Adult Dental Health Survey – Oral Health in the United Kingdom 1998.: A publication of the Government Statistical Service; 2000
Nunn J, Morris J, Pine C, Pitts NB, Bradnock G, Steele J. The condition of teeth in the UK in 1998 and implications for the future. Br Dent J. 2000; 189:(12)639-644
Sjögren U, Hägglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. 1990; 16:498-504
Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature – Part 1. Effects of study characteristics on probability of success. Int Endod J. 2007; 40:921-939
Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: Part 1: periapical health. Int Endod J. 2011; 44:583-609
Grieve AR, McAndrew R. A radiographic study of post-retained crowns in patients attending a dental hospital. Br Dent J. 1993; 174:197-201
Qualtrough JE, Whitworth JM, Dummer PMH. Preclinical endodontology: an international comparison. Int Endod J. 1999; 32:406-414
Jenkins SM, Haye S, Dummer PMH. A study of endodontic treatment carried out in dental practice within the UK. Int Endod J. 2001; 34:16-22
Goodacre CJ. Designing tooth preparations for optimal success. Dent Clin N Am. 2004; 48:359-385
Hemmings KW, King PA, Setchell DJ. Resistance to torsional forces of various post and core designs. J Pros Dent. 1991; 66:325-329
Poyser N, Briggs PFA, Chana HS, Kelleher MGD, Porter RWJ, Patel MM. The evaluation of direct composite restorations for the worn mandibular anterior dentition – clinical performance and patient satisfaction. J Oral Rehab. 2007; 34:(5)361-376
Chana H, Kelleher M, Briggs P, Hooper R. Clinical evaluation of resin-bonded gold alloy veneers. J Prosthet Dent. 2000; 83:294-300
Alani A, Bishop K. Contemporary issues in the provision of restorative dentistry. Br Dent J. 2012; 213:(4)163-170
Gulamali AB, Hemmings KW, Tredwin CJ, Petrie A. Survival analysis of composite Dahl restorations provided to manage localised anterior tooth wear (ten year follow-up) 2011. Br Dent J. 2011; E9
Alani A, Bishop K, Djemal S. The influence of specialty training, experience, discussion and reflection on decision making in modern restorative treatment planning. Br Dent J. 2011; 210:(4)
Balto HAG, Al-Madi EM. A comparison of retreatment decisions among general dental practitioners and endodontists. J Dent Educ. 2004; 68:872-879
Cosyn J, De Bruyn H. Interclinician disparity in periodontal decision making: need for consensus statements on surgical treatment. J Periodont Res. 2007; 42:311-317
Ibbetson RJ, Hemmings KW, Ward VJ. Variations in planning fixed bridgework – a group of dentists at a case-based postgraduate course. Br Dent J. 1999; 187:159-163
Maidment Y, Durey K, Ibbetson R. Decisions about restorative dental treatment among dentists attending a postgraduate continuing professional development course. Br Dent J. 2010; 209:455-445
Pagonis TC, Fong CD, Gunnar Hasselgren G. Retreatment decisions – a comparison between general practitioners and endodontic postgraduates. J Endod. 2000; 26:240-241
Zadik Y, Levin L. Clinical decision making in restorative dentistry, endodontics, and antibiotic prescription. J Dent Educ. 2008; 72:81-86
Berry DC, Poole DFG. Attrition: possible mechanisms of compensation. J Oral Rehab. 1976; 3:201-206
Posselt U. Studies in the mobility of the human mandible. Acta Odont Scand. 1952; 10
Pameijer JHN, Parkins BJ.Amsterdam: Dental Center for Postgraduate Courses; 1985
Dawson PE.St Louis, Missouri: Mosby; 2007
Christensen J. Effect of occlusion-raising procedures on the chewing system. Dent Pract Dent Rec. 1970; 20:233-238
Dahl BL, Krogstad O, Karlsen K. An alternative treatment of cases with advanced localised attrition. J Oral Rehab. 1975; 2:209-214
Lindauer SJ, Gay T, Rendell J. Effect of jaw opening on masticatory muscle EMG-force characteristics. J Dent Restor. 1993; 72:51-55
Dahl BL, Krogstad O. The effect of a partial bite-raising splint on the occlusal face height. An X-ray cephalometric study in human adults. Acta Odont Scand. 1982; 40:17-24
Dahl BL, Krogstad O. The effect of a partial bite-raising splint on the inclination of upper and lower front teeth. Acta Odont Scand. 1983; 41:311-314
Dahl BL, Krogstad O. Long-term observations of an increased face height obtained by a combined orthodontic/prosthetic approach. J Oral Rehab. 1985; 12:173-176
Gough MB, Setchell DJ. A retrospective study of 50 treatments using an appliance to produce localised occlusal space by relative axial tooth movement. Br Dent J. 1999; 187:134-139
Hemmings KW, Darbar UR, Vaughan S. Toothwear treated with direct composite restorations at an increased vertical dimension: results at 30 months. J Prosthet Dent. 2000; 83:287-293
Redman CDJ, Hemmings KW, Good JA. The survival and clinical performance of resin-based composite restorations used to treat localised anterior toothwear. Br Dent J. 2003; 194:566-572
Satterthwaite JD. Indirect restorations on teeth with reduced crown height. Dent Update. 2006; 33:210-216
Smales RJ, Berekally TL. Long-term survival of direct and indirect restorations placed for the treatment of advanced tooth wear. Eur J Prosthodont Rest Dent. 2007; 15:2-6
Saunders WP, Saunders EM. Prevalence of periradicular periodontitis associated with crowned teeth in an adult Scottish subpopulation. Br Dent J. 1998; 185:137-140
Toothwear is now common, especially in younger patients, with high demand for the restoration of the damaged teeth which is likely to increase further over time. Fixed prosthodontic options range from direct composite resin to conventional tooth preparation and cemented indirect restorations. This paper summarizes the views of a variety of clinicians on a plan delivered to a patient with toothwear in secondary care and explores the possible reasons for the variation in decision-making in the treatment of toothwear.
Clinical Relevance: With levels of toothwear increasing, the clinician needs to be aware of the different treatment modalities which are appropriate.
Article
Toothwear is often defined as the chemical and/or mechanical loss of tooth surface that does not involve bacteria.1 Premature wear of the dentition is now considered pathological and preventable.2
The 2011 Adult Dental Health Survey confirmed an increased prevalence of toothwear,3,4 compared to the findings of the 1998 Adult Dental Health Survey5 (Table 1). Although only the anterior teeth were examined for wear:
When the extremes of age were considered, 52% of 16–24 year-olds had some form of wear compared with 95% of 75–84 year-olds. The exact prevalence is difficult to ascertain owing to varied assessment criteria and variations between different population groups.
The 2011 Pan Dental Conference was held in Liverpool on the 11th and 12th November 2011. The society felt that it would be appropriate to explore the differences in treatment planning for toothwear by using a case as the thread for an interactive expert panel discussion in front of an audience of conference delegates. A previously treated wear case was presented and discussed during the Interactive Treatment Planning Session as part of the ‘Are we doing the right thing?’ educational programme on the British Society of Prosthodontics (BSSPD) agenda. All identifying details of the patient were removed and both the patient and the treating clinicians gave permission to the society for the case to be used for educational purposes.
Register now to continue reading
Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
