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Longevity and performance of materials used for the restorative management of tooth wear: a review Verônica P Lima Tatiana Pereira-Cenci Shamir B Mehta Subir Banerji Bas AC Loomans Dental Update 2024 50:10, 707-709.
Authors
Verônica PLima
BDS, MSc, PhD
Lecturer, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit, Amsterdam, Netherlands; Guest Researcher, Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Dentistry, Nijmegen, Netherlands
This article provides an overview of the available evidence on the performance, with particular consideration of the longevity of restorative materials used in the management of tooth wear. Different materials can be employed depending on whether a subtractive or additive strategy is used. Preference should be given to the latter to help preserve remaining tooth tissue. The use of both direct and indirect materials may yield acceptable survival results when considering data with at least 5 years of follow-up. Patients should be informed that because tooth wear is a continuous process, a certain level of maintenance of the restorations will be necessary and that this may impact on the success of the treatment.
CPD/Clinical Relevance: Conservative, adhesive strategies are suitable for the restorative management of tooth wear.
Article
The longer the natural dentition is maintained, the more likely it is to gain exposure to erosive, abrasive, and attritive challenges, culminating in the progressive loss of the mineralized tissues. Tooth wear is an irreversible, non-carious and cumulative physiological process that is also related to ageing.1,2 It has been estimated to affect between 20% and 45% of the permanent dentition.3
Primarily, tooth wear may be caused by chemical or mechanical factors, and in most cases, it will involve a combination of both. Exposure of the dental hard tissues to chemical factors will culminate in the transitional softening of tooth surfaces, rendering them susceptible to the effects of potential mechanical factors, resulting in the accelerated loss of the softened tooth structure.4 Chemical factors can be intrinsic, for example when the stomach's acidic content enters the oral cavity, or extrinsic, from acids in dietary or other external sources.5 Mechanical factors include intrinsic factors, such as contact between teeth (clenching or grinding) that can occur during functional or non-functional jaw movements, and extrinsic factors, caused by contact with external factors as biting nails, pens, etc.6 These factors often interact, and other processes may be concurrently involved.
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