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Programme Director MSc in Aesthetic Dentistry, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London; Visiting Professor, Department of Dentistry, Radboud University Medical Centre, Nijmegen, Netherlands
BDS, MClinDent (Prostho), PhD, FDS RCPS (Glasg), FCGDent (UK) ,FDTFEd (RCS Ed), Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London; Professor, School of Dental Health and Care Professions, University of Portsmouth; Associate Professor, Department of Prosthodontics, Melbourne Dental School, University of Melbourne; Private Practice, Ealing, London
With adult dentitions being retained for longer, issues relating to the wear of teeth are increasingly becoming of relevance to the general dental practitioner. As with any treatment plan, prevention is a fundamental and an important stage in the management of tooth wear. This article outlines the contemporary preventive features that the general dental practitioner should be aware of when dealing with patients presenting with tooth wear or exhibiting a susceptibility to this.
CPD/Clinical Relevance: An understanding of the factors relevant to the prevention of tooth wear will enable an effective preventive regimen to be prescribed. This will play an integral role in the management of tooth wear and its sequalae.
Article
As teeth continue to function, they will be routinely exposed to erosive, abrasive and attritive factors. The wearing-away of tooth tissue may therefore be considered as an age-related phenomenon.1 Clinically, however, patients will often present with differing extremes and patterns of tooth wear. Using the available data, a mean global prevalence of erosive tooth wear that is between 20% and 45% in permanent teeth, and between 30% and 50% in deciduous teeth, has been estimated.2 Visible signs of erosive tooth wear were also reported on the buccal and lingual surfaces from 29% of a sample of 3187 adults aged 18–35 years from seven European countries, and the UK had the highest levels of tooth wear.3
Patients with tooth wear may report symptoms of tooth sensitivity and/or pain, functional difficulty and orofacial aesthetic impairment.4,5,6 Progressive tooth wear may also risk the integrity of the patient's residual dentition and have an adverse impact on their quality of life.4,7 However, as the progression of tooth wear is amenable to prevention,8 the prescription of a tailored preventive plan may negate the need for complex and costly longer-term restorative intervention and aftercare,4,9 or at least, help to defer the need.
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