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The use of direct resin composite restorations in the management of localized anterior tooth wear: A clinical update part 1

From Volume 46, Issue 8, September 2019 | Pages 708-720

Authors

Virat Kumar Hansrani

BChD

Dental Core Trainee 2 in Oral and Maxillofacial Surgery, Queen's Medical Centre, Derby Road, Nottingham, NG7 2RD

Articles by Virat Kumar Hansrani

Email Virat Kumar Hansrani

Abdullah Barazanchi

BDS

Lecturer (Prosthodontics) at Faculty of Dentistry, University of Otago, PO Box 56, Dunedin 9054, New Zealand

Articles by Abdullah Barazanchi

Dominic Laverty

BDS(Hons), MFDS RCS(Ed)

Academic Clinical Fellow (ACF), Restorative Dentistry, Birmingham Dental Hospital

Articles by Dominic Laverty

Paul Brunton

PhD, MSc, BChD, FDS RCS Rest Dent(Edin), FGDP(UK), RCS(Eng), FDS RCS(Eng)

Professor of Restorative Dentistry, University of Leeds

Articles by Paul Brunton

Abstract

The aim of this article is to provide the reader with the necessary information to manage localized anterior tooth wear cases successfully using minimally invasive and conservative methods in a general dental practice setting. This article will focus on the use of direct resin composite restorations. It will provide an update on the different techniques available to restore anterior tooth wear using direct resin composite and its method of application.

CPD/Clinical Relevance: Numerous epidemiological studies have reported tooth wear to be increasing in incidence amongst the general population. This article aims to describe a methodical conservative approach for the management of worn teeth.

Article

Tooth wear is loss of hard dental tissue, from causes other than bacterial involvement such as caries, trauma or developmental disorders.1,2 Continuing pathological tooth wear poses a risk to both the remaining tooth structure and pulpal health.

The definitions and causes of tooth wear are briefly summarized in Table 1. Patients tend to present with evidence of multiple tooth wear types due to the multifactorial aetiological nature of tooth wear.3,4 Erosion is regarded as the most significant cause.5,6 These causes present with a specific clinical presentation (Table 2). An example of multifactorial tooth wear is seen in Figure 1 a–c.

Epidemiological studies in developed nations assessing the extent and severity of tooth wear have shown it to be a common condition which is increasing in both extent and severity,7 and is increasingly presenting in younger patients.8,9 With the population retaining teeth for a longer period, significant numbers of patients are presenting to general dental practitioners and specialists requesting treatment.10

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