Abstract
Pathological tooth wear is becoming a growing concern with an increased prevalence in young adults. The aetiology of tooth wear is typically multifactorial and is classified as: attrition, erosion, abrasion and abfraction (non-carious cervical lesions). A detailed patient history taken by the clinician is essential to determine the cause and the most appropriate management strategy as tooth wear can have a profound effect on the quality of life of patients.
Such strategies should be targeted on a case specific basis taking the patient’s best interest as a matter of priority. This may mean intervening with restorative management earlier in certain individuals, and a preventive, long term management approach in others. Preventive management stems from determining the aetiology and is essential. This includes the application of remineralising agents, educating patients and monitoring closely.
The decision to enter the restorative cycle can be a challenging one and should be a joint decision between the clinician and patient to give the desired outcome using additive, adhesive techniques where possible.
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Patel, D., Sambrook, R. (2022). An Overview of Tooth Wear. In: Eder, A., Faigenblum, M. (eds) Tooth Wear . BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-030-86110-0_1
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