Abstract
This section will emphasise the need to:
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Distinguish between physiological and pathological tooth surface loss (TSL)
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Attempt to diagnose the cause of TSL from the appearance and patient history recognising that it is not always clear-cut
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Consider using a validated screening tool to tailor TSL management to severity, rate of progression and patient-perceived problems
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Investigate patient behaviours predisposing to TSL and their associated time frames
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Solicit patient cooperation to identify intrinsic erosive factors (e.g. gastro-oesophageal reflux disease or an eating disorder) and intrinsic erosive factors (e.g. fruit juices, wines and sports drinks)
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Distinguish between sleep-related and awake-related bruxism. The former may need to be managed with an occlusal splint, whilst the latter is best tackled with cognitive awareness therapy and self-monitoring
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Field, J., Walls, A., Steele, J., Wassell, R. (2019). Recognising Tooth Surface Loss. In: Wassell, R., Nohl, F., Steele, J., Walls, A. (eds) Extra-Coronal Restorations. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-319-79093-0_6
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