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Tooth wear is a multifactorial condition leading to the irreversible loss of dental hard tissues. Although tooth wear is mainly a physiological process, it can become pathological if the wear process is accelerated for various reasons. Since this process is not linear, but can sometimes be inactive and sometimes active, a careful monitoring policy is necessary. The possible monitoring tools are described in this article, and a proposal is made with regard to the frequency of the systematic and periodic collection of information.
CPD/Clinical Relevance: The prevalence of tooth wear is increasing and it now carries the third highest risk (after caries and periodontitis) for maintaining the natural dentition.
Article
Tooth wear is a multifactorial condition leading to the irreversible loss of dental hard tissues. Tooth wear can be divided in four subtypes: mechanical–intrinsic (attrition), mechanical–extrinsic (abrasion), chemical–intrinsic (erosion), and chemical–extrinsic (erosion).1 The terminology relating to tooth wear has evolved and there are variations in the meaning of a single term, and sometimes different terms are used to describe the same condition. Use of a common terminology will facilitate less ambiguous communication between researchers, clinicians and their patients. It will also enable better documentation and interpretation of research findings and clinical observations.2,3
For many years, tooth wear was a condition of little interest in daily clinical practice; however, this has changed. Tooth wear is becoming increasingly significant in maintaining the long-term health of the dentition.4 It becomes especially important when the dentition is kept relatively intact in the contemporary ageing population, where edentulism is decreasing, but the prevalence of tooth wear is increasing.5,6 The damage done through tooth wear is irreversible, and will thus compromise the dentition for the total lifetime, which can many be many decades, and may require repeated and increasingly complex and expensive restorations. Therefore, it is important that the diagnosis of tooth wear is made early, and adequate preventive measures are taken. To that end, dentists should explore the numerous factors that play a role in the onset, severity and progression of tooth wear.7
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