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Tooth wear has profound consequences for a patient's oral health and quality of life. Education on preventive advice has been suggested as a method of reducing the burden of tooth wear in the population. This review provides an update on preventive advice regarding the mitigation of tooth wear, and presents evidence-based clinical recommendations that dental professionals can use chairside.
CPD/Clinical Relevance: Preventive advice for tooth wear patients may help prevent tooth wear and its progression.
Article
Tooth wear can be defined as the ‘pathological, non-carious loss of tooth tissue’.1 However, tooth wear can be physiological because some amount of tooth wear will occur throughout life.2 Pathological tooth wear is more severe than what is expected relative to a patient's age, and involves ‘pain or discomfort, functional problems, or deterioration of aesthetic appearance’.3 Tooth wear has various aetiologies and can be caused by erosion, abrasion or attrition, or any of these in combination (Table 1).
The 2009 Adult Dental Health Survey reports a high prevalence of tooth wear in the UK, with 77% having at least some tooth wear on their anterior dentition. Overall, 15% of adults had moderate tooth wear (tooth wear that exposes an increased amount of dentine) and 2% severe (extending into secondary dentine). Moderate tooth wear had increased in the adult population since the previous adult dental health survey, from 11% in 1998 to 15% in 2009.5 This survery was conducted some time ago, but there is still cause for concern.
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