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References

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Dixon B, Sharif MO, Ahmed F Evaluation of the basic erosive wear examination (BEWE) for use in general dental practice. Br Dent J. 2012; 213 https://doi.org/10.1038/sj.bdj.2012.670
Holbrook WP, Arnadóttir IB, Kay EJ. Prevention. Part 3: prevention of tooth wear. Br Dent J. 2003; 195:75-81 https://doi.org/10.1038/sj.bdj.4810331
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The Prevention of Tooth Wear

From Volume 47, Issue 10, November 2020 | Pages 813-820

Authors

Shamir B Mehta

BSc, BDS, MClinDent (Prosth), Dip FFGDP (UK), PhD, FCGDent, FDSRCS (Eng), FDSRCPS (Glas), FDTFEd, BSc, BDS, MClinDent (Prosth), Dip FFGDP (UK), PhD, FCGDent, FDSRCS (Eng), FDSRCPS (Glas), MClinDent (Prosth) Dip, FFGDP (UK)

Senior Clinical Teacher, KCL, London, UK

Articles by Shamir B Mehta

Subir Banerji

BDS, MClinDent (Prostho), PhD FDSRCPS(Glasg) FCGDent, FDTFEd, BDS, MClinDent (Prostho), PhD, FDSRCPS(Glasg), FCGDent

Articles by Subir Banerji

Email Subir Banerji

Abstract

With adult dentitions being retained for longer, issues relating to the wear of teeth are increasingly becoming of relevance to the general dental practitioner. As with any treatment plan, prevention is a fundamental and an important stage in the management of tooth wear. This article outlines the contemporary preventive features that the general dental practitioner should be aware of when dealing with patients presenting with tooth wear or exhibiting a susceptibility to this.

CPD/Clinical Relevance: An understanding of the factors relevant to the prevention of tooth wear will enable an effective preventive regimen to be prescribed. This will play an integral role in the management of tooth wear and its sequalae.

Article

As teeth continue to function, they will be routinely exposed to erosive, abrasive and attritive factors. The wearing-away of tooth tissue may therefore be considered as an age-related phenomenon.1 Clinically, however, patients will often present with differing extremes and patterns of tooth wear. Using the available data, a mean global prevalence of erosive tooth wear that is between 20% and 45% in permanent teeth, and between 30% and 50% in deciduous teeth, has been estimated.2 Visible signs of erosive tooth wear were also reported on the buccal and lingual surfaces from 29% of a sample of 3187 adults aged 18–35 years from seven European countries, and the UK had the highest levels of tooth wear.3

Patients with tooth wear may report symptoms of tooth sensitivity and/or pain, functional difficulty and orofacial aesthetic impairment.4,5,6 Progressive tooth wear may also risk the integrity of the patient's residual dentition and have an adverse impact on their quality of life.4,7 However, as the progression of tooth wear is amenable to prevention,8 the prescription of a tailored preventive plan may negate the need for complex and costly longer-term restorative intervention and aftercare,4,9 or at least, help to defer the need.

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