From Volume 46, Issue 8, September 2019 | Pages 708-720
The aim of this article is to provide the reader with the necessary information to manage localized anterior tooth wear cases successfully using minimally invasive and conservative methods in a general dental practice setting. This article will focus on the use of direct resin composite restorations. It will provide an update on the different techniques available to restore anterior tooth wear using direct resin composite and its method of application.
Tooth wear is loss of hard dental tissue, from causes other than bacterial involvement such as caries, trauma or developmental disorders.1,2 Continuing pathological tooth wear poses a risk to both the remaining tooth structure and pulpal health.
The definitions and causes of tooth wear are briefly summarized in Table 1. Patients tend to present with evidence of multiple tooth wear types due to the multifactorial aetiological nature of tooth wear.3,4 Erosion is regarded as the most significant cause.5,6 These causes present with a specific clinical presentation (Table 2). An example of multifactorial tooth wear is seen in Figure 1 a–c.
Epidemiological studies in developed nations assessing the extent and severity of tooth wear have shown it to be a common condition which is increasing in both extent and severity,7 and is increasingly presenting in younger patients.8,9 With the population retaining teeth for a longer period, significant numbers of patients are presenting to general dental practitioners and specialists requesting treatment.10
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