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Article: Volume 41 Number 3 Page 206 - April 2014

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  Dent Update 2014; 41: 206-216

Restorative dentistry:  Interactive Treatment Planning in Toothwear: Are we doing it right?

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Abstract: Toothwear is now common, especially in younger patients, with high demand for the restoration of the damaged teeth which is likely to increase further over time. Fixed prosthodontic options range from direct composite resin to conventional tooth preparation and cemented indirect restorations. This paper summarizes the views of a variety of clinicians on a plan delivered to a patient with toothwear in secondary care and explores the possible reasons for the variation in decision-making in the treatment of toothwear.

Clinical relevance: With levels of toothwear increasing, the clinician needs to be aware of the different treatment modalities which are appropriate.

Author notes: Shiyana Eliyas, BDS, MFDS, MRD, FDS(Rest Dent), PGCertHE, Specialist Registrar in Restorative Dentistry, Charles Clifford Dental Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Kewal Shah, BDS(Bris), MFDS, RCS(Eng), Trust Doctor in Restorative Dentistry and Peter FA Briggs, BDS, MSc, MRD, FDS(Rest Dent), Consultant in Restorative Dentistry, St George’s Hospital NHS Trust, Blackshaw Road, Tooting SW17 0QT, UK.

Objective: To appreciate the variance in decision-making in the treatment of toothwear in the UK and understand the need for interactive discussion regarding treatment planning at national forums.