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Article: Volume 41 Number 4 Page 355 - May 2014

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  Dent Update 2014; 41: 355-364

Restorative dentistry:  Bizarre Tooth Surface Loss and the Miswak Stick

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Abstract: Tooth surface loss can present in a variety of ways, some of which can appear rather strange on first examination. This case report demonstrates an unusual presentation of tooth surface loss (TSL) and its subsequent treatment. This loss of hard dental tissue appeared to be affecting the whole of the patient’s remaining dentition, both lingually and buccally. Detailed questioning revealed the origins of this problem which turned out to be due to excessive use of an intra-oral Miswak chewing stick.

Clinical relevance: This article will enable clinicians to understand the importance of specific, targeted history-taking, involving a rare case of tooth surface loss as well as the use of minimally destructive restoration composites and a fibre-reinforced composite bridge.

Author notes: Roshni Karia, BDS(Lon), MJDF RCS(Eng), Senior House Officer and Martin G Kelleher,,BDS, MSc, FDS RCPS(Glasg), FDS RCS(Edin), Consultant and Specialist in Restorative Dentistry and Prosthodontics, King’s College London Dental Institute, London SE5 9RW, UK.

Objective: To recognize the dental destruction caused by excessive chewing stick usage and to discuss the restorative management.