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Article: Volume 44 Number 9 Page 846 - October 2017

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  Dent Update 2017; 44: 846-851

Restorative dentistry:  Tooth Wear and Occlusal Ageing

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Abstract: Occlusal changes occur slowly throughout each person’s lifetime via the process of physiological tooth wear (TW). Importantly, once the occlusal scheme has been irreversibly changed beyond a certain point, then a chain reaction of restoration failures may commence. The trigger varies for each individual and it cannot always be predicted when, where or if this occurrence will take place. Importantly, when the patient attends with failing or failed dental treatment, particularly following repeated attempts to resolve it, then a detailed investigation of the occlusion must precede treatment. Any immediate repair or replacement without consideration of the underlying aetiology would simply suffer the same consequences.

Clinical relevance: Understanding the impact of occlusal changes on the overall survival of restorations and the health of the remaining dentition can help in early diagnoses, prevention and treatment.

Author notes: Bryan Daniel Murchie, BDS, MJDF RCPS, PgCert(Implant), MSc(Rest Dent), General Dental Practitioner, Aberdeen, UK.

Objective: To increase awareness of tooth wear and its impact on restoration longevity and the overall health of the dentition.