Article: Volume 44 Number 6 Page 502 - June 2017

  Dent Update 2017; 44: 502-517  Read article

Tooth Wear:  Tooth Wear: Screening, Diagnosis and Management in General Dental Practice

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Abstract: Recent epidemiological data shows that the prevalence of tooth wear (TW) is increasing. Current available assessment tools are either too complicated to carry out on every patient or inadequate in identifying the nature of the condition. Moreover, early onset or localized lesions may be overlooked. This article describes a screening tool which may overcome these problems. This tool involves using the existing Basic Erosive Wear Examination scoring system and a proposed age-related grid. This will lead to an associated pathway, which indicates the recommended level of further investigations and management.

Clinical relevance: Early identification and prevention of pathological tooth wear in the primary care setting is the key to slowing down the disease progression.

Author notes: Victor Ka Cheong Yim, BDS(HK), MFGDP(UK), FRACDS(Aus), DPDS(Brist), MFDSRCPSG, MSc(Restorative Aesthetic Dentistry)(UManc), Associate Dentist at Park Lane Dental Clinic, Hong Kong (during preparation of this article).

Objective: To describe a screening tool and the management pathways for the General Dental Practitioner to identify and manage tooth wear .