Tooth wear (TW) is a common condition affecting patients who often require advice and treatment from dentists. Physiological TW is normal and accepted by most patients. Pathological TW, by virtue of symptoms or rapid wear, will prompt the need for dental care. It can range from mild sensitivity from an abrasion lesion to gross destruction of the dentition. Similarly, treatment can range from simple operative care to full mouth reconstruction with crowns or complex dentures. Too little or too much treatment can lead to tooth loss and patient complaints.
These guidelines are designed to help dentists manage tooth wear. A selected literature review covers three sections:

  1. Aetiology, diagnosis and prevention of
    tooth wear;
  2. Fixed management of tooth wear;
  3. Removable management of tooth wear.