Patients with tooth wear are commonly encountered in general dental practice. When indicated, restorative rehabilitation is often accompanied by a request from the patient for an aesthetic, tooth-coloured outcome. This article seeks to provide an evidence-based approach, focussing on the... Continue Reading →
Patients with more severe forms of tooth wear may require restorative rehabilitation. The decision to commence treatment must be taken carefully and there are a multitude of factors to consider. Alongside the clinical signs and symptoms typically associated with tooth... Continue Reading →
Gastro-oesophageal reflux disease (GORD) is a relatively common condition that occurs in adults and less commonly in children. It develops when the reflux of stomach contents into the oesophagus causes troublesome symptoms and/or complications. Signs and symptoms include heartburn, retrosternal... Continue Reading →
This clinical report proposes a reasoned approach to erosion treatment for a 39-year-old male patient presenting several old fixed prostheses. These old restorations are all of correct quality and are retained. The temporomandibular joint was free from disorder. Only defective... Continue Reading →
Purpose: This retrospective case series of 9 patients aimed to describe clinical outcomes and patient satisfaction following the implementation of the posterior Dahl concept to manage localized posterior tooth wear. Materials and methods:Â Localized occlusal space was created in the posterior dentition.... Continue Reading →
Tooth wear is increasing in prevalence within the United Kingdom. Treatment of tooth surface loss can be daunting for both the clinician and patient. However, use of additive resin composite restorations is a minimally invasive treatment modality. This case illustrates... Continue Reading →
This second of the four part series of articles on the current concepts of tooth wear management will focus on the provision of active restorative care, where the implementation of a preventative, passive approach may prove insufficient to meet the... Continue Reading →
Paper 3 of this series on the current concepts of tooth wear management will focus on the provision of active restorative intervention for cases presenting with generalised tooth wear. The use of both contemporary adhesive and traditional conventional techniques applied... Continue Reading →
This final article of the four part series on the current concepts of tooth wear will provide the reader with an evaluation of the data available in the contemporary literature with regards to the survival analysis of differing restorative materials,... Continue Reading →
This paper does not set out to describe the reasons why a new concept of dental care should be deemed as acceptable and recognised as mainstream. Rather, the starting point of this paper ibelief that some dentists who are increasing... Continue Reading →
Toothwear is recognised as a major dental problem in both children and adults. The triad oferosion, attrition and abrasion has been known for many years, and the contribution of erosion totoothwear is increasing. Dental erosion is the irreversible softening and... Continue Reading →
The management challenge with erosive tooth wear is that the condition involves erosion and contributions from attrition and abrasion, both of which impact on the longevity of restorations. Severe erosive tooth wear results in visibly shorter teeth, exposure of dentine... Continue Reading →
Tooth wear has been recognised as an increasing problem over the past 10 years. Recent data from epidemiological studies indicate that the condition is common with prevalence of dentine exposure in adults ranging between 2% and 10% and visible surface... Continue Reading →
Qualitative evaluation of the studies proved difficult because of the nature of case series but reporting improved in the later studies. Despite the generally short duration of studies, small sample sizes in terms of patient numbers and composite restorations, the... Continue Reading →
This paper describes the application technique of direct shaping by occlusion (DSO) for large composite restorations including the entire occlusal surface. For this technique, matrix bands and wedges are inserted without interference with antagonists in the desired occlusion. The final... Continue Reading →
In this case report a conservative approach for the management of dental erosion is described. The restorations are based only on adhesive techniques. A 46 years-old patient presented at the Geneva Erosion Study at Geneva University for diffused dental erosion... Continue Reading →
The therapeutic management of tooth wear lesions does not require the removal of diseased tissue. Nevertheless, diverse etiological factors may be associated with the condition and they could be difficult to eliminate; this has to be considered when planning therapy.... Continue Reading →
The BSRD have published guidelines on tooth wear which we as a profession will be managing indefinitely and more commonly as patients live longer and retain their teeth. Adolescants drinking more energy drinks, the stressed grinding more often and so... Continue Reading →
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The aim of this series of four articles on tooth wear management is to provide the reader with the necessary information in order to be able to successfully manage cases of tooth wear, regardless of the cause, severity and location... Continue Reading →
Non-carious tooth surface loss or tooth wear is becoming an increasingly significant factor affecting the long-term health of the dentition. The adverse effects of tooth wear are becoming increasingly apparent both in young persons and, as more people retain their... Continue Reading →
Non-carious cervical lesions involve loss of hard tissue and, in some instances, restorative material at the cervical third of the crown and subjacent root surface, through processes unrelated to caries. These non-carious processes may include abrasion, corrosion and possibly abfraction, acting alone or in combination.
Mental health problems are on the increase, and have of late become quite topical within the NHS through recent funding pledges by the Health Secretary. The increase in prevalence of these issues are taking place in the young and adolescents... Continue Reading →
A group of European experts in tooth wear have released a consensus statement on the management of the condition. The abstract can be found here. The guideline defines physiological vs pathological tooth wear and provides guidance in the diagnosis, treatment planning... Continue Reading →
Contemporary issues in the provision of Restorative Dentistry At the current time there are many challenges associated with managing the need for restorative dentistry at all levels within the NHS. This is a multifactorial problem from training, funding, increased need,... Continue Reading →