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 →
Contemporary management of minimal invasive aesthetic treatment of dentition affected by erosion: case report by Boitelle
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 →
Posterior Dahl: A Minimally Invasive Method for the Treatment of Localized Posterior Tooth Wear by Hoekstra-Van Hout et al.
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: Localized occlusal space was created in the posterior dentition.... Continue Reading →
Treatment of tooth wear associated with reduced occlusal vertical dimension using direct composite restorations and a removable prosthesis by Caga and Lewis
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 →
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 article discusses potential concerns and important considerations when selecting and using matrix transfer techniques for the direct, definitive addition of composite resin to teeth. It also provides guidance to aid these processes with the use of case studies, primarily... 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 →
The dental demolition derby: bruxism and its impact – part 2: early management of bruxism by Thayer and Ali.
Bruxism is a term that encompasses a range of presentations of rhythmic and repetitive muscular activity. For many, this is not a significant problem but for some, the behaviour leads to significant problems and extensive tissue damage. This is different... Continue Reading →
Clinical guidelines for dental erosion Diagnosis, prevention and management of dental erosion 2021 by Royal College of Surgeons England
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 →
A personal perspective and update on erosive tooth wear – 10 years on: Part 2 – Restorative management by Bartlett
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 →
A personal perspective and update on erosive tooth wear – 10 years on: Part 1 – Diagnosis and prevention by Bartlett
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 →
Clinical performance of direct composite resin restorations in a full mouth rehabilitation for patients with severe tooth wear: 5.5-year results by Mehta et al.
This paper explains a conservative, pragmatic and minimally invasive intervention concept for the treatment of severe tooth wear patients based on the Radboud Tooth Wear Project in the Netherlands. Guidelines and flowcharts for management of severe tooth wear patients and... Continue Reading →
Case Report: A Predictable Technique to Establish Occlusal Contact in Extensive Direct Composite Resin Restorations: The DSO-Technique by Opdam et al.
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 →
Composite palatal veneers to restore a case of severe dental erosion, from minimally to non invasive dentistry: a 5-year follow-up case report
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 →
The technique of 'double veneering' teeth for tooth surface loss is not a new one. This was first described in 1996 by Bishop and colleagues in the British Dental Journal. Interesting how good ideas get recycled and rejuvenated over the... Continue Reading →
The Dahl principle: Creating space and improving the biomechanical prognosis of anterior crowns by Mizrahi
There is an increased demand for restoration of anterior teeth based on esthetic require- ments. Often times, the teeth restored are compromised and have minimal remaining dentin after undergoing root canal treatment. Reduction of non-axial forces by controlling incisal guidance... Continue Reading →
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.
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 →
I watched 'Logan' recently-it was a fairly emotional affair illustrating the slow demise of both Wolverine and Doctor X. The former slowly succumbing to the poisonous adamantium (rhymes with stuff we use!) and the latter to alzheimers and dementia. Wolverine... Continue Reading →