Tooth Wear Case Study

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1. INTRODUCTION: Tooth wear is a general term describing the loss of dental hard tissues from the surfaces of the teeth caused by factors other than dental caries, trauma and developmental disorders 1,2. Attrition, erosion, and abrasion usually cause alterations of the tooth surface and manifest as tooth wear. These processes act by distinct progressions and exhibit unique clinical characteristics (Figure 1) Prevalence of tooth surface loss is increasing and younger patients are said to be at higher risks. The particular concern is the alarming rate of tooth wear that is now been seen in children and young adults. This was first noted in the Dental health survey of children in 1993, when children under the age of 5, especially those consuming…show more content…
ETIOLOGY OF TOOTH WEAR: The distinct definitions for each class of tooth wear reinforces the traditional point of view that these processes occur independently and may occur in concomitance of other processes as well. Hence, it may be that combining the etiologies probably reflect the true clinical scenarios 16. Identification of the etiology is essential for the successful management of the pathology. Saliva can lessen the tooth wear processes via pellicle formation and re-mineralization however; cannot prevent it. a) ABRASION: Both patient and material related factors influences the prevalence of this condition. The brushing technique, brushing frequency and the force applied while brushing are common patient related factors. The type of bristle material of tooth-brush, stiffness of tooth-brush bristles, the abrasiveness and pH of dentifrice used are factors related to material…show more content…
MANAGEMENT: Initial management of tooth surface loss depends on accurate diagnosis of the condition, the identification of the etiology and frequent monitoring of the successive changes hence to prevent further damage. Treatment planning is sometime very challenging and it is very necessary that accurate analysis of the tooth surface loss is made at an early stage and that satisfactory preventive measures are carried out. Once the risk factors are properly understood, these measures can be accurately initiated. The interrelationship of the four modes of tooth surface loss and individual susceptibility influences the degree of tooth wear. Recognition of the multifactorial nature of the condition is the first step in its management, as failure to appreciate this may lead to inappropriate management and ultimate failure of restorative therapy. Holbrook and Arnadottir 51 stated that if non-carious destruction of teeth is to be avoided, following must be

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