Abstract

This paper explains how to screen tooth wear in general practice using the Basic Erosive Wear Examination (BEWE) index. It explains how stakeholders in the UK acknowledged the convenience of the BEWE and that it could be recorded at the same time as the Basic Periodontal Examination (BPE). The article contains examples of anterior and posterior tooth wear for each BEWE score to help dentists in their evaluation.

Highlights

  • Health Education England recently issued guidelines that recording tooth wear is aspirational rather than an essential requirement.[1]

  • In the UK, a group of stakeholders (The Royal College of General Dental Practitioners, The British Society of Dental Hygienists, GSK, Dental Protection, The Erosive Tooth Wear Foundation, King’s College London and the British Dental Association) united to promote that every routine dental examination should include an assessment of erosive tooth wear.[3]

  • This paper provides practical guidance to dentists on using the Basic Erosive Wear Examination (BEWE)

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Summary

Introduction

Health Education England recently issued guidelines that recording tooth wear is aspirational rather than an essential requirement.[1]. Hard tissue loss, less than 50% of the surface area. The index scores changes to the surface of teeth regardless of the aetiology, so it should be used for all causes of tooth wear – including abrasion and attrition. The teeth should be cleaned before a clinical examination and the buccal, occlusal and/or incisal and lingual/palatal surfaces should be assessed in each sextant under good lighting.

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Conclusion

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