Tooth Wear Research Articles

Monitoring tooth wear

Tooth wear is a multifactorial condition leading to the irreversible loss of dental hard tissues. Although tooth wear is mainly a physiological process, it can become pathological if the wear process is accelerated for various reasons. Since this process is not linear, but can sometimes be inactive and sometimes active, a careful monitoring policy is necessary. The possible monitoring tools are described in this article, and a proposal is made with regard to the frequency of the systematic and periodic collection of information. CPD/Clinical Relevance: The prevalence of tooth wear is increasing and it now carries the third highest risk (after caries and periodontitis) for maintaining the natural dentition.

Tooth wear: intrinsic and extrinsic mechanical factors

Tooth wear, the progressive loss of dental hard tissue not caused by decay or trauma, is a multi-faceted phenomenon with implications for oral health and aesthetics. This article provides a comprehensive overview of both intrinsic and extrinsic mechanical factors contributing to tooth wear. Intrinsic mechanical wear from direct tooth-to-tooth contact leading to attrition, such as in bruxism, and extrinsic mechanical wear resulting from external actions, such as parafunctional habits including biting nails, chewing on pens, or the consumption of rough food elements and the use of overly abrasive dental products and aggressive toothbrushing, leading to abrasion. CPD/Clinical Relevance: Understanding the complex relationship between intrinsic and extrinsic mechanical factors is essential for clinicians to provide holistic dental care.

Dento-legal considerations in the management of patients with tooth wear

Tooth wear is increasing in prevalence in both the younger and older population, and general dental practitioners have a duty of care to examine patients carefully, diagnose the condition and manage it with patient input. The article briefly covers the elements of examination, diagnosis and decision-making about how to manage it from a dento-legal perspective. CPD/Clinical Relevance: Dentists with their teams need to understand their legal obligations in managing this among their patient base.

Extrinsic and intrinsic chemical factors relating to tooth wear

Human enamel is one of the strongest and hardest substances in the body. However, in the presence of repeated and regular exposure to acids, damage occurs at an increased rate of progression, potentially affecting aesthetics and reducing the restorability of the teeth. This article provides an update on the extrinsic and intrinsic chemical factors that can cause tooth wear. Updated information on gastro-oesophageal reflux, obstructive sleep apnoea, asthma and eating disorders are discussed. Bearing in mind the number of medical conditions that can impact on progression, our job as dentists is to inform the patient of the importance of prevention in other areas of their lives, such as diet and oral hygiene, to mitigate progression. CPD/Clinical Relevance: Updated information on the chemical risk factors for erosive tooth wear progression is relevant for GDPs.

Multidisciplinary management of advanced complexity tooth wear cases: patient needs beyond the direct and indirect restorations dichotomy

There is increased evidence supporting the different management modalities of tooth wear, be it direct or indirect resin composite through an additive approach, or ceramics through a subtractive one. However, there remains a cohort of patients with complex clinical case presentations that require careful assessment, formulation of a multidisciplinary treatment plan, and the delivery of a restorative-led systematic intervention involving additional oral surgery or orthodontic specialties. This case series presents the multidisciplinary management of advanced complexity tooth wear cases, with treatment needs extending beyond the scope of direct and indirect restorative management, through a systematic treatment planning approach. CPD/Clinical Relevance: To highlight the potential multidisciplinary management options of tooth wear.

Longevity and performance of materials used for the restorative management of tooth wear: a review

This article provides an overview of the available evidence on the performance, with particular consideration of the longevity of restorative materials used in the management of tooth wear. Different materials can be employed depending on whether a subtractive or additive strategy is used. Preference should be given to the latter to help preserve remaining tooth tissue. The use of both direct and indirect materials may yield acceptable survival results when considering data with at least 5 years of follow-up. Patients should be informed that because tooth wear is a continuous process, a certain level of maintenance of the restorations will be necessary and that this may impact on the success of the treatment. CPD/Clinical Relevance: Conservative, adhesive strategies are suitable for the restorative management of tooth wear.

Tooth wear

Tooth wear

Techniques for the restorative management of localized and generalized tooth wear

This narrative review describes techniques and materials available to restore the worn dentition. Emphasis is given to application of composite resin as this material can be bonded to worn surfaces and is easily adjusted either within an existing or at an increased vertical dimension. The relevance of the differences in the composition of glass ceramics and polycrystalline ceramics for restoration in various wear scenarios are discussed. Removable dentures are still appropriate in certain circumstances, but require an understanding of their limitations. CPD/Clinical Relevance: Young and old patients with a range of aetiologies and presentations expect dentists to know how best to restore their disordered, worn dentition.

Sticking with a concept: developing the use of composite restorations to manage tooth wear

Sticking with a concept: developing the use of composite restorations to manage tooth wear

Meshing characteristics and dynamic characteristics of planetary transmission system with new tooth-type flexible ring gear

As one of the important components of the planetary transmission system, dynamic meshing characteristics of ring gear directly affect the performance of planetary transmission system load sharing and dynamic load factor. With the help of the flexibility of ring gear, the planetary gear system with flexible ring gear (FRG) can compensate for the uneven transmission torque of each branch caused by the machining error and installation error and improve the system's load sharing and dynamic load performance. An L-shaped FRG was developed in Italy to improve the traditional ring gear and was used in the latest AW101 helicopter with good feedback. By increasing the ring flexibility, the load distribution between planetary gears is more uniform, and the load-sharing performance of the system is significantly improved. Tooth wear and fracture caused by uneven load distribution can be improved. However, the structure has problems such as unbalanced loading, strength weakening, and stress concentration. In this article, the FRG's meshing and structural characteristics are analyzed in detail by constructing the parametric finite element model. Differences, advantages, and disadvantages of FRG and traditional ring gear are compared. A new type of tooth-type FRG is proposed. It has excellent structural flexibility meshing characteristics of tooth surface and avoids generating stress concentration. It improves the planetary gear train's load-sharing performance and overcomes tooth surface unbalanced loading and large amplitude fluctuation of loaded transmission errors.

Knowledge and Attitudes Toward Erosive Tooth Wear Among Dental Professionals in Saudi Arabia

Tooth erosion is the loss of tooth structure caused by chemical dissolution without the involvement of oral bacteria. Thisstudy aimed to assess the knowledge and attitudes about erosive tooth wear among dental professionals in Saudi Arabia. This crosssectionalstudy involved 201 dental students and dentists in Saudi Arabia. Data were collected by a questionnaire adapted from a previousstudy designed to assess knowledge of and attitudes about dental erosion. SPSS software was used to analyze the data, along with t-testand ANOVA. The total knowledge score had a mean of 11.47 (standard deviation [SD]=2.14). Most participants (96.52%) know thaterosive tooth wear may lead to pain and sensitivity. However, only 36.82% know that drinking a whole bottle of soda in several sittingsrather than just one sitting decreases the risk of erosive tooth wear. The total knowledge score was not significantly different aboutgender (p=0.102), marital status (p=0.255), qualification (p=0.513), region (p=0.249), or nationality (p=0.495). The total attitude score wasmoderate and ranged from a mean of 3.21 with an SD of 1.43 for "I think prevention is better than a cure" to a mean of 4.12 with an SDof 1.48 for "I am concerned with whether or not drinks I consume are acidic." Knowledge about dental erosion among dentalprofessionals in Saudi Arabia is better than moderate, while attitudes about dental erosion were moderate. It is recommended for dentalprofessionals to have more instruction on dental erosion topics to improve their knowledge. Future studies are needed using a randomsample to achieve more generalizable results.

Preventive effect of children's toothpastes on erosive tooth wear of primary enamel and dentin

Preventive effect of children's toothpastes on erosive tooth wear of primary enamel and dentin

Causes of Excessive Tooth Wear and Preventive Measures

Causes of Excessive Tooth Wear and Preventive Measures

Longevity of Anterior Composite Restorations for Localized Tooth Wear: A Scoping Review.

(1) Objective: This scoping review evaluates composite restorations as a treatment modality for anterior tooth surface loss and investigates the longevity of the direct and indirect composites used herein. (2) Method: The search encompassed Medline, Embase, Web of Science, the Cochrane Library, and hand search utilizing the PICO framework. (3) Results: Eight studies were included in this review, comprising one randomized controlled trial, one retrospective, and six prospective studies. Some studies reported favorable outcomes for composite restorations in anterior teeth. Although not statistically significant, evidence supported the anterior composite as a viable short- to medium-term solution for managing tooth wear. Direct resin composites were deemed clinically and cost-effective when managing localized anterior tooth wear. However, limitations and inconsistencies in this scoping review limited definitive clinical recommendations. (4) Conclusions: Further research, including well-managed randomized controlled trials using standardized protocols and longer follow-up periods, is essential to reconfirm the long-term efficacies of anterior composite restorations when managing tooth wear. A robust research design and exacting protocols could facilitate more meaningful clinical conclusions.

Digital Full-mouth Rehabilitation for Complex Cases Involving Severe Deep Overbite and Worn Dentition: A Case Report

Introduction: The demand for aesthetic restorations in dentistry has led to full-mouth reconstructions or rehabilitations (FMRs) as a viable solution for treating patients with worn and altered teeth. This study presents a clinical case report of a middle-aged patient with severe tooth wear and deep overbite with digital workflows. Case Presentation: The case report highlighted the successful application of digital technology in the comprehensive rehabilitation of a patient with worn dentition, showcasing improved esthetics, function, and patient comfort. The case report demonstrated the potential benefits of this rapid approach in achieving successful outcomes. Digital CAD/CAM technology is a solution for optimizing the prosthetic workflow, achieving time and cost efficiency, and delivering high-quality dental restorations. Conclusion: Future primary studies with larger sample sizes and longer follow-ups can further validate the FMR digital approaches.

The subsurface lesion in erosive tooth wear.

The subsurface lesion in erosive tooth wear.

Prevalence of tooth wear diseases in patients with diabetes and its impact on the quality of life in Dakshina Kannada population: a cross sectional study.

Early detection and management of tooth wear (TW) has not been given due consideration in the dental profession. Thus, this study aimed to explore the prevalence of TW in adults with diabetes in Dakshina Kannada population using the Basic Erosive Wear Examination (BEWE) and recording its impact on quality of life using the Oral Health Impact Profile (OHIP-14). In total, 236 dentate adults with diabetes and TW, who visited the Manipal College of Dental Sciences, Mangalore were recruited to the study. Assessment of TW was done using BEWE during examination of each participant and was categorized as none, mild, moderate, and severe. Impact of TW on quality of life was assessed using the OHIP-14. Overall, 81 (34.30%) individuals had a poor score on the basic erosive tooth index, 82 (34.70%) had a medium score, . The level of TW, both moderate and severe (high), affected quality of life. Erosion, abrasion and attrition were seen in a large proportion of the study population. The diabetic status of the individual was collected from their medical file. The HbA1C level was found to range from good, fair and poor control. The quality of life among the study population was affected because of TW and diabetes. Few participants had hypertension along with diabetes. The majority of study participants were on oral hypoglycaemic agents. Participants used tooth brushes and tooth paste and brushing frequency varied between once or twice daily. In the study population, there were moderate and severe TW patterns. Quality of life was found to be impacted by TW. Dental professionals must give proper consideration to the influence of TW on quality of life in addition to clinical findings. This will make it easier to offer preventive or restorative management depending on the situation.

Titanosaurian teeth from the South-central Pyrenees (Upper Cretaceous, Catalonia, Spain)

In Europe, the sauropod record of the uppermost Cretaceous (Campanian–Maastrichtian) concentrates in Spain, France, and Romania with up to eight titanosaurian species erected and a similar number of tooth morphotypes described. Recently, the lower Maastrichtian locality of Els Nerets from the Tremp Basin (Catalonia, Spain) has yielded the largest tooth sample for a Late Cretaceous titanosaur in the continent. A comprehensive description of 18 teeth from this locality shows that they have conical and slender crowns, pronounced development of mesial and distal carinae, a lemon-shaped cross-section, and a coarse enamel wrinkling defined by closely packed longitudinal crenulations that anastomose apically. The teeth are among the largest, slender-most, and most labiolingually compressed teeth from the region. Despite several morphological similarities with some other few titanosaur species described in other localities of SW Europe, the dental material from Els Nerets cannot be referred to any known European species. Finally, by using a rationale based on tooth morphology and wear facets distribution we propose a dental configuration of the new yet to be described taxon.

BOTULIN TOXIN AND ITS USE IN THE TREATMENT OF BRUXISM: a narrative review of the literature

The purpose of this paper is to review the literature in narrative form on the use of Botulinum Toxin (BTX) in the treatment of bruxism. TXB is a substance produced from a bacterium known as Clostridium botulinum. Thus, the most widely used on the market today is type A, which in its applicability manages to promote muscle relaxation. Therefore, when correlating Bruxism, involuntary contraction of the masticatory muscles, it is clear that this dysfunction, which causes headaches, tooth wear, abfraction, among various other damages to the patient, can be associated with the use of TXB. In this context, the aim was to study up-to-date articles on the use of botulinum toxin in the treatment of bruxism. Therefore, its use in dentistry is highly effective, as it is a minimally invasive treatment applied by the dentist and has effective therapeutic results.

Facial Height and Its Effect by Tooth Wear, Age and Sex Assessed By Soft Tissue Analysis

IntroductionTooth wear is one of the major and widely accepted problem nowadays. It is the loss of dental hard tissues by these processes: attrition, abrasion and erosion. It can occur due to various factors such as abnormal tooth contact, abrasive dental hygiene habits and erosive dietary factors.MethodsFull face photographs of each subject was taken from the frontal view with a natural head position guided to true horizontal in 66 sample. All photographs were evaluated for consistency in head position and picture quality. Total facial height was subdivided into two components: upper facial height and lower facial height. Measurements of UFH and LFH and their ratio were recorded. Also tooth wear was assessed on a tooth-by-tooth basis rated according to the 5-point ordinal scale (0-4). All the data was statistically analyzed by SPSS.ResultsStatistically significant difference was found between Lower Facial Height and age group (p-value=0.02) whereas there was no statistically significant difference between UFH and RUL with age group. UFH and LFH was found to be slightly higher in females than males, however, on application of independent t-test it was found that there were no statistically significant differences between gender and facial height (p-value > 0.05). Weak negative correlation was found between facial height, age and tooth wear (r=-0.24, p-value 0.052 and r-value =-0.28, p-value 0.023).ConclusionsFacial height decreases with increase in age. Upper facial height is slightly greater than lower facial height with tooth wear.