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Epidemiology, aetiology and prevention of tooth wear

British Dental Journal volume 234, pages 439–444 (2023)Cite this article

Abstract

Tooth wear is a commonly reported finding globally; however, many patients are unaware of having tooth wear. Identifying early signs of erosion, abrasion or attrition and determining the risk factors contributing to a patient's tooth wear may help to prevent further loss of enamel and dentine in the future. Appropriate prevention should be instigated, or appropriate referral made to other health professionals, when conditions such as gastroesophageal reflux or eating disorders are suspected. This paper presents the epidemiology and aetiological factors for tooth wear, as well as identifying the common clinical presentations of tooth wear. Patient perspectives on tooth wear and preventive techniques that can be utilised are also discussed.

Key points

  • This paper summarises the clinical presentation of erosion, attrition and abrasion.

  • Prevalence of tooth wear and aetiological factors are discussed in detail.

  • Strategies for prevention of tooth wear are described.

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Author information

Authors and Affiliations

  1. Consultant in Restorative Dentistry, University Dental Hospital of Manchester, Manchester, UK

    A. Johanna Leven

  2. Consultant and Honorary Professor in Restorative Dentistry and Oral Health, University Dental Hospital of Manchester, Manchester, UK

    Martin Ashley

Authors
  1. A. Johanna Leven
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  2. Martin Ashley
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Contributions

The paper was written by A. Johanna Leven, who also provided the majority of figures used in the manuscript. Martin Ashley reviewed the paper and provided some figures, comments for changes and improvements.

Corresponding author

Correspondence to A. Johanna Leven.

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The authors declare no conflicts of interest.

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Leven, A., Ashley, M. Epidemiology, aetiology and prevention of tooth wear. Br Dent J 234, 439–444 (2023). https://doi.org/10.1038/s41415-023-5624-0

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