Practice | Published:

Early diagnosis and daily practice management of erosive tooth wear lesions

BDJ volume 224, pages 311318 (09 March 2018) | Download Citation

Subjects

Abstract

This paper explores some of the most relevant questions faced by dental practitioners when diagnosing early erosive tooth wear (ETW) and implementing non-operative management of this condition over time. It focuses on the identification of clinical signs and common locations of ETW lesions, the assessment of individual risk and the implementation of non-operative management strategies, aiming to arrest and/or reduce the rate of ETW progression and avoid its advance to pathological stages. To this end, we present a novel and comprehensive approach that considers the whole dentition of patients rather than individual groups of teeth or dental surfaces only, illustrating it with a series of clinical photographs. Dental practitioners may find this approach particularly helpful as it closely simulates the clinical examinations of patients of all age groups carried out in daily practice. The clinical signs of early ETW lesions are subtle and often not perceived as relevant by unaware clinicians. However, the early diagnosis and implementation of non-operative management strategies, especially at younger ages, is fundamental for the proper control of ETW over time.

Key points

  • Explores some of the most relevant questions faced by dental practitioners when diagnosing early erosive tooth wear (ETW) and implementing non-operative management of this condition over time.

  • Early diagnosis and risk assessment should be implemented at younger ages

  • The non-operative management strategies arrest and/or reduce the rate of ETW progression and avoid its advance to pathological stages.

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Author information

Affiliations

  1. Professor, Faculty of Medicine and Dentistry, Catholic University of Louvain, Av. Hippocrate 10, B-1200, Brussels, Belgium

    • J. C. Carvalho
  2. Assistant Professor, Department of Restorative Dentistry, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes 2227, São Paulo, SP 05,508-000, Brazil

    • T. Scaramucci
  3. PhD Candidate, Faculty of Health Sciences, University of Brasília, Brasília, Campus Darcy Ribeiro, Brasília, DF 70910-900, Brazil

    • N. R. Aimée
  4. Associate Professor, Faculty of Health Sciences, University of Brasília, Brasília, Campus Darcy Ribeiro, Brasília, DF 70910-900, Brazil

    • H. D. Mestrinho
  5. Associate Professor, Department of Cariology, Operative Dentistry and Public Health, Director, Division of Cariology, Associate Director, Oral Health Research Institute, Indiana University School of Dentistry, Indianapolis, IN, USA

    • A. T. Hara

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Corresponding author

Correspondence to A. T. Hara.

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DOI

https://doi.org/10.1038/sj.bdj.2018.172