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Mehta SB, Banerji S, Crins L, Opdam N, Loomans BAC. The longevity of tooth-coloUred materials used for restoration of tooth wear: an evidence-based approach. Prim Dent J 2023; 12:43-53. [PMID: 37705477 DOI: 10.1177/20501684231193595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/15/2023]
Abstract
Patients with tooth wear are commonly encountered in general dental practice. When indicated, restorative rehabilitation is often accompanied by a request from the patient for an aesthetic, tooth-coloured outcome. This article seeks to provide an evidence-based approach, focussing on the longevity of the materials which can be used for the restorative treatment of tooth wear, as well as their modes of failure and observed performance.
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Affiliation(s)
- Shamir B Mehta
- Shamir B. Mehta BDS, BSc MClinDent (Prosthodontics), PhD Dip. FFGDP(UK), FCGDent, FDSRCS(Eng), FDSRCPS(Glas), FDFTEd Professor of Aesthetic Dentistry, College of Medicine and Dentistry/Ulster University; Visiting Professor Radboud University Medical Centre; Senior Clinical Teacher, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK
- Subir Banerji BDS, MClinDent (Prosthodontics), PhD, FDS, RCPS(Glasg), FCGDent, FICD Programme Director MSc Aesthetic Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK; Associate Professor, Department of Prosthodontics, Melbourne Dental School, The University of Melbourne, Australia
- Luuk Crins DDS PhD candidate, Department of Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands
- Niek Opdam DDS, PhD Associate Professor in Restorative Dentistry and Cariology, Radboud University Medical Centre, Nijmegen, the Netherlands
- Bas A. C. Loomans DDS, PhD Professor in Oral Function and Restorative Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - Subir Banerji
- Shamir B. Mehta BDS, BSc MClinDent (Prosthodontics), PhD Dip. FFGDP(UK), FCGDent, FDSRCS(Eng), FDSRCPS(Glas), FDFTEd Professor of Aesthetic Dentistry, College of Medicine and Dentistry/Ulster University; Visiting Professor Radboud University Medical Centre; Senior Clinical Teacher, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK
- Subir Banerji BDS, MClinDent (Prosthodontics), PhD, FDS, RCPS(Glasg), FCGDent, FICD Programme Director MSc Aesthetic Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK; Associate Professor, Department of Prosthodontics, Melbourne Dental School, The University of Melbourne, Australia
- Luuk Crins DDS PhD candidate, Department of Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands
- Niek Opdam DDS, PhD Associate Professor in Restorative Dentistry and Cariology, Radboud University Medical Centre, Nijmegen, the Netherlands
- Bas A. C. Loomans DDS, PhD Professor in Oral Function and Restorative Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - Luuk Crins
- Shamir B. Mehta BDS, BSc MClinDent (Prosthodontics), PhD Dip. FFGDP(UK), FCGDent, FDSRCS(Eng), FDSRCPS(Glas), FDFTEd Professor of Aesthetic Dentistry, College of Medicine and Dentistry/Ulster University; Visiting Professor Radboud University Medical Centre; Senior Clinical Teacher, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK
- Subir Banerji BDS, MClinDent (Prosthodontics), PhD, FDS, RCPS(Glasg), FCGDent, FICD Programme Director MSc Aesthetic Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK; Associate Professor, Department of Prosthodontics, Melbourne Dental School, The University of Melbourne, Australia
- Luuk Crins DDS PhD candidate, Department of Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands
- Niek Opdam DDS, PhD Associate Professor in Restorative Dentistry and Cariology, Radboud University Medical Centre, Nijmegen, the Netherlands
- Bas A. C. Loomans DDS, PhD Professor in Oral Function and Restorative Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - Niek Opdam
- Shamir B. Mehta BDS, BSc MClinDent (Prosthodontics), PhD Dip. FFGDP(UK), FCGDent, FDSRCS(Eng), FDSRCPS(Glas), FDFTEd Professor of Aesthetic Dentistry, College of Medicine and Dentistry/Ulster University; Visiting Professor Radboud University Medical Centre; Senior Clinical Teacher, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK
- Subir Banerji BDS, MClinDent (Prosthodontics), PhD, FDS, RCPS(Glasg), FCGDent, FICD Programme Director MSc Aesthetic Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK; Associate Professor, Department of Prosthodontics, Melbourne Dental School, The University of Melbourne, Australia
- Luuk Crins DDS PhD candidate, Department of Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands
- Niek Opdam DDS, PhD Associate Professor in Restorative Dentistry and Cariology, Radboud University Medical Centre, Nijmegen, the Netherlands
- Bas A. C. Loomans DDS, PhD Professor in Oral Function and Restorative Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - Bas A C Loomans
- Shamir B. Mehta BDS, BSc MClinDent (Prosthodontics), PhD Dip. FFGDP(UK), FCGDent, FDSRCS(Eng), FDSRCPS(Glas), FDFTEd Professor of Aesthetic Dentistry, College of Medicine and Dentistry/Ulster University; Visiting Professor Radboud University Medical Centre; Senior Clinical Teacher, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK
- Subir Banerji BDS, MClinDent (Prosthodontics), PhD, FDS, RCPS(Glasg), FCGDent, FICD Programme Director MSc Aesthetic Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK; Associate Professor, Department of Prosthodontics, Melbourne Dental School, The University of Melbourne, Australia
- Luuk Crins DDS PhD candidate, Department of Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands
- Niek Opdam DDS, PhD Associate Professor in Restorative Dentistry and Cariology, Radboud University Medical Centre, Nijmegen, the Netherlands
- Bas A. C. Loomans DDS, PhD Professor in Oral Function and Restorative Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands
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Calvert G, Cocozza PG, Elsayed Ahmed K. Clinical factors to consider in definitive treatment planning for patients with tooth wear. Br Dent J 2023; 234:375-384. [PMID: 36964358 DOI: 10.1038/s41415-023-5618-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 01/25/2023] [Accepted: 01/28/2023] [Indexed: 03/26/2023]
Abstract
Diagnosis, disease control and prevention are the precursors to successful definitive restorative treatment of pathological tooth wear. This case series illustrates how proposed key clinical features can influence treatment complexity and provide the clinician with a logical sequence of treatment options for definitive management of tooth wear.
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Affiliation(s)
- Gareth Calvert
- Glasgow Dental Hospital and School, Department of Restorative Dentistry, Glasgow, G2 3JZ, UK
| | - Paul Guerino Cocozza
- Glasgow Dental Hospital and School, Department of Restorative Dentistry, Glasgow, G2 3JZ, UK.
| | - Khaled Elsayed Ahmed
- School of Medicine and Dentistry, Griffith University, Queensland, 4215, Australia
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Leven AJ, Ashley M. Epidemiology, aetiology and prevention of tooth wear. Br Dent J 2023; 234:439-444. [PMID: 36964373 DOI: 10.1038/s41415-023-5624-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 10/19/2022] [Accepted: 11/01/2022] [Indexed: 03/26/2023]
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.
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Affiliation(s)
- A Johanna Leven
- Consultant in Restorative Dentistry, University Dental Hospital of Manchester, Manchester, UK.
| | - Martin Ashley
- Consultant and Honorary Professor in Restorative Dentistry and Oral Health, University Dental Hospital of Manchester, Manchester, UK
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Entezami S, Peres KG, Li H, Albarki Z, Hijazi M, Ahmed KE. Tooth wear and socioeconomic status in childhood and adulthood: Findings from a systematic review and meta-analysis of observational studies. J Dent 2021; 115:103827. [PMID: 34600044 DOI: 10.1016/j.jdent.2021.103827] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Revised: 09/16/2021] [Accepted: 09/22/2021] [Indexed: 01/11/2023] Open
Abstract
OBJECTIVES To evaluate the association and level of evidence between socioeconomic status (SES) and tooth wear (TW) in children, adolescents, and adults. DATA Eligibility criteria comprised population-based observational studies assessing the association between SES and TW in permanent dentition of adolescents and adults. Interventional and descriptive studies or those without an internal comparison between exposed and nonexposed groups were excluded. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were applied where applicable. Risk of bias (RoB) was assessed using the Newcastle-Ottawa scale. Meta-analyses were conducted to estimate the pooled effect measures. Q-statistic, I2statistic, subgroup and sensitivity analyses assessed study heterogeneity. SOURCES PubMed/Medline, Embase, Scopus, Web of Science, LILACS, SciELO, Cochrane Library, and Google Scholar databases were searched for articles published in English between 1st January 1980 and 31st March 2021. RESULTS Sixty-five studies were included, involving 63,893 participants in over 30 countries. A positive association was found between TW and education (OR=1.25 [0.96; 1.62]), family income (OR=1.18 [0.91; 1.53]), and private school (OR= 1.24 [0.90; 1.72]) among adolescents. Higher educated adults had a lower risk for TW (OR=0.70 [0.52; 0.93]). Most included studies had a moderate RoB. Limitations relating to population representation and assessment methodologies were identified in the included studies. CONCLUSIONS SES was associated with TW with its direction depending on the individuals' age. The overall quality of evidence was moderate. CLINICAL SIGNIFICANC SES should be included as part of the routine screening and risk assessment for tooth wear.
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Affiliation(s)
- Sheema Entezami
- School of Medicine and Dentistry, Griffith University, Gold Coast, Australia
| | - Karen Glazer Peres
- National Dental Research Institute Singapore, National Dental Centre Singapore, Oral Health ACP, Health Services and Systems Research Programme, Duke-NUS Medical School, Singapore.
| | - Huihua Li
- National Dental Centre, ACP Research Office, Duke-NUS Medical School, Centre for Quantitative Medicine, Singapore.
| | - Zahra'a Albarki
- School of Medicine and Dentistry, Griffith University, Gold Coast, Australia
| | - Mariam Hijazi
- School of Medicine and Dentistry, Griffith University, Gold Coast, Australia
| | - Khaled E Ahmed
- School of Medicine and Dentistry, Griffith University, Gold Coast, Griffith Health Centre (G40), Office 7.59, QLD 4222, Australia.
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Abstract
We evaluated the quality of general dental practitioner (GDP) tooth wear (TW) referrals to secondary care services in Kent, Surrey and Sussex.Prospective consecutive referrals received via an electronic pathway were assessed from 1 June to 30 October 2019. Reasons for referral, patient demographics, quality of referral, opinion of the triaging clinician and outcome were assessed.Of 671 referrals, 32% were for TW. Males were referred more commonly (1.7:1.0). The median age was 52. Patients were more likely to be referred from distant locations than places closer to the referral centre (p<0.001). Only 55% of referrals suggested a cause for the TW, 33% provided a clinical photograph and 1% recorded a tooth wear index of any type. Referring clinicians most commonly cited attrition as reason for referral (p<0.001). Those under 40 years were referred for erosion (p=0.001) and those over 40 years, attrition (p=0.019). The triaging clinician was more likely to allocate a tooth wear score of three for those under 40 years and a score of four for over 40 years (p<0.001). 47% of referrals were rejected. Males and referrals with photographs were more likely to be accepted for treatment (p=0.017 and p<0.001, respectively).There is a high demand for specialist TW services. The number of referrals being rejected has not changed using the electronic referral system. We advocate the inclusion of mandatory fields for completion by GDPs as well as compulsory clinical photographs and tooth wear indices (Smith and Knight Tooth Wear Index or a basic erosive wear examination - BEWE index).
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Affiliation(s)
- Zohaib Khwaja
- GDP, Postgraduate Tutor, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London
| | - Brian J Millar
- Professor, Consultant in Restorative Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London
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Bartlett D, O'Toole S. Tooth Wear: Best Evidence Consensus Statement. J Prosthodont 2020; 30:20-25. [PMID: 33350551 DOI: 10.1111/jopr.13312] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Accepted: 11/24/2020] [Indexed: 11/28/2022] Open
Abstract
PURPOSE The purpose of this Best Evidence Consensus Statement was to evaluate the impact of wear on teeth. MATERIALS AND METHODS A search updated last on the 07th October 2020 using the terms tooth wear, dental erosion, dental abrasion or dental attrition yielded 11,694 results. Limiting the search to clinical trials, cross-sectional investigations, randomized controlled trials, reviews, systematic reviews and meta-analysis yielded 1,769 results. Mechanistic in vitro studies were also added to the list of abstracts supplying additional information of the impact of wear on teeth. All abstracts were reviewed by two authors. Those relating to the focus question formed the evidence base which was used to formulate the response. RESULTS From the search results, 212 articles were related to the research question and 60 were included in this paper. Although tooth wear prevalence is over 30% of the population in early adulthood and increases as individual's age, the impact on the dentition is poorly investigated in longitudinal clinical studies. Wear on teeth can result in alterations in shape and potentially dentine hypersensitivity depending on the etiology. However, the process is slow and pulpal death is rare. The impact that tooth wear has on the patient depends on patient characteristics to a greater extent than the severity of wear. CONCLUSIONS Tooth wear is a common condition and part of the ageing process. Erosive tooth wear is a term which acknowledges that acids are normally linked to progression, but mechanical actions of attrition and abrasion will cause visible damage. The changes to the shape of teeth on the macro and micro levels are used to investigate the progression, prevention, etiology, and management. The biological impact of wear on teeth is relatively innocuous and management is often a patient driven process. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- David Bartlett
- Professor of Prosthodontics, Head of Centre for Clinical Oral and Translational Sciences, Faculty of Dentistry, Oral & Craniofacial Sciences, Kings College London, UK
| | - Saoirse O'Toole
- Clinical Lecturer in Prosthodontics, Centre for Clinical, Oral and Translational Sciences, Faculty of Dentistry, Oral & Craniofacial Sciences, Kings College London, UK
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Yıldırım G, Erol F, Güven MC, Şakar O. Evaluation of the effects of bruxism on oral health-related quality of life in adults. Cranio 2020; 41:230-237. [PMID: 33245251 DOI: 10.1080/08869634.2020.1853308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Objective: The aim of this study was to evaluate the effects of bruxism on oral health-related quality of life (OHRQoL) in adults in relation to temporomandibular disorders (TMD). Methods: Three hundred-fifteen adults of both sexes were divided into two groups: bruxers (n = 172) and controls (n = 143). The participants with TMD were divided into three subgroups based on myofascial pain, disc displacement, or both. The Oral Health Impact Profile (OHIP-14) was used to assess OHRQoL. Results: Bruxers had poorer OHRQoL than controls, and the highest mean OHIP-14 domain scores were observed in physical pain. Bruxers with TMD had higher total OHIP-14 scores and individual domain scores than those without TMD. Bruxers without TMD demonstrated higher OHIP-14 scores than controls. Conclusion: Bruxism was associated with poor OHRQoL. Where bruxism was accompanied by TMD, OHRQoL could be more negatively affected. The presence of bruxism without TMD was also associated with poor OHRQoL.
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Affiliation(s)
- Gülhan Yıldırım
- Department of Prosthodontics, İstanbul Yeni Yüzyıl University , Istanbul, Turkey
| | - Funda Erol
- Department of Prosthodontics, İstanbul Yeni Yüzyıl University , Istanbul, Turkey
| | - Melahat Celik Güven
- Department of Prosthodontics, İstanbul Yeni Yüzyıl University , Istanbul, Turkey
| | - Olcay Şakar
- Department of Prosthodontics, İstanbul University , Istanbul, Turkey
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Awareness and Treatment Decisions on Tooth Wear among Jordanian Dentists and Prosthodontists: A Cross-Sectional Survey Study. Int J Dent 2020; 2020:8861266. [PMID: 33299419 PMCID: PMC7701210 DOI: 10.1155/2020/8861266] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 10/25/2020] [Accepted: 11/02/2020] [Indexed: 02/06/2023] Open
Abstract
Objectives To assess the awareness, knowledge, and treatment decisions by dentists in Jordan regarding tooth wear. Materials and Methods A questionnaire was disseminated to a random sample of 200 general dentists and 100 prosthodontists working in the Ministry of Health, academia, private practices, and military services. Chi square and independent t-tests were performed for statistical analysis. Results Hundred and seventy-nine dentists and prosthodontists responded (59.7% response rate), of which 71.5% was females. 83.8% of the dentists reported they see patients with tooth wear. 61.5% registered wear lesions in the patient file, and 68.2% reported they find a probable cause of tooth wear. 87.2% of the dentists reported that bruxism is the most common cause in Jordan. 63.3% dentists treated their patients. 46.4% reported they “always” record a dietary history. 77.7% did not think that tooth wear is linked to caries. Low confidence levels were demonstrated among general practitioners in diagnosing and treating tooth wear. Regarding treatment decisions, most dentists decided to restore worn teeth with composite and to construct a night guard. Minimally affected anterior teeth were mostly treated with fluoride. Restoration of posterior worn teeth with overlay was suggested by one-third of the dentists. Conclusion The dentists and prosthodontists in Jordan are aware of tooth wear. However, examination and documentation were given a little priority by general dentists. On the other hand, there was an agreement among the dentists and prosthodontists on applying the minimally invasive approach. Clinical Significance. It is challenging for dentists to make the best treatment decision for tooth wear especially as no standard treatment is available. Therefore, this study investigated the awareness and treatment decisions of a sample of dentists and prosthodontists in Jordan.
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Condon M, Eaton K. An investigation into how general dental practitioners in Leeds manage complex tooth wear cases. Br Dent J 2020; 228:366-370. [PMID: 32170258 DOI: 10.1038/s41415-020-1316-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Introduction Restoring complex tooth wear (TW) cases is technically challenging and not well-remunerated under the NHS General Dental Service (GDS) contract. Therefore, numbers of referrals to secondary care are increasing, but these are often rejected as dental hospitals have a high workload. This may make it difficult for patients with TW to access appropriate care unless paying privately, which may be costly for them.Aim The aim of this investigation was to understand how general dental practitioners (GDPs) in Leeds manage complex TW cases.Methods A postal questionnaire was designed and piloted before postal distribution to all GDPs with a Leeds postcode (n = 289). Non-responders were sent reminders to complete the questionnaire. The questionnaire included questions on the place of qualification and experience of the dentists, their management of an example complex TW case and the potential barriers to management of similar cases. The resulting data were statistically tested using Kruskal-Wallis and Mann-Whitney tests.Results A total of 148 (51%) responded to the questionnaire. There was low confidence in restoring complex TW cases with a mean score of 4.65 out of 10 (0 being not confident at all and 10 being very confident). Only 30 respondents (21%) reported that they would treat complex TW cases under the current NHS GDS contract, and 90 (62%) reported that they had experienced difficulty referring these cases to hospital. Kruskal-Wallis testing showed increased confidence in restoring by those with a diploma or MSc (p = 0.004 and p = 0.014 respectively). Mann-Whitney testing showed those undertaking a higher percentage of NHS work were less likely to restore these cases (U = 2,100; p = 0.02).Conclusion These results suggest that Leeds patients with complex TW may have difficulty in accessing appropriate care under the current NHS GDS contract. The results highlight the benefits of postgraduate education on confidence in restoring complex TW cases.
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Affiliation(s)
- Matthew Condon
- General Dental Practitioner, Farsley Dental Practice, Town St, Farsley, LS28 5HX, UK.
| | - Kenneth Eaton
- Visiting Professor, University College London and Honorary Professor, University of Kent, UK
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O'Toole S, Pennington M, Varma S, Bartlett DW. The treatment need and associated cost of erosive tooth wear rehabilitation - a service evaluation within an NHS dental hospital. Br Dent J 2018; 224:957-961. [PMID: 29880974 DOI: 10.1038/sj.bdj.2018.444] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/22/2018] [Indexed: 11/09/2022]
Affiliation(s)
- S O'Toole
- King's College London Dental Institute, Department of Prosthodontics, London, United Kingdom
| | | | - S Varma
- Guys Hospital, Prosthodontics, London, United Kingdom
| | - D W Bartlett
- Kings College London Dental Institute, Prosthodontics, London, United Kingdom
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Câmara-Souza MB, de Figueredo OMC, Rodrigues Garcia RCM. Association of sleep bruxism with oral health-related quality of life and sleep quality. Clin Oral Investig 2018; 23:245-251. [DOI: 10.1007/s00784-018-2431-0] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2017] [Accepted: 03/19/2018] [Indexed: 10/17/2022]
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Tooth wear risk assessment and care-planning in general dental practice. Br Dent J 2018; 224:358-362. [DOI: 10.1038/sj.bdj.2018.171] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/07/2017] [Indexed: 11/08/2022]
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Abstract
Tooth wear is a condition that affects a substantial cohort of dental patients. It has a measurable impact on patients' satisfaction, and overall quality of life. Recently, with growing evidence, our understanding of the aetiology, progression, and management of tooth wear has evolved. The paper argues that pathological tooth wear should not be solely considered as a dental condition, but rather a dental manifestation of other mental and medical disorders. As such, successful management of tooth wear, and its underlying aetiology, requires a holistic, multidisciplinary management approach, involving dental, medical, and mental healthcare providers.
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Affiliation(s)
- Khaled E Ahmed
- Operative/Conservative Dentistry University of Hong Kong Faculty of Dentistry
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Ahmed KE, Murbay S. Survival rates of anterior composites in managing tooth wear: systematic review. J Oral Rehabil 2015; 43:145-53. [PMID: 26440584 DOI: 10.1111/joor.12360] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/10/2015] [Indexed: 11/29/2022]
Abstract
The use of composite restorations for patients with tooth wear is considered as a more conservative treatment option. The aim of this study was to systematically review the literature investigating the survival rates of anterior composite restorations when used in managing tooth wear in patients. PubMed and MEDLINE (Ovid) databases were screened for studies from 1995 to 2015. Cross-referencing was used to further identify articles. Article selection and data extraction were performed in duplication. Languages were restricted to English. A quality appraisal of included studies was carried out using the Strength of Recommendation Taxonomy system. Six hundred and sixty-six articles were initially identified from which eight articles were full-text reviewed. Six articles involving five studies were selected for inclusion. Three studies were prospective and two retrospective. Included studies involved placement of 772 direct and indirect anterior composite restorations in 100 patients with follow-up periods between 5 months and 10 years. The survival rates of anterior composites were >90% and 50% at 2.5 and 5 years, respectively. Posterior occlusion was re-established in 91% of patients within 18 months. Meta-analysis could not be performed due to the heterogeneity of included studies. The systematic review's overall strength of recommendation was graded B. There is evidence to support the use of anterior composite restorations at an increased vertical dimension of occlusion in the short/medium-term management of tooth wear. Long-term reporting of outcomes remains limited. Further research is needed with standardised study design, detailed reporting of outcomes and long-term review.
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Affiliation(s)
- K E Ahmed
- Comprehensive Dental Care Department, Prince Philip Dental Hospital, Faculty of Dentistry, University of Hong Kong, Hong Kong (SAR), China
| | - S Murbay
- Comprehensive Dental Care Department, Prince Philip Dental Hospital, Faculty of Dentistry, University of Hong Kong, Hong Kong (SAR), China
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Milosevic A. Summary of: A prospective survey of secondary care tooth wear referrals: demographics, reasons for concern and referral outcomes. Br Dent J 2014; 216:246-7. [PMID: 24603251 DOI: 10.1038/sj.bdj.2014.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
AIM To provide a descriptive investigation of general dental practitioners' (GDPs) referrals to Glasgow Dental Hospital and School for management of tooth wear. MATERIALS AND METHODS One hundred and twenty-four patient-referrals were reviewed over a 12 month period. A questionnaire was also completed by patients and three reviewing consultants to identify patient demographics, patient perception, consultant's diagnosis and referral outcome. RESULTS Overall survey return-rate was 67% of 124 included referrals. Males represented 72% of referrals compared to 28% for females (p = 0.001). A significant percentage of patients inhabited the most-deprived areas (59%, p = 0.002). Sixty-one percent of patients were aware of their tooth wear within the past five years. Aesthetics was the primary concern for 54% of patients (p = 0.001). Attrition was the main aetiology of tooth wear in 51% of referrals (p = 0.001). Ninety-two percent of patients (n = 76/83) did not require specialist treatment and were consequently returned to their GDP, referred for hypnotherapy or reviewed later. CONCLUSION There was a significant association between social deprivation and tooth wear in GDP referrals to a secondary care dental facility. Males aware of their tooth wear for the preceding five years, presenting with appearance as their main complaint and displaying evidence of attrition were more likely to be referred by GDPs for specialist management or advice.
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