Diagnosis of erosive tooth wear.

Ganss, Carolina; Lussi, Adrian (2014). Diagnosis of erosive tooth wear. Monographs in oral science, 25, pp. 22-31. Karger 10.1159/000359935

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The clinical diagnosis 'erosion' is made from characteristic deviations from the original anatomical tooth morphology, thus distinguishing acid-induced tissue loss from other forms of wear. Primary pathognomonic features are shallow concavities on smooth surfaces occurring coronal from the enamel-cementum junction. Problems from diagnosing occlusal surfaces and exposed dentine are discussed. Indices for recording erosive wear include morphological as well as quantitative criteria. Currently, various indices are used, each having their virtues and flaws, making the comparison of prevalence studies difficult. The Basic Erosive Wear Examination (BEWE) is described, which is intended to provide an easy tool for research as well as for use in general dental practice. The cumulative score of this index is the sum of the most severe scores obtained from all sextants and is linked to suggestions for clinical management. In addition to recording erosive lesions, the assessment of progression is important as the indication of treatment measures depends on erosion activity. A number of evaluated and sensitive methods for in vitro and in situ approaches are available, but the fundamental problem for their clinical use is the lack of reidentifiable reference areas. Tools for clinical monitoring are described.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry

UniBE Contributor:

Lussi, Adrian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0077-0892

Publisher:

Karger

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

26 Jan 2015 15:03

Last Modified:

14 Sep 2017 03:26

Publisher DOI:

10.1159/000359935

PubMed ID:

24993255

BORIS DOI:

10.7892/boris.61765

URI:

https://boris.unibe.ch/id/eprint/61765

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