Consensus report of the European Federation of Conservative Dentistry: erosive tooth wear-diagnosis and management

Saads Carvalho, Thiago; Colon, P; Ganss, C; Huysmans, M C; Lussi, Adrian; Schlüter, Nadine; Schmalz, Gottfried Hans; Shellis, Robert Peter; Tveit, A B; Wiegand, A (2015). Consensus report of the European Federation of Conservative Dentistry: erosive tooth wear-diagnosis and management. Clinical oral investigations, 19(7), pp. 1557-1561. Springer 10.1007/s00784-015-1511-7

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OBJECTIVE Due to an increased focus on erosive tooth wear (ETW), the European Federation of Conservative Dentistry (EFCD) considered ETW as a relevant topic for generating this consensus report. MATERIALS AND METHODS This report is based on a compilation of the scientific literature, an expert conference, and the approval by the General Assembly of EFCD. RESULTS ETW is a chemical-mechanical process resulting in a cumulative loss of hard dental tissue not caused by bacteria, and it is characterized by loss of the natural surface morphology and contour of the teeth. A suitable index for classification of ETW is the basic erosive wear examination (BEWE). Regarding the etiology, patient-related factors include the pre-disposition to erosion, reflux, vomiting, drinking and eating habits, as well as medications and dietary supplements. Nutritional factors relate to the composition of foods and beverages, e.g., with low pH and high buffer capacity (major risk factors), and calcium concentration (major protective factor). Occupational factors are exposition of workers to acidic liquids or vapors. Preventive management of ETW aims at reducing or stopping the progression of the lesions. Restorative management aims at reducing symptoms of pain and dentine hypersensitivity, or to restore esthetic and function, but it should only be used in conjunction with preventive strategies. CONCLUSIONS Effective management of ETW includes screening for early signs of ETW and evaluating all etiological factors. CLINICAL RELEVANCE ETW is a clinical condition, which calls for the increased attention of the dental community and is a challenge for the cooperation with other medical specialities.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

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

UniBE Contributor:

Saads Carvalho, Thiago; Lussi, Adrian; Schmalz, Gottfried Hans and Shellis, Robert Peter

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1432-6981

Publisher:

Springer

Language:

English

Submitter:

Thiago Saads Carvalho

Date Deposited:

29 Jul 2015 11:33

Last Modified:

01 Apr 2016 13:54

Publisher DOI:

10.1007/s00784-015-1511-7

PubMed ID:

26121968

Uncontrolled Keywords:

Dental erosion, Diagnosis, Etiology, Preventive measures, Restorative therapy

BORIS DOI:

10.7892/boris.70508

URI:

https://boris.unibe.ch/id/eprint/70508

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