Tooth Surface Loss: Etiology, Assessment And Management

Superior Essays
Non carious tooth surface loss :Etiology ,Assessment and Management :

Abstract:
Tooth surface loss(TSL) is one of the major dental issues patients come up with which usually can be managed with simple preventive measures and minimal restorations but sometime it can be very severe or rapidly progressive, pathological, needing an active intervention . Lately it has been effecting more in younger age group making it alarming for the dental professionals. Hence, Effective prevention like patient education, early diagnosis and control of the etiological factors is extremely important. This paper will mainly focus on the common etiological factors, the way to assess of the factors, their clinical appearance and the passive management of the TSL.
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The consumption of soft drinks in the UK has increased seven fold between the 1950s and 1990s (Shaw and Smith, 1994), with adolescents and children accounting for 65% of all purchases, with a reported per capita intake of 15 litres per person. Other reasons for erosive tooth wear may be associated with conditions such as hiatus hernia, or voluntary regurgitation as seen amongst patients presenting with eating disorders such as anorexia nervosa or bulimia nervosa. It can cause mild to severe damage to the tooth either alone or with combination of other etiological factors like attrition and abfraction .Swishing the acidic drinks around the mouth, holding them in for a long time, brushing immediately after a meal can be the other causes of it. The main causes however …show more content…
The erosion caused by this type usually effects labial surfaces of maxillary and mandibular incisors.

Fig 1:Maxillary teeth showing erosion on the palatal surfaces of the teeth :

Source: http://dentagama.com/news/teeth-erosion

Attrition:
It usually effects the incisal surfaces of the anteriors and the occlusal surfaces of the posteriors .It may however can occur in the inter proximal areas.
It can be because of the bruxism, parafunctional activity or healthy eating .It has a very deteriorating effect if occurring in large extent as may lead to reduced vertical dimension .
Fig 2 &3 : Shows attrited teeth Source: http://www.draxelrad.com/dental-attrition/
Fig 3: Source: http://www.bauersmiles.com/2014/06/do-your-teeth-look-like-this.html/

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