Toothwear 2

Question 1

how would you deal with sensitivity on a pt with tooth wear?

Answer 1

desensitising agents: fluoride, bonding agents, GIC covering exposed dentine

Question 2

what would you do to sharp edges of teeth in toothwear pt?

Answer 2

smooth to prevent trauma to cheeks and tongue

Question 3

how can you help a pt prevent & manage abrasion?

Answer 3

• change habits (nail biting)
• toothbrushing habits
• place RMGI/GI on areas where lots of abrasion

Question 4

how can you help a pt manage/prevent attrition?

Answer 4

parafunctional habit ->
life stress
- Cognitive behavioural therapy
- hypnosis
- meditate
- exercise

Hard/Soft splint

Question 5

how do you prevent/manage erosion in a pt?

Answer 5

fluorides, duraphat, desensitising agents.

• diet management
• using straws
• controlling medical conditions (acid reflux, GORD)
• Bulimia

Question 6

in a patient with toothwear, what is passive management?

Answer 6

• prevention & monitoring
• this is treatment even though you havent physically done anything

Question 7

in a pt with toothwear, what is active management and when do you progress to it?

Answer 7

• simple restorative intervention (covering dentine, or cupped defects)
• patient getting symptoms, wear getting worse

Question 8

what is the DAHL technique and what is the benefit of it?

Answer 8

method of gaining space in cases of localised tooth wear

Removable CoCr anterior bite plane

posteriors erupt resulting in increased space to provide restorations, comp buildups etc

Question 9

what type of patients is the dahl technique not useful for?

Answer 9

• active perio disease
• tmj problems
• post orthodontics
• bisphosphonates
• if implants present