Toothwear L1 Part 1 - Applying Aetiology to Treatment Plans Flashcards
what are some of the main causes of tooth wear?
- attrition
- erosion
- abrasion
- combination
- sometimes unknown
why is knowing the cause/aetiology of toothwear important?
- attempt to reduce further wear
- aids diagnosis & tx planning
what are some of the modifying factors involved in attrition?
- lack of posterior teeth
- occlusion
- restorations
- erosion & abrasion
- stress & anxiety
what are common features of a bruxist?
- significant wear throughout dentition
- repeated restoration failure
- root fractures
- often onset in early adulthood
- progressive
why is lack of posterior support result in wear?
wear can occur quicker as no posterior support so remaining teeth take more force
what are some occlusal features of a pt who would have wear?
- deep overbite
- edge to edge occlusion
what are some intrinsic causes of tooth erosion?
- eating disorders
- GORD
- other medical conditions
what are some common features of a pt who OVER CONSUMES CARBONATED DRINKS?
- Incisal erosion on upper centrals
- cupping on lower molars
- palatal erosion on upper incisors
- sensitivity
- interproximal caries
what are some extrinsic causes of tooth erosion?
- carbonated drinks
- sports drinks
- sweets
- anything acidic
what are some common features of a pt with EATING DISORDER?
- palatal erosion upper teeth
- sensitivity
- caries
- erosion around restorations
what are some things that can cause abrasion?
- toothbrush abrasion
- oral self harm
- tongue studs
- occupational
- unusual habits
what are some common prevention advice for toothwear?
Fluoride (high dose toothpaste)
Diet Modification:
- Frequency & quantity
- method of delivery
- elimination & addition
- sugar free gum
what are some interventions that can control aetiology of tooth wear?
- Toothbrush instruction
- splint therapy
- Signposting (CBT, hypnotherapy)
- Referral (GP, Psychiatrist, social services)
