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Precision of In Vivo Quantitative Tooth Wear Measurement Using Intra-Oral Scans
Published on: July 12, 2022
The evolution of tooth wear indices
1Birmingham Dental Hospital, St. Chad's Queensway, Birmingham, B4 6NN, UK. Penny.Bardsley@sbpct.nhs.uk
Clinical Oral Investigations
|January 30, 2008
Summary
Tooth wear, including attrition, erosion, and abrasion, is a growing global concern. Standardized indices are needed for accurate diagnosis and comparison of dental hard tissue loss, as current methods lack universal acceptance.
Area of Science:
- Dentistry
- Dental Research
- Oral Health
Background:
- Tooth wear (attrition, erosion, abrasion) is a significant international dental problem.
- Clinical studies are hampered by inconsistent terminology and numerous diagnostic indices for dental hard tissue loss.
- Existing indices often lack universal acceptance, complicating prevalence assessments.
Observation:
- Numerous numerical indices exist for diagnosing, grading, and monitoring tooth wear.
- Indices vary in their approach, focusing either on etiology (e.g., erosion indices) or irrespective of cause (tooth wear indices).
- A lack of universal acceptance for any single index hinders comparative research and clinical interpretation.
Findings:
- The evolution of current indices reveals a need for standardized criteria in assessing tooth wear.
- No single index currently meets the universal clinical and research requirements for evaluating dental erosion.
- Ideal requirements for an effective erosion index are discussed in relation to existing literature.
Implications:
- Developing a universally accepted erosion index is crucial for accurate diagnosis and monitoring of tooth wear.
- Standardization will improve the reliability of epidemiological studies and clinical research on dental hard tissue loss.
- This research highlights the need for consensus in terminology and methodology for tooth wear assessment in dentistry.
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