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Attrition and erosion: restorative planning and performance
Annals of the Royal Australasian College of Dental Surgeons
|May 3, 2014
Summary
Severe tooth wear from attrition and erosion presents a growing challenge. Effective treatment requires addressing causes and restoring function, with long-term success depending on maintenance.
Area of Science:
- Dentistry
- Restorative Dentistry
- Dental Biomaterials
Background:
- Increasing prevalence of severe tooth wear due to attrition and erosion.
- Complex treatment challenges beyond simple tooth tissue replacement.
- Necessity of identifying and eliminating etiological factors.
Purpose of the Study:
- To outline a multidisciplinary approach for managing severe tooth wear.
- To discuss restorative treatment planning and maintenance strategies.
- To review current restorative options for extensive tooth structure loss.
Main Methods:
- Multidisciplinary assessment to identify etiological factors.
- Conservative initial management with resin composite build-ups.
- Consideration of indirect restorations (metal-ceramic) for long-term outcomes.
Main Results:
- Restorative treatment necessitates comprehensive dental rehabilitation.
- Early intervention and diagnosis are crucial for successful outcomes.
- Resin composite build-ups offer a reversible, conservative initial approach.
Conclusions:
- Long-term success in managing severe tooth wear hinges on a well-defined maintenance plan.
- Indirect restorations may provide more durable results after initial stabilization.
- A combination of conservative and definitive restorative strategies is often required.
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