Severe Tooth Wear: European Consensus Statement 
on Management Guidelines.

Area of Science:

• Dentistry
• Dental Biomaterials
• Conservative Dentistry

Background:

• Severe tooth wear presents a complex clinical challenge.
• Differentiating physiological from pathological tooth wear is crucial for effective management.
• Existing guidelines lack comprehensive, consensus-driven protocols for severe tooth wear.

Purpose of the Study:

• To establish European expert consensus guidelines for managing severe tooth wear.
• To provide a framework for diagnosis, prevention, and treatment of pathological tooth wear.
• To outline minimally invasive restorative strategies for severe tooth wear.

Main Methods:

• Development of consensus statements through expert panel discussions.
• Review of current scientific literature on tooth wear etiology and management.
• Formulation of evidence-based recommendations for clinical practice.

Main Results:

• Clear definitions distinguishing physiological and pathological tooth wear.
• Recommendations for etiological assessment, diagnosis, and monitoring.
• Emphasis on conservative, minimally invasive restorative approaches, delaying intervention when possible.
• Presentation of adhesive, minimum-intervention management protocols.

Conclusions:

• A multifactorial approach is essential for managing severe tooth wear.
• Conservative and minimally invasive treatments are preferred for restorative interventions.
• Patient wishes and severity of wear are key factors in management decisions.
• Integrated preventive strategies are vital for long-term success.