Tooth wear risk assessment and care-planning in general dental practice

O’Toole, Saoirse; Khan, Mohammad Naeem; Patel, Amit; Patel, Neil; Shah, Naseem; Bartlett, David; Movahedi, Sana

doi:10.1038/sj.bdj.2018.171

Cited by 15 publications

(8 citation statements)

References 27 publications

(22 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Implementation of an easy-to-use index such as BEWE into patient records would be beneficial; this would serve clinicians in the evaluation and follow-up of ETW. Opposite to the findings of O'Toole et al [9], respondents' working experience had no association with the recording practices. 2) 52 (7.7) n¼the number of dentists responding to each question, multiple choices were allowed.…”

Section: Discussioncontrasting

confidence: 87%

“…Epidemiologic studies suggest an increasing prevalence and severity of ETW among children and adolescents [5,6]. However, literature suggests that among clinical dental practitioners, there appears to be a need for enhancing awareness and knowledge about ETW and how to deal with it [7][8][9][10]. A large proportion of dentists are reported to advise their patients about ETW only occasionally or rarely [11,12].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge on and treatment practices of erosive tooth wear among Finnish dentists

Kangasmaa

Tanner

Laitala

et al. 2021

Acta Odontologica Scandinavica

View full text Add to dashboard Cite

Objectives: To investigate Finnish dentists' knowledge on and means of recording, detecting and diagnosing erosive tooth wear (ETW). Treatment options and possible differences in treatment decisions between general and specialized dentists were also evaluated. Materials and methods: An electronic questionnaire was sent by e-mail to 3664 Finnish dentists. Respondents' gender, age, work experience, field of specialty, and practice location were requested. The questionnaire also included a patient case where the dentists were asked about their choice of treatment. Statistical analyses were performed using means, proportions, and cross tabulations. Results: Response rate was 24% (n ¼ 866). Almost all respondents (98.0%) recorded ETW in patient files, but only 4.1% used a detailed scoring system. Of the respondents, 64.4% usually found the cause of ETW. Use of carbonated beverages (84.3%), energy drinks (57.0%), and reflux disease (53.1%) were reported to be probable causes. The majority of the respondents (80.9%) usually assessed patient's dietary history while 1.9% evaluated saliva secretion rate. When asked about treatment decisions of ETW patients, the differences between general dentists and specialized dentists were not as obvious as hypothesized. Conclusions: This study suggests that the Finnish dentists who participated in this survey are able to detect and/or diagnose erosive tooth wear, but there is variation in recording it. The differences in treatment decisions between general dentists and specialized dentists seem to be moderate. The treatment practices for ETW are not established and further research to create clinical guidelines seems to be needed.

show abstract

Section: Discussioncontrasting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Knowledge on and treatment practices of erosive tooth wear among Finnish dentists

Kangasmaa

Tanner

Laitala

et al. 2021

Acta Odontologica Scandinavica

View full text Add to dashboard Cite

show abstract

“…An earlier study carried out in general dental practice evaluated the extent to which recently‐graduated and experienced dentists recorded, assessed risk, and planned non‐operative strategies for erosive tooth wear [24]. These authors reported that experienced dentists were significantly less likely to both assess risk and propose non‐operative strategies for erosive tooth wear.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis, risk assessment, and treatment decisions for tooth wear in daily practice: a case presentation survey among Belgian dentists

Kanaan

Brabant

Hara

et al. 2021

European J Oral Sciences

View full text Add to dashboard Cite

This survey assessed the use of current concepts for tooth wear diagnosis, risk assessment, and treatment decisions in daily practice, and identified factors of significance for treatment decisions. A total of 104 dentists were presented with 10 cases representing varying degrees of tooth wear. The dentists were asked to answer six questions pertaining to the diagnosis, risk assessment, and treatment of each case. A benchmark was established by three experts and the agreement between dentists and the benchmark was calculated. At dentition level, the agreement was moderate for diagnosis (κ = 0.55) and risk assessment (κ = 0.54). At tooth/surface level, the agreement for clinical and radiographic severity of wear was moderate (κ = 0.57) and substantial (κ = 0.65), respectively. The agreement for treatment decision was fair (κ = 0.35). Multivariate logistic regression analysis showed that treatment decisions for operative treatment were associated with moderate to high case risk (OR = 10.1; 95% CI: 5.4–18.9). Belgian dentists performed reasonably well in applying current concepts and strategies for tooth wear diagnosis and risk assessments at dentition level, as well as for assessment of wear severity at tooth/surface level. Improvement is warranted concerning treatment decisions. This survey could be a useful tool for disseminating and improving current knowledge of tooth wear, and for training dentists in daily practice.

show abstract

“…53 This lack of severe biological implications of wear on teeth draws into question the merit of treatment. Multiple epidemiological studies have shown that there is an impact of severe tooth wear on quality of life and this has been observed to be related primarily to aesthetics, 54,55 not function although the quality of evidence for this is low. One investigative clinical study aimed to identify the impact of prosthodontic rehabilitation on quality of life.…”

Section: Focus Question 3: What Happens To Teeth As They Wear?mentioning

confidence: 99%

Tooth Wear: Best Evidence Consensus Statement

Bartlett

O’Toole

2021

Journal of Prosthodontics

View full text Add to dashboard Cite

Purpose: The purpose of this Best Evidence Consensus Statement was to evaluate the impact of wear on teeth. Materials and Methods: A search last updated on October 7, 2020 using the terms tooth wear, dental erosion, dental abrasion or dental attrition yielded 11,694 results. Limiting the search to clinical trials, cross-sectional investigations, randomized controlled trials, reviews, systematic reviews and meta-analysis yielded 1,769 results. Mechanistic in vitro studies were also added to the list of abstracts supplying additional information of the impact of wear on teeth. All abstracts were reviewed by two authors. Those relating to the focus question formed the evidence base which was used to formulate the response. Results: From the search results, 212 articles were related to the research question and 60 were included in this paper. Although tooth wear prevalence is over 30% of the population in early adulthood and increases as individual's age, the impact on the dentition is poorly investigated in longitudinal clinical studies. Wear on teeth can result in alterations in shape and potentially dentine hypersensitivity depending on the etiology. However, the process is slow and pulpal death is rare. The impact that tooth wear has on the patient depends on patient characteristics to a greater extent than the severity of wear. Conclusions: Tooth wear is a common condition and part of the ageing process. Erosive tooth wear is a term which acknowledges that acids are normally linked to progression, but mechanical actions of attrition and abrasion will cause visible damage. The changes to the shape of teeth on the macro and micro levels are used to investigate the progression, prevention, etiology, and management. The biological impact of wear on teeth is relatively innocuous and management is often a patient driven process.

show abstract

Tooth wear risk assessment and care-planning in general dental practice

Cited by 15 publications

References 27 publications

Knowledge on and treatment practices of erosive tooth wear among Finnish dentists

Knowledge on and treatment practices of erosive tooth wear among Finnish dentists

Diagnosis, risk assessment, and treatment decisions for tooth wear in daily practice: a case presentation survey among Belgian dentists

Tooth Wear: Best Evidence Consensus Statement

Contact Info

Product

Resources

About