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Monographs in Oral Science 2014Tooth wear is the result of three processes: abrasion (wear produced by interaction between teeth and other materials), attrition (wear through tooth-tooth contact) and... (Review)
Review
Tooth wear is the result of three processes: abrasion (wear produced by interaction between teeth and other materials), attrition (wear through tooth-tooth contact) and erosion (dissolution of hard tissue by acidic substances). A further process (abfraction) might potentiate wear by abrasion and/or erosion. Knowledge of these tooth wear processes and their interactions is reviewed. Both clinical and experimental observations show that individual wear mechanisms rarely act alone but interact with each other. The most important interaction is the potentiation of abrasion by erosive damage to the dental hard tissues. This interaction seems to be the major factor in occlusal and cervical wear. The available evidence is insufficient to establish whether abfraction is an important contributor to tooth wear in vivo. Saliva can modulate erosive/abrasive tooth wear, especially through formation of pellicle, but cannot prevent it.
Topics: Dental Enamel; Dental Pellicle; Dentin; Humans; Saliva; Tooth Abrasion; Tooth Attrition; Tooth Cervix; Tooth Erosion; Tooth Wear
PubMed: 24993256
DOI: 10.1159/000359936 -
Journal of Oral Rehabilitation Jan 2016Tooth wear is a multifactorial condition, leading to the loss of dental hard tissues, viz. enamel and dentine. Tooth wear can be divided into the subtypes mechanical... (Review)
Review
Tooth wear is a multifactorial condition, leading to the loss of dental hard tissues, viz. enamel and dentine. Tooth wear can be divided into the subtypes mechanical wear (attrition and abrasion) and chemical wear (erosion). Because of its multifactorial aetiology, tooth wear can manifest itself in many different representations, and therefore, it can be difficult to diagnose and manage the condition. A systematic approach is a sine qua non. In the below-described tooth wear evaluation system (TWES), all necessary tools for a clinical guideline are present in different modules. This allows the dental clinician, in a general practitioner setting as well as in a referral practice setting, to perform a state-of-the-art diagnostic process. To avoid the risk of a too cumbersome usage, the dental clinician can select only those modules that are appropriate for a given setting. The modules match with each other, which is indispensable and essential when different modules of the TWES are compared. With the TWES, it is possible to recognise the problem (qualifying), to grade its severity (quantifying), to diagnose the likely causes and to monitor (the progress of) the condition. In addition, a proposal for the classification of tooth wear is made. Further, it is possible to determine when to start a treatment, to make the decision which kind of treatment to apply and to estimate the level of difficulty of a restorative treatment.
Topics: Dentition; Feeding Behavior; Humans; Medical History Taking; Oral Hygiene; Practice Guidelines as Topic; Risk Factors; Severity of Illness Index; Tooth Abrasion; Tooth Attrition; Tooth Erosion
PubMed: 26333037
DOI: 10.1111/joor.12340 -
Quintessence International (Berlin,... Jun 2003Attrition, erosion, and abrasion result in alterations to the tooth and manifest as tooth wear. Each classification acts through a distinct process that is associated... (Review)
Review
Attrition, erosion, and abrasion result in alterations to the tooth and manifest as tooth wear. Each classification acts through a distinct process that is associated with unique clinical characteristics. Accurate prevalence data for each classification are not available since indices do not necessarily measure one specific etiology, or the study populations may be too diverse in age and characteristics. The treatment of teeth in each classification will depend on identifying the factors associated with each etiology. Some cases may require specific restorative procedures, while others will not require treatment. A review of the literature points to the interaction of the three entities in the initiation and progression of lesions that may act synchronously or sequentially, synergistically or additively, or in conjunction with other entities to mask the true nature of tooth wear, which appears to be multifactorial.
Topics: Acids; Bruxism; Dental Restoration, Permanent; Humans; Hydrogen-Ion Concentration; Tooth Abrasion; Tooth Attrition; Tooth Erosion; Toothbrushing
PubMed: 12859088
DOI: No ID Found -
Monographs in Oral Science 2006Tooth wear is the result of three processes: abrasion (wear produced by interaction between teeth and other materials), attrition (wear through tooth-tooth contact) and... (Review)
Review
Tooth wear is the result of three processes: abrasion (wear produced by interaction between teeth and other materials), attrition (wear through tooth-tooth contact) and erosion (dissolution of hard tissue by acidic substances). A further process (abfraction) might potentiate wear by abrasion and/or erosion. Both clinical and experimental observations show that individual wear mechanisms rarely act alone but interact with each other. The most important interaction is the potentiation of abrasion by erosive damage to the dental hard tissues. This interaction seems to be the major factor in occlusal and cervical wear. The available evidence seems insufficient to establish whether abfraction is an important contributor to tooth wear in vivo. Saliva can modulate erosive/abrasive tooth wear through formation of pellicle and by remineralisation but cannot prevent it.
Topics: Dental Pellicle; Humans; Saliva; Stress, Mechanical; Tooth Abrasion; Tooth Attrition; Tooth Erosion; Tooth Remineralization
PubMed: 16687882
DOI: 10.1159/000093348 -
British Dental Journal Jan 2021
Topics: Consensus; Humans; Tooth Attrition; Tooth Wear
PubMed: 33483663
DOI: 10.1038/s41415-021-2611-1 -
The Journal of Clinical Dentistry 2006There is increasing clinical awareness of erosion of enamel and dentine by dietary acids and the consequent increased susceptibility to physical wear. Enamel erosion is... (Review)
Review
There is increasing clinical awareness of erosion of enamel and dentine by dietary acids and the consequent increased susceptibility to physical wear. Enamel erosion is characterized by acid-mediated surface softening that, if unchecked, will progress to irreversible loss of surface tissue, potentially exposing the underlying dentine. In comparison, dentine erosion is less well understood as the composition and microstructure are more heterogeneous. Factors which affect the erosive potential of a solution include pH, titratable acidity, common ion concentrations, and frequency and method of exposure. Abrasion and attrition are sources of physical wear and are commonly associated with tooth brushing and tooth-to-tooth contact, respectively. A combination of erosion and abrasion or attrition exacerbates wear; however, further research is required to understand the role of fluoride in protecting mineralized tissues from such processes. Abrasive wear may be seen in a wide range of patients, whereas attritive loss is usually seen in individuals with bruxism. Wear processes are implicated in the development of dentine hypersensitivity. Saliva confers the major protective function against wear due to its role in pellicle formation, buffering, acid clearance, and hard tissue remineralization. This review focuses on the physiochemical factors impacting tooth wear.
Topics: Dental Enamel; Dentin; Dentin Sensitivity; Humans; Saliva; Tooth Abrasion; Tooth Attrition; Tooth Erosion; Toothbrushing; Toothpastes
PubMed: 17131710
DOI: No ID Found -
British Dental Journal Mar 2023
Topics: Humans; Tooth Wear; Tooth Attrition; Tooth Erosion
PubMed: 36964337
DOI: 10.1038/s41415-023-5678-z -
Australian Dental Journal Jun 2013Developmental enamel defects, presenting as enamel hypoplasia or opacities are caused by damage or disruption to the developing enamel organ as a result of inherited and... (Review)
Review
Developmental enamel defects, presenting as enamel hypoplasia or opacities are caused by damage or disruption to the developing enamel organ as a result of inherited and acquired systemic conditions. The high prevalence of these defects in the primary dentition demonstrates the vulnerability of the teeth to changes in the pre- and postnatal environment. The presence of enamel hypoplasia increases the risk of primary teeth to early childhood caries and tooth wear as the defective enamel is thinner, more plaque retentive and less resistant to dissolution in acid compared to normal enamel. The purpose of this paper was to critically review the aetiology and clinical complications of developmental enamel defects in the primary dentition and propose recommendations for the clinical management of affected teeth.
Topics: Child, Preschool; Dental Caries; Dental Enamel; Dental Enamel Hypoplasia; Female; Humans; Tooth Attrition; Tooth Wear; Tooth, Deciduous
PubMed: 23713631
DOI: 10.1111/adj.12039 -
British Dental Journal Mar 2018Attrition is an enigmatic condition often found in older individuals and often as a result of bruxism which can take place as a result of either day bruxism, night... (Review)
Review
Attrition is an enigmatic condition often found in older individuals and often as a result of bruxism which can take place as a result of either day bruxism, night bruxism or both. Various studies and systemic reviews clearly shown that tooth wear is an age-related phenomena and the last Adult Dental Health Survey showed that 15% of participants showed moderate wear and 3% severe wear with 80% of patients over 50 years of age showing signs of wear. This review examines current theories around the aetiological factors contributing to attrition together with the clinical management of attrition focusing on minimal intervention where possible.
Topics: Dental Restoration, Permanent; Humans; Tooth Attrition
PubMed: 29495028
DOI: 10.1038/sj.bdj.2018.169 -
Monographs in Oral Science 2006
Review
Topics: Dental Enamel; Dentin; Humans; Oral Hygiene; Tooth Abrasion; Tooth Attrition; Tooth Erosion
PubMed: 16374030
DOI: 10.1159/000090587