Toothwear: The ABC of the Worn Dentition: Khan/Toothwear: The ABC of the Worn Dentition

This is one of the first books to provide a clinically focussed account of the diagnosis, prevention and treatment of all forms of toothwear. Bringing together the latest research, it is compiled by international leaders in the field to create an essential clinical guide for dental practitioners. The book covers all forms of toothwear and dental erosion, and is presented in a practical format that allows for ease of reference and helps assimilate clinical information quickly. It defines the stages of toothwear, provides schematic approaches to allow better understanding of the key role that saliva plays, and highlights the differences between acid erosion and dental caries. Importantly for clinicians, it provides a framework for developing best practice management strategies by discussing diagnostic skills, treatment planning and therapeutic modalities. An essential resource based on a solid research platform, this book will provide dental clinical professionals with the missing links they seek to diagnose, prevent, manage, restore and rehabilitate the worn dentition more confidently. It will be of value to dentists, dental therapists, dental hygienists, and students in these areas. KEY FEATURES • Covers all forms of toothwear and dental erosion across all age-groups • Includes discussion of best practice management strategies • Discusses aetiology, diagnosis, prevention and treatment in a clinical context • Contains many full colour clinical illustrations and schematic conceptualisations • Brings together the latest clinical views and research with a wide range of international contributors Content: Chapter 1 The Multifactorial Nature of Toothwear (pages 1–15): Farid Khan and William G. Young Chapter 2 Diagnosis and Management of Toothwear in Children (pages 16–33): W. Kim Seow and Sue Taji Chapter 3 Childhood Diet and Dental Erosion (pages 34–49): Louise Brearley Messer and William G. Young Chapter 4 The Oral Presentation of Toothwear in Adults (pages 50–74): Farid Khan and William G. Young Chapter 5 Salivary Protection Against Toothwear and Dental Caries (pages 75–88): Colin Dawes Chapter 6 Dental Diagnosis and the Oral Medicine of Toothwear (pages 89–110): William G. Young and Colin Dawes Chapter 7 Preventive and Management Strategies Against Toothwear (pages 111–133): Farid Khan and William G. Young Chapter 8 Measurement of Severity and Progression of Toothwear (pages 134–152): William H. Douglas and William G. Young Chapter 9 Biomaterials (pages 153–167): Stephen C. Bayne Chapter 10 The Role of Toothwear in Occlusion (pages 168–181): Anders Johansson and Gunnar E. Carlsson Chapter 11 Restoration of the Worn Dentition (pages 182–204): Ian Meyers and Farid Khan Chapter 12 Rehabilitation of the Worn Dentition (pages 205–227): Ridwaan Omar and Ann‐Katrin Johansson Toothwear: The ABC of the Worn Dentition 3 Contents 7 Contributors 11 Foreword 13 1 The multifactorial nature of toothwear 15 Toothwear processes 15 Saliva protection 18 Intrinsic and extrinsic acids 18 Examination of facial, extraoral and intraoral soft tissues 18 Toothwear in children 23 Toothwear and dental caries 23 Toothwear – A multifactorial process 26 References 28 2 Diagnosis and management of toothwear in children 30 Clinical presentations of toothwear in children 30 History-taking, assessment and diagnosis 34 Children at increased risk for toothwear 35 Management of toothwear in children 39 The global perspective 46 References 46 3 Childhood diet and dental erosion 48 Dental erosion in children, adolescents and teenagers 48 Concerns of patients and parents 48 Clinical appearance of dental erosion 49 Dietary findings in dental erosion 49 Dental erosion as a lifestyle issue 51 Recommendations for patients to reduce erosion 53 Dental erosion and dental caries compared 55 Dietary counselling for children and adolescents 56 The key messages 62 References 62 4 The oral presentation of toothwear in adults 64 Diagnostic modalities 64 Surface susceptibility of toothwear and site specificity of dental caries 67 The clinical presentation of toothwear 68 Charting toothwear 80 Application of The Stages of Wear to diagnosing toothwear 85 Utilising the charted odontogram to assess patient risk 86 Summary 87 References 87 5 Salivary protection against toothwear and dental caries 89 Factors causing toothwear 89 Factors causing dental caries 89 Why does a tooth dissolve in acid? 91 Sources and components of saliva relevant to toothwear and caries 92 Conclusions 100 References 101 6 Dental diagnosis and the oral medicine of toothwear 103 The approach 103 Mild, moderate or severe toothwear 103 Complaint/discovery 104 Development 104 Attrition 105 Abrasion 106 Toothbrushing 106 Oral hygiene 107 Diet erosion 107 Gastric erosion 108 Sports and social 108 Medical 109 Addictions, fixations and confidentiality 109 The cases 110 Summary 122 References 122 7 Preventive and management strategies against toothwear 125 Aiming prevention at all ages 125 Lifestyle, health and environmental risk factors 128 The WATCH strategy 131 Adjunctive products 131 Diet diaries and review 140 Patient’s reporting sensitivity 140 Treatment planning 142 The review appointment 143 Summary 144 References 145 8 Measurement of severity and progression of toothwear 148 Non-parametric or semi-parametric approaches 148 Parametric measurement of toothwear 149 Reporting toothwear 151 The cases 159 References 165 9 Biomaterials 167 Introduction 167 Overview of biomaterials wear 171 Clinical wear performance of biomaterials 175 Comments on special wear situations 179 References 181 10 The role of toothwear in occlusion 182 Development of occlusion 184 Patterns of toothwear on anterior palatal and posterior occlusal surfaces and Angle’s classification 190 Conclusion 193 References 194 11 Restoration of the worn dentition 196 To restore or not to restore is a central question 196 Pre-restorative treatment – preparation and planning 197 Restorative challenges 198 Restoring the stages of wear 198 Patient demands, aspirations, aesthetics and case selection 201 Conservative restorative options for partial or full-mouth occlusal reconstruction 202 Summary 216 References 216 12 Rehabilitation of the worn dentition 219 Principles and strategies for rehabilitating worn dentitions 220 Conclusion 240 References 240 Index 243