Severe tooth wear: European consensus statement on management guidelines

Bas Loomans*, Niek Opdam, Thomas Attin, David Bartlett, Daniel Edelhoff, Roland Frankenberger, Goran Benic, Simon Ramseyer, Peter Wetselaar, Bernadette Sterenborg, Reinhard Hickel, Ulla Pallesen, Shamir Mehta, Subir Banerji, Adrian Lussi, Nairn Wilson

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

213 Citations (Scopus)

Abstract

This paper presents European expert consensus guidelines on the management of severe tooth wear. It focuses on the definition of physiological vs pathological tooth wear and recommends diagnosis, prevention, counseling, and monitoring aimed at elucidating the etiology, nature, rate and means of controlling pathological tooth wear. Management decisions are multifactorial, depending principally on the severity and effects of the wear and the wishes of the patient. Restorative intervention is typically best delayed as long as possible. When such intervention is indicated and agreed upon with the patient, a conservative, minimally invasive approach is recommended, complemented by supportive preventive measures. Examples of adhesive, minimum-intervention management protocols are presented.

Original languageEnglish
Pages (from-to)111-119
Number of pages9
JournalJOURNAL OF ADHESIVE DENTISTRY
Volume19
Issue number2
DOIs
Publication statusPublished - 2017

Keywords

  • Decision making
  • Direct
  • Indirect
  • Restorative treatment
  • Tooth wear

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