Minimum intervention dentistry and the management of tooth wear in general practice

Meyers, I. A. (2013) Minimum intervention dentistry and the management of tooth wear in general practice. Australian Dental Journal, 58 Supp. S1: 60-65. doi:10.1111/adj.12050

Author Meyers, I. A.
Title Minimum intervention dentistry and the management of tooth wear in general practice
Journal name Australian Dental Journal   Check publisher's open access policy
ISSN 0045-0421
Publication date 2013-06
Sub-type Article (original research)
DOI 10.1111/adj.12050
Volume 58
Issue Supp. S1
Start page 60
End page 65
Total pages 6
Editor Kerrod Hallett
Ian Meyers
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2014
Language eng
Formatted abstract
The incidence of tooth wear, or non-carious tooth surface loss (NCTSL), is increasing and oral rehabilitation of patients with non-carious tooth loss requires strategies that address all the factors relevant to the aetiology and pathogenesis of the condition. The multifactorial nature of tooth wear and the variability in its clinical presentation provides treatment challenges for the clinician and successful management must be more than just restoration. Management must include an appropriate mix of preventive and restorative strategies and an understanding that long-term restorative success is affected by the patient's oral environment, and how diet, lifestyle and medical status can modify this environment. Ultimately, the success of any restorative intervention is very dependent on the stability of the oral environment and the condition of the remaining tooth structure. Minimum intervention dentistry (MID) philosophies are ideally suited to tooth wear cases and an overall MID strategy involving diagnosis, recognition and control of predisposing factors, stabilization of the oral environment, remineralization and restoration of the tooth structure, and ongoing maintenance can be implemented. When restorative treatment is required, contemporary materials and techniques are available that can provide cost-effective and conservative restorative alternatives for patients unable to undergo the complex indirect restorative techniques that are both costly and time consuming to implement. These minimally invasive approaches are not only an economically viable solution, but can provide aesthetic and functional rehabilitation and maintain tooth structure as a precursor to more complex restorative options when required.
Keyword Tooth wear
Risk assessment
Minimum intervention
Oral environment
Conservative restoration
Composite restorations
Salivary factors
Dental erosion
Dahl principle
Worn dentition
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Special Issue: Minimum Intervention Dentistry. An Australian Dental Journal Special Supplement.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Dentistry Publications
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Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 6 times in Scopus Article | Citations
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