Consensus report of the European Federation of Conservative Dentistry: Erosive tooth wear – diagnosis and management
Engelsk titel: Consensus report of the European Federation of Conservative Dentistry: Erosive tooth wear – diagnosis and management
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Författare:
Carvalho, T S
;
Colon, P
;
Ganss, C
;
Huysmans, M C
;
Lussi, A
;
Schlueter, N
;
Schmalz, G
;
Shellis, R P
;
Tveit, A B
;
Wiegand, A
Språk: Eng
Antal referenser: 7
Dokumenttyp:
Artikel
UI-nummer: 17040090
Sammanfattning
Objective – Due to an increased focus on erosive
tooth wear (ETW), the European Federation of Conservative
Dentistry (EFCD) considered ETW as a
relevant topic for generating this consensus report.
Materials and methods – This report is based on
a compilation of the scientific literature, an expert
conference, and the approval by the General Assembly
of EFCD.
Results – ETW is a chemical-mechanical process
resulting in a cumulative loss of hard dental tissue
not caused by bacteria, and it is characterized by
loss of the natural surface morphology and contour
of the teeth. A suitable index for classification of
ETW is the basic erosive wear examination (BEWE).
Regarding the etiology, patient-related factors include
the predisposition to erosion, reflux, vomiting,
drinking and eating habits, as well as medications
and dietary supplements. Nutritional factors relate
to the composition of foods and beverages, e.g.,
with low pH and high buffer capacity (major risk
factors), and calcium concentration (major protective
factor). Occupational factors are exposition
of workers to acidic liquids or vapors. Preventive
management of ETW aims at reducing or stopping
the progression of the lesions. Restorative management
aims at reducing symptoms of pain and
dentine hypersensitivity, or to restore esthetic and
function, but it should only be used in conjunction
with preventive strategies.
Conclusions – Effective management of ETW includes
screening for early signs of ETW and evaluating
all etiological factors.