title: Bizarre tooth surface loss and the Miswak stick.
abstract: Tooth surface loss can present in a variety of ways, some of which can appear rather strange on first examination. This case report demonstrates an unusual presentation of tooth surface loss (TSL) and its subsequent treatment. This loss of hard dental tissue appeared to be affecting the whole of the patient's remaining dentition, both lingually and buccally. Detailed questioning revealed the origins of this problem which turned out to be due to excessive use of an intra-oral Miswak chewing stick. Cinical Relevance: This article will enable clinicians to understand the importance of specific, targeted history-taking, involving a rare case of tooth surface loss as well as the use of minimally destructive restoration composites and a fibre-reinforced composite bridge.
authors.forename: Roshni
authors.initials: R
authors.lastname: Karia
authors.forename: Martin G
authors.initials: MG
authors.lastname: Kelleher
mesh_terms: D003188:Composite Resins / Q000737:chemistry; D003764:Dental Materials / Q000737:chemistry; D003801:Dental Veneers; D016379:Denture, Partial, Fixed, Resin-Bonded; D005260:Female; D005889:Gingival Recession / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D009910:Oral Hygiene / Q000009:adverse effects* / Q000295:instrumentation; D008517:Phytotherapy / Q000009:adverse effects*; D018547:Plant Stems / Q000009:adverse effects*; D032121:Salvadoraceae; D019237:Tooth Cervix / Q000473:pathology; D057085:Tooth Wear / Q000209:etiology* / Q000473:pathology / Q000628:therapy
chemical_list: D003188:Composite Resins; D003764:Dental Materials