title: Risk Assessment for Tooth Wear.
abstract: Tooth wear has an increasing prevalence in the UK population. The aetiology is commonly multifactorial, and the aetiopathology is through a combination of erosion, attrition, abrasion and abfraction. Erosion is associated with intrinsic or extrinsic acids, and therefore subjects with reflux disease and eating disorders are at increased risk. Fruit juice, fruits and carbonated drink consumption, frequency of consumption and specific habits are also risk factors. Attrition is more prevalent in bruxists. Other habits need to be considered when defining the risk of tooth wear. Abrasion is usually associated with toothbrushing and toothpastes, especially in an already acidic environment. Patients with extensive lesions that affect dentin may be at higher risk, as well as those presenting with unstained lesions. Monitoring of the progress of tooth wear is recommended to identify those with active tooth wear. Indices for tooth wear are a helpful aid.
authors.affiliation: King's College London Dental Institute, UK.
authors.forename: Isavella
authors.initials: I
authors.lastname: Kontaxopoulou
authors.forename: Sonia
authors.initials: S
authors.lastname: Alam
mesh_terms: D000143:Acids / Q000009:adverse effects; D001628:Beverages / Q000009:adverse effects; D002012:Bruxism / Q000150:complications; D002253:Carbonated Beverages / Q000009:adverse effects; D042241:Early Diagnosis; D005247:Feeding Behavior; D001068:Feeding and Eating Disorders / Q000150:complications; D005638:Fruit; D005764:Gastroesophageal Reflux / Q000150:complications; D006801:Humans; D006863:Hydrogen-Ion Concentration; D018570:Risk Assessment; D014072:Tooth Abrasion / Q000209:etiology; D019217:Tooth Attrition / Q000209:etiology; D014077:Tooth Erosion / Q000175:diagnosis / Q000209:etiology*; D057085:Tooth Wear / Q000209:etiology; D014099:Toothbrushing / Q000009:adverse effects / Q000295:instrumentation; D014100:Toothpastes / Q000009:adverse effects
chemical_list: D000143:Acids; D014100:Toothpastes