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International Journal of Dentistry
Volume 2012, Article ID 742509, 9 pages
http://dx.doi.org/10.1155/2012/742509
Review Article

Biologically Based Restorative Management of Tooth Wear

1King's College London Dental Institute, Denmark Hill, London SE5 9RT, UK
2Eastman Dental Hospital, 256 Gray's Inn Road, London WC1X 8LD, UK
3King's College London Dental Institute, Guy's Hospital, London Bridge, London SE1 9RT, UK

Received 31 July 2011; Revised 20 September 2011; Accepted 20 September 2011

Academic Editor: Ridwaan Omar

Copyright © 2012 Martin G. D. Kelleher et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The prevalence and severity of tooth wear is increasing in industrialised nations. Yet, there is no high-level evidence to support or refute any therapeutic intervention. In the absence of such evidence, many currently prevailing management strategies for tooth wear may be failing in their duty of care to first and foremost improve the oral health of patients with this disease. This paper promotes biologically sound approaches to the management of tooth wear on the basis of current best evidence of the aetiology and clinical features of this disease. The relative risks and benefits of the varying approaches to managing tooth wear are discussed with reference to long-term follow-up studies. Using reference to ethical standards such as “The Daughter Test”, this paper presents case reports of patients with moderate-to-severe levels of tooth wear managed in line with these biologically sound principles.