Tooth wear with an emphasis on the prosthodontic management options: A Review of Literature

Abstract

Background: according to recent dental surveys, dental caries prevalence has dropped, and patients have retained their teeth for more extended periods. This leads to further dental complications such as tooth wear which may present with some dental problems such as impaired dental aesthetics. Tooth wear is the 3rd most common dental condition in the UK. This review will investigate the different treatment modalities for tooth wear and the indication of each. Aim: To review and assess the published knowledge of tooth wear which include the prevalence, aetiology, assessment, and emphasis on the indication of each treatment modality. Research method and result: an electronic search of PubMed, Cochran Library and Web of Science was carried out that include Guidelines, Journal papers, and textbooks. Databases were searched up to January 2021, and a total of 237 articles were included in this review. Conclusion: Restorative treatment is indicated when the patient complains about dental aesthetics and/or function. Composite resin has shown promising outcomes for treating tooth wear conditions. Overdentures are a conservative option like direct composite restoration, and conventional crown is the least desirable due to the high risk of technical and biological complications. A proper assessment and knowledge of aetiology are essential before treatment. Early detection of tooth wear is not straightforward. Dentists should undertake preventive measures once they identify tooth wear to delay the commencement of the restorative cycle.