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The evolution of tooth wear indices

Clinical Oral Investigations


Tooth wear, Tooth wear indices

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      Tooth wear—attrition, erosion and abrasion—is perceived internationally as an ever-increasing problem. Clinical and epidemiological studies, however, are difficult to interpret and compare due to differences in terminology and the large number of indices that have been developed for diagnosing, grading and monitoring dental hard tissue loss. These indices have been designed to identify increasing severity and are usually numerical. Some record lesions on an aetiological basis (e.g. erosion indices), others record lesions irrespective of aetiology (tooth wear indices); none have universal acceptance, complicating the evaluation of the true increase in prevalence reported. This article considers the ideal requirements for an erosion index. It reviews the literature to consider how current indices have evolved and discusses if these indices meet the clinical and research needs of the dental profession.

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      Most cited references 32

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      An index for measuring the wear of teeth.

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        Dental erosion in a population of Swiss adults.

         Sarah Suter,  P Hotz,  A Lussi (1991)
        The purpose of this study was to determine the prevalence of dental erosion in an adult population in Switzerland. 391 randomly selected persons from two age groups (26-30 and 46-50 yr) were examined for frequency and severity of erosion on all tooth surfaces. Information was gathered by interview about lifestyle, dietary and oral health habits. For facial surfaces 7.7% of the younger age group and 13.2% of the older age group showed at least one tooth affected with erosion with involvement of dentin (grade 2). 3.5 teeth per person in the younger and 2.8 teeth per person in the older age group were affected. Occlusally, at least one severe erosion was observed in 29.9% of the younger and 42.6% of the older sample with 3.2 and 3.9 erosion-affected teeth per person, respectively. 3.6% of the younger age group and 6.1% of the older age group showed slight lingual erosion on the maxillary anterior teeth. Severe lingual erosions were scarce. Data from interviews and multiple regression analyses revealed that acids from beverages are significantly associated with presence of erosion.
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          Dental erosion of nonindustrial origin. A clinical survey and classification.

           J.D. Eccles (1979)
          A survey was made from the clinical records of 72 patients diagnosed as suffering from dental erosion of nonindustrial origin. The information surveyed included dietary history, relevant medical history, clinical examination, and color photographs of the affected teeth. A new classification of erosion is proposed and the different types of lesions are described.

            Author and article information

            Birmingham Dental Hospital, St. Chad’s Queensway, Birmingham, B4 6NN UK
            +44-121-2372723 ,
            Clin Oral Investig
            Clinical Oral Investigations
            Springer-Verlag (Berlin/Heidelberg )
            29 January 2008
            March 2008
            : 12
            : Suppl 1
            : 15-19
            © Springer-Verlag 2008
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            © Springer-Verlag 2008


            tooth wear, tooth wear indices


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