Wear 1 Flashcards

1
Q

what is physiological tooth wear

A

normal wear associated with ageing and normal function

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2
Q

what is pathological wear

A

tooth wear in excess of what would be expected for that age

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3
Q

what are the types of NCTSL

A

attrition
abrasion
erosion
abfraction

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4
Q

what is attrition

A

wearing away of a tooth structure as a result of tooth to tooth contact found on occlusal and incisal contacting surfaces

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5
Q

what is the early appearance and progression of attrition

A

polished facet
reduction in cusp height and flattening of occlusal inclined planes

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6
Q

what is attrition related to

A

parafunctional habit

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7
Q

what is abrasion

A

wear of tooth through abnormal mechanical process independent of occlusion on buccal/cervical canines and premolars

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8
Q

what is abrasion related to

A

foreign objects repeatedly contacting the tooth (toothbrushing)

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9
Q

what does abrasion look like

A

v-shaped or rounded lesions with sharp margins at enamel edge

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10
Q

what is erosion

A

loss of tooth surface by a chemical process that does not involve bacterial action

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11
Q

what is the cause of erosion

A

chronic exposure of dental hard tissues to acidic substances

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12
Q

what is the early appearance and progression of erosion

A

enamel surface has loss of detail and then becomes flat and smooth
bilateral concave lesions
cupping of occlusal surfaces

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13
Q

what is abfraction

A

loss of hard tissue from eccentric occlusal forces leading to compressive and tensile stresses at the cervical fulcrum areas of the tooth

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14
Q

what causes abfraction

A

biomechanical loading forces

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15
Q

what can cause cervical wear

A

overzealous toothbrushing
abrasion

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16
Q

how do you assess toothwear

A

recognise problem
grade severity
diagnose causes
monitor progression

17
Q

what are the medical causes of erosion

A

low pH medicines
dry mouth medicines
alcoholism
heartburn
GORD
hiatus hernia
rumination
pregnancy

18
Q

what do you examine extraorally

A

TMJ for movement
musculature for hypertrophy
mouth opening for restriction and deviation
parotic hypertrophy
overclosure

19
Q

what do you examine occlusal wise

A

FWS
OVD and resting face height
dento-alveolar compensation
overbite and overjet
stable contacts in centric relation
tooth contacts in excursive movements

20
Q

what is the wear index used

A

BEWE

21
Q

what is BEWE wear index scores

A

0 = no erosive wear
1 = initial loss of surface texture
2 = distinct defect, hard tissue loss <50% surface
3 = hard tissue loss >50% surface

22
Q

what special tests are used for wear

A

sensibility testing
radiographs
articulated study models
intra-oral photographs
salivary analysis
diagnostic wax-up
dietary analysis

23
Q
A