Flashcards in Tooth Surface loss Deck (13)
Most common cause of tooth surface loos in children?
Describe erosion clinically?
Dished out occlusal appearance
Dentine exposure and high enamel ridges
What is erosion?
Chemical dissolution of tooth substance without presence of dental plaque
What is intrinsic erosion?
Gastric acid - vomiting, reflux, burping
What is extrinsic erosion?
What is attrition?
Tooth to tooth contact without presence of food - teeth grinding
What is abrasion?
Friction of exogenous material forced over surface of tooth
Risk factors for tooth wear
Fizzy drinks frequently
Chronic medical conditios - taking oral medications with erosive potential
Xerostomia, head and neck radiation
GI and eating disorder
How is tooth surface loss menagaed?
Genrally 'wait and see' especially if no pain/sensitivity, aesthetic or functionality concerns
Record --> study casts, photographs, dietary analysis, OHI
How can you reduce sensitisation of eroded teeth?
Fluoride varnish, toothpastes
ACP (amorphous clacium phsophate) - chewing gum, mousse
Treatment objectives for TSL?
Restore missing tooth surface
Prevent further tooth loss
Maintain a balanced occlusion
Operative treatment of TSL (primary teeth)?
Cover with composite resin and/or stainless steel crowns
Extract offending teeth