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Extra-Coronal RestorationsManaging Tooth Surface Loss

Extra-Coronal Restorations: Managing Tooth Surface Loss [This chapter will emphasise the need to:Be aware that most patients diagnosed with tooth surface loss (TSL) do not need to be restored, at least in the short term, but need to be advised how best to control causative factors (e.g. extrinsic erosion, intrinsic erosion, and bruxism)Liaise with the patient’s doctor to manage intrinsic erosion, e.g. gastro-oesophageal reflux disease (GORD) or bulimia. The patient must accept the risk of early failure if restorations are provided before the medical condition is controlledRecord baseline study models to monitor TSL longitudinallyImplement restorative treatment where there are major aesthetic concerns and uncontrolled dentine sensitivity or where further TSL would compromise restorabilityConsider restoring anterior teeth using composite. A large composite can later have its buccal surface covered with a ceramic veneer (sandwich technique)Be realistic about restoring posterior teeth and choose an appropriate material to cope with higher occlusal forces, particularly in bruxists. If teeth are to be crowned, patients need to be aware of the risk of pulp damage and its consequencesPlan reconstructions according to whether TSL is localised or generalised. Generalised wear is more difficult; space is created by increasing the occlusal vertical dimension.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Extra-Coronal RestorationsManaging Tooth Surface Loss

Part of the BDJ Clinician’s Guides Book Series
Editors: Wassell, Robert; Nohl, Francis; Steele, Jimmy; Walls, Angus
Field, James; Steele, Jimmy; Wassell, Robert
Extra-Coronal Restorations — Aug 1, 2018
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References (31)

Publisher
Springer International Publishing
Copyright
© Springer International Publishing AG, part of Springer Nature 2019. This book has been previously published in 2002 by BDJ Books with the following title: A Clinical Guide to Crowns and Other Extra-coronal Restorations.
ISBN
978-3-319-79092-3
Pages
147 –160
DOI
10.1007/978-3-319-79093-0_13
Publisher site
See Chapter on Publisher Site

Abstract

[This chapter will emphasise the need to:Be aware that most patients diagnosed with tooth surface loss (TSL) do not need to be restored, at least in the short term, but need to be advised how best to control causative factors (e.g. extrinsic erosion, intrinsic erosion, and bruxism)Liaise with the patient’s doctor to manage intrinsic erosion, e.g. gastro-oesophageal reflux disease (GORD) or bulimia. The patient must accept the risk of early failure if restorations are provided before the medical condition is controlledRecord baseline study models to monitor TSL longitudinallyImplement restorative treatment where there are major aesthetic concerns and uncontrolled dentine sensitivity or where further TSL would compromise restorabilityConsider restoring anterior teeth using composite. A large composite can later have its buccal surface covered with a ceramic veneer (sandwich technique)Be realistic about restoring posterior teeth and choose an appropriate material to cope with higher occlusal forces, particularly in bruxists. If teeth are to be crowned, patients need to be aware of the risk of pulp damage and its consequencesPlan reconstructions according to whether TSL is localised or generalised. Generalised wear is more difficult; space is created by increasing the occlusal vertical dimension.]

Published: Aug 1, 2018

Keywords: Tooth Surface Loss (TSL); Occlusal Vertical Dimension (OVD); Ceramic Veneers; Gastro-oesophageal Reflux Disease (GORD); High Occlusal Forces

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