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Is diagnosing exposed dentine a suitable tool for grading erosive loss?

Holbrook WP, Ganss C - Clin Oral Investig (2008)

Bottom Line: Various scores for grading have been used, but in all systems, higher scores are given in cases of exposed dentine, thus, indicating a more severe stage of the condition.There has still been very little longitudinal investigation of the significance of exposed dentine as a prognostic indicator.Further work and discussion is needed to reevaluate the explanative power of current grading procedures.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Odontology, University of Iceland, Reykjavík, Iceland. phol@hi.is

ABSTRACT
Quantifying tooth wear in general and erosion in particular mostly is made by distinguishing between lesions restricted to enamel and lesions reaching the underlying dentine. Various scores for grading have been used, but in all systems, higher scores are given in cases of exposed dentine, thus, indicating a more severe stage of the condition. Clinical diagnosis of exposed dentine is made by assessing changes in colour or optical properties of the hard tissues. This paper aims to review the literature and discuss critically problems arising form this approach. It appears that classifying the severity of erosion by the area or depth of exposed dentine is difficult and poorly reproducible, and taking into account the variation of enamel thickness, the amount of tissue lost often is not related simply to the area of exposed dentine. There has still been very little longitudinal investigation of the significance of exposed dentine as a prognostic indicator. Further work and discussion is needed to reevaluate the explanative power of current grading procedures.

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Related in: MedlinePlus

Cupping of the cusp tips on the molar teeth is an early sign of erosion where extension of erosion into dentine is difficult to determine
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Related In: Results  -  Collection


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Fig1: Cupping of the cusp tips on the molar teeth is an early sign of erosion where extension of erosion into dentine is difficult to determine

Mentions: Cupping of the cusp tips on molar teeth is one of the most common presentations of erosion, for example in teenagers (Fig. 1). This has been found in a recent epidemiological study of erosion in Iceland [6] and was also reported in other studies [16, 30, 42].Fig. 1


Is diagnosing exposed dentine a suitable tool for grading erosive loss?

Holbrook WP, Ganss C - Clin Oral Investig (2008)

Cupping of the cusp tips on the molar teeth is an early sign of erosion where extension of erosion into dentine is difficult to determine
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2238781&req=5

Fig1: Cupping of the cusp tips on the molar teeth is an early sign of erosion where extension of erosion into dentine is difficult to determine
Mentions: Cupping of the cusp tips on molar teeth is one of the most common presentations of erosion, for example in teenagers (Fig. 1). This has been found in a recent epidemiological study of erosion in Iceland [6] and was also reported in other studies [16, 30, 42].Fig. 1

Bottom Line: Various scores for grading have been used, but in all systems, higher scores are given in cases of exposed dentine, thus, indicating a more severe stage of the condition.There has still been very little longitudinal investigation of the significance of exposed dentine as a prognostic indicator.Further work and discussion is needed to reevaluate the explanative power of current grading procedures.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Odontology, University of Iceland, Reykjavík, Iceland. phol@hi.is

ABSTRACT
Quantifying tooth wear in general and erosion in particular mostly is made by distinguishing between lesions restricted to enamel and lesions reaching the underlying dentine. Various scores for grading have been used, but in all systems, higher scores are given in cases of exposed dentine, thus, indicating a more severe stage of the condition. Clinical diagnosis of exposed dentine is made by assessing changes in colour or optical properties of the hard tissues. This paper aims to review the literature and discuss critically problems arising form this approach. It appears that classifying the severity of erosion by the area or depth of exposed dentine is difficult and poorly reproducible, and taking into account the variation of enamel thickness, the amount of tissue lost often is not related simply to the area of exposed dentine. There has still been very little longitudinal investigation of the significance of exposed dentine as a prognostic indicator. Further work and discussion is needed to reevaluate the explanative power of current grading procedures.

Show MeSH
Related in: MedlinePlus