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Questions and Answers
What is the potential adverse consequence of repeated re-restoration of worn teeth?
What is the potential adverse consequence of repeated re-restoration of worn teeth?
Which technique is described as being more conservative than traditional gold crowns?
Which technique is described as being more conservative than traditional gold crowns?
What is a major advantage of the Dahl technique?
What is a major advantage of the Dahl technique?
What is the primary focus of the article?
What is the primary focus of the article?
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What is the main reason why the Dahl technique is preferred over traditional gold crowns?
What is the main reason why the Dahl technique is preferred over traditional gold crowns?
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What is the survival probability of adhesive gold onlays at five years, according to the text?
What is the survival probability of adhesive gold onlays at five years, according to the text?
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What is the purpose of increasing the Vertical Dimension of Occlusion (OVD) in the Dahl technique?
What is the purpose of increasing the Vertical Dimension of Occlusion (OVD) in the Dahl technique?
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What is the main reason why the Dahl technique is a good option for restoring worn teeth?
What is the main reason why the Dahl technique is a good option for restoring worn teeth?
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What is a potential indicator of a patient who bruxes laterally?
What is a potential indicator of a patient who bruxes laterally?
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What is a likely reason for the acceleration of tooth wear in patients with exposed dentin?
What is a likely reason for the acceleration of tooth wear in patients with exposed dentin?
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What is a key clinical sign that suggests a patient might be experiencing tooth wear?
What is a key clinical sign that suggests a patient might be experiencing tooth wear?
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Which of the following is NOT a common sign of tooth wear?
Which of the following is NOT a common sign of tooth wear?
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What is the main cause of erosion in teeth, as mentioned in the text?
What is the main cause of erosion in teeth, as mentioned in the text?
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What is a potential consequence of the wear on teeth due to bruxism?
What is a potential consequence of the wear on teeth due to bruxism?
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If a patient has a canine guided occlusion, where would wear facets likely be observed?
If a patient has a canine guided occlusion, where would wear facets likely be observed?
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Which of the following is a clinical sign that may indicate tooth wear caused by bruxism?
Which of the following is a clinical sign that may indicate tooth wear caused by bruxism?
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What specific technique does the provided content discuss as a minimal preparation approach to manage attritional wear?
What specific technique does the provided content discuss as a minimal preparation approach to manage attritional wear?
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According to the content, what is one of the main benefits of the Double Dahl technique?
According to the content, what is one of the main benefits of the Double Dahl technique?
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What is the primary reason for using an occlusal splint in conjunction with the Double Dahl technique?
What is the primary reason for using an occlusal splint in conjunction with the Double Dahl technique?
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What is the primary purpose of the adhesive gold onlays mentioned in the figure caption?
What is the primary purpose of the adhesive gold onlays mentioned in the figure caption?
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What type of wear is described as "attritional wear" by the content?
What type of wear is described as "attritional wear" by the content?
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Which of the following is NOT mentioned as a potential cause or contributor to erosive tooth wear?
Which of the following is NOT mentioned as a potential cause or contributor to erosive tooth wear?
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What is a likely reason conventional techniques are kept in reserve for use "when they are absolutely necessary"?
What is a likely reason conventional techniques are kept in reserve for use "when they are absolutely necessary"?
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Which of the following statements is TRUE based on the provided content?
Which of the following statements is TRUE based on the provided content?
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What is the main focus of the paper referenced in the article by Berry and Poole (1976)?
What is the main focus of the paper referenced in the article by Berry and Poole (1976)?
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Which of the following is a technique specifically designed to treat anterior tooth wear, as mentioned in the provided content?
Which of the following is a technique specifically designed to treat anterior tooth wear, as mentioned in the provided content?
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Based on the content provided, what type of dental restoration is most commonly mentioned in the context of anterior tooth wear management?
Based on the content provided, what type of dental restoration is most commonly mentioned in the context of anterior tooth wear management?
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Which of the following publications reported a study that evaluated the long-term effectiveness of a specific restorative technique for anterior tooth wear?
Which of the following publications reported a study that evaluated the long-term effectiveness of a specific restorative technique for anterior tooth wear?
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Which of the following studies investigated the survival of restorations in managing localized anterior tooth wear, but did not focus specifically on composite restorations?
Which of the following studies investigated the survival of restorations in managing localized anterior tooth wear, but did not focus specifically on composite restorations?
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What is the primary focus of the content provided?
What is the primary focus of the content provided?
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Which of the following publications provided a comprehensive overview of generalized tooth wear, including discussion of various aspects of the condition?
Which of the following publications provided a comprehensive overview of generalized tooth wear, including discussion of various aspects of the condition?
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What is the main focus of the paper referenced by Chadwick (2006)?
What is the main focus of the paper referenced by Chadwick (2006)?
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What is the main concern regarding the transferability of the findings to a cohort of patients with bruxism?
What is the main concern regarding the transferability of the findings to a cohort of patients with bruxism?
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What is the estimated longevity of conventional crowns in patients with a history of bruxism?
What is the estimated longevity of conventional crowns in patients with a history of bruxism?
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Which of the following factors are considered in the management of patients with attrition caused by bruxism?
Which of the following factors are considered in the management of patients with attrition caused by bruxism?
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What type of patients are considered the most challenging to manage in terms of tooth wear?
What type of patients are considered the most challenging to manage in terms of tooth wear?
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What is the estimated prevalence of bruxism in the population?
What is the estimated prevalence of bruxism in the population?
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What type of study was conducted on a small group of six patients, where the reconstructions survived well for 5.5 years?
What type of study was conducted on a small group of six patients, where the reconstructions survived well for 5.5 years?
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Which of the following medications has been linked to bruxism?
Which of the following medications has been linked to bruxism?
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Which theory regarding the aetiology of attrition is supported by the available research?
Which theory regarding the aetiology of attrition is supported by the available research?
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What is the main argument put forward against the theory that occlusal interferences contribute to bruxism?
What is the main argument put forward against the theory that occlusal interferences contribute to bruxism?
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Which of the following is NOT considered a potential contributing factor to attrition?
Which of the following is NOT considered a potential contributing factor to attrition?
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What is the primary reason for the lack of pharmacological treatment options for attrition?
What is the primary reason for the lack of pharmacological treatment options for attrition?
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Which of the following is NOT a common modifying factor that can accelerate tooth tissue loss in attrition?
Which of the following is NOT a common modifying factor that can accelerate tooth tissue loss in attrition?
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What is the most prevalent theory regarding the aetiology of bruxism?
What is the most prevalent theory regarding the aetiology of bruxism?
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Which of the following statements about attrition management is TRUE?
Which of the following statements about attrition management is TRUE?
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What is the key takeaway regarding the aetiology of attrition, based on the information presented?
What is the key takeaway regarding the aetiology of attrition, based on the information presented?
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Flashcards
Dahl Technique
Dahl Technique
A dental procedure to address tooth wear by increasing occlusal vertical dimension.
Tooth Attrition
Tooth Attrition
Wear of teeth due to grinding or chewing, leading to loss of structure over time.
Adhesive Gold Onlays
Adhesive Gold Onlays
Conservative dental restorations that bond gold material to teeth.
Bruxism
Bruxism
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Pulpal Vitality
Pulpal Vitality
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Panavia Cement
Panavia Cement
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Full Mouth Rehabilitation
Full Mouth Rehabilitation
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Composite Restorations
Composite Restorations
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Double Dahl technique
Double Dahl technique
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Occlusal splint
Occlusal splint
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Tooth structure preservation
Tooth structure preservation
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Erosive potential
Erosive potential
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Attritional wear
Attritional wear
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Gold onlays
Gold onlays
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Direct and indirect composite
Direct and indirect composite
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Prevalence of Bruxism
Prevalence of Bruxism
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Longevity of Crowns
Longevity of Crowns
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Buspirone
Buspirone
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Erosive Tooth Wear
Erosive Tooth Wear
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Attrition
Attrition
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Research on Bruxism
Research on Bruxism
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Patient Cohort
Patient Cohort
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Dental Erosion
Dental Erosion
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Dahl Principle
Dahl Principle
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Indirect Restorations
Indirect Restorations
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Clinical Evaluation
Clinical Evaluation
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Survival Analysis
Survival Analysis
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Tooth Structure Removal
Tooth Structure Removal
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Masticatory muscle hypertrophy
Masticatory muscle hypertrophy
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Functional theory of attrition
Functional theory of attrition
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Central nervous system aetiology
Central nervous system aetiology
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Occlusal interferences
Occlusal interferences
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Parafunction
Parafunction
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Modifying factors in attrition
Modifying factors in attrition
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Erosion
Erosion
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Abrasion
Abrasion
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Wear facets
Wear facets
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Tooth mobility
Tooth mobility
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Pulp necrosis
Pulp necrosis
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Headaches
Headaches
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Study Notes
Attrition: Clinical Management
- Attrition is tooth wear from tooth-to-tooth contact, commonly seen occlusally but also interproximally.
- Often seen in older individuals, potentially related to bruxism (teeth grinding).
- Age-related phenomenon, with 15% showing moderate wear and 3% severe wear in one study, mostly in patients over 50.
- Attrition can coexist with erosion (e.g., from acidic foods) or abrasion (e.g., from hard foods).
- Dentin loss is 2-5 times faster than enamel loss once exposed.
Symptoms of Attrition
- Tooth grinding (day/night)
- Jaw pain, fatigue, limited opening
- Teeth feeling loose
- Sore teeth/gums
- Headaches (temporal region)
- Clenching/grinding while awake
Clinical Signs of Attrition
- Marked wear facets (especially in protrusion/lateral movements)
- Tooth fractures (natural teeth or restorations)
- Tooth mobility
- Pulp necrosis
- Traumatic ulcers
- Linear alba (a whitish line on the gums)
Aetiology of Attrition
- Functional Theory: Prolonged tooth contact during chewing patterns (e.g., grinding vs. chopping movements).
- Central Nervous System Theory: Bruxism as a neurologically driven condition affected by stress/anxiety or sleep disorders (nocturnal bruxism).
Modifying Factors in Attrition
- Ecstasy: Associated with bruxism, xerostomia, and increased tooth wear (dentin loss)
- Habitual Chewing on Hard Substances: Accelerates wear, particularly in bone chewing.
- SSRIs (Selective Serotonin Reuptake Inhibitors): Potential link to bruxism, especially when first prescribed – consult the patient's physician.
Clinical Management of Attrition
- Restorative Treatment: Often used for aesthetic issues or to restore lost tooth structure.
- Splints (Hybrid/Hard Splints): Crucial for long-term management, often a life-long necessity to reduce damaging parafunctional habits.
- Initial Diagnostic Phase: Ensure patient compliance with splint use.
- Dahl Technique: An approach to restore worn teeth by increasing the occlusal vertical dimension (OVD) to address space issues for restorations.
- Restorations (Composite Resin/Gold Onlays): Options for managing generalized or localised wear, balancing aesthetics and longevity.
- Occlusal Adjustment/Rehabilitation: Used to minimize stress and/or damage to teeth caused by improper bite.
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Description
Explore the clinical management of dental attrition, a common issue linked to tooth wear and often associated with bruxism. This quiz covers symptoms, clinical signs, and the aetiology of attrition, particularly in older individuals. Test your knowledge on how to identify and manage this dental phenomenon.