Tooth Wear

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Questions and Answers

A cumulative BEWE score of 18 for a patient means:

  • There is a severe amount of tooth wear evident
  • There is a moderate amount of tooth wear evident
  • There is more than 50% tooth wear in each sextant (correct)
  • There is less than 50% tooth wear in all sextants

Clinical signs of dental erosion include (select 2):

  • Labial surface lesions on the maxillary incisors (correct)
  • Scooped out lesions on the occlusal surfaces of the first permanent molars (correct)
  • Smooth, flat facets on the occlusal surfaces of posterior teeth
  • Early lesions on the mesial and distal surfaces of first permanent molars

Dental abrasion is tooth wear resulting from

  • Frequent exposure to objects/factors other than teeth or acids (correct)
  • Frequent exposure to acids
  • Erosion of the buccal and labial surfaces
  • A combination of occlusal forces at the cervical region

Dentine hypersensitivity symptoms:

<p>May be a sign of active tooth wear if dentine is exposed (B)</p> Signup and view all the answers

In preventing dental erosion, dietary advice should include:

<p>Limiting acid consumption to three or less times per day (C)</p> Signup and view all the answers

In the BEWE, a sextant score of 2 is given for:

<p>A sextant where there is less than 50% loss of tooth structure (A)</p> Signup and view all the answers

In the BEWE, a sextant score of 3 is given for:

<p>A sextant where there is more than 50% loss of tooth structure (D)</p> Signup and view all the answers

Select the incorrect statement:

<p>Tooth wear is reversible (C)</p> Signup and view all the answers

The BEWE acronym stands for;

<p>Basic Erosive Wear Examination (C)</p> Signup and view all the answers

The critical pH of enamel is

<p>5.5 (A)</p> Signup and view all the answers

The critical pH of enamel

<p>Reduces when fluoride is incorporated in the structure of enamel (B)</p> Signup and view all the answers

The main purpose of the BEWE tool is

<p>To screen for signs of tooth wear (C)</p> Signup and view all the answers

The prevalence of tooth wear is significantly associated with agE. This means that:

<p>As people age, they are more likely to experience tooth wear (A)</p> Signup and view all the answers

Tooth wear where the dominant aietioloical factor is tooth-tooth contact is called:

<p>Dental attrition (C)</p> Signup and view all the answers

When assessing a patients’ risk of tooth wear, it is essential to consider:

<p>The rate and severity of wear compared to the patients’ age (D)</p> Signup and view all the answers

When dentine is exposed, the minimum BEWE score for the sextant would be:

<p>2 (D)</p> Signup and view all the answers

Where there are no signs of tooth wear in a sextant, the BEWE score would be:

<p>0 (C)</p> Signup and view all the answers

Which salivary factor enhances the protection of the teeth against tooth wear:

<p>Buffering action of stimulated saliva that neutralises oral acids (A)</p> Signup and view all the answers

Which salivary factors can pre-dispose a patient to tooth wear?

<p>Reduced quantity and quality of saliva limiting protective potential (C)</p> Signup and view all the answers

Which statement best describes dental erosion:

<p>Dental erosion is the irreversible loss of hard tissue due to chemical process of acid dissolution (B)</p> Signup and view all the answers

Flashcards

BEWE score of 18

More than 50% tooth wear in each sextant.

Dental erosion

Irreversible loss of hard tissue due to chemical process of acid dissolution.

Dental abrasion

Frequent exposure to objects/factors other than another tooth or acids.

Dentine hypersensitivity as a sign

Dentine exposure suggests possible active tooth wear.

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Preventing dental erosion - diet

Limit acid consumption to three or fewer times per day.

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BEWE sextant score of 2

Less than 50% loss of tooth structure.

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BEWE sextant score of 3

More than 50% loss of tooth structure.

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Is tooth wear reversible?

Tooth wear is not reversible.

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BEWE acronym

Basic Erosive Wear Examination.

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Critical pH of enamel

5.5

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Purpose of BEWE tool

Screens for signs of tooth wear.

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Tooth wear and age

As people age, they are more likely to experience tooth wear.

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Tooth-to-tooth contact wear

Dental attrition.

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Assessing tooth wear risk

The rate and severity of wear compared to the patients’ age.

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Salivary factors predisposing tooth wear

reduced quantity and quality of saliva limiting protective potential.

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Salivary protection against tooth wear

Buffering action of stimulated saliva that neutralises oral acids

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Minimum BEWE score with exposed dentine

2

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BEWE score with no signs of wear

0

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Clinical signs of dental erosion

Labial surface lesions on the maxillary incisors

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Critical pH of enamel with fluoride

Reduces when fluoride is incorporated in the structure of enamel

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