Podcast
Questions and Answers
What percentage of the tooth surface must be affected by erosion to score a BEWE 3?
What percentage of the tooth surface must be affected by erosion to score a BEWE 3?
What is a common characteristic of a BEWE 3 score?
What is a common characteristic of a BEWE 3 score?
If a tooth has a restoration covering more than 50% of the surface, can it be scored as a BEWE 3?
If a tooth has a restoration covering more than 50% of the surface, can it be scored as a BEWE 3?
What is the primary focus of the BEWE 3 score?
What is the primary focus of the BEWE 3 score?
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Which of these accurately describes the BEWE 3 score?
Which of these accurately describes the BEWE 3 score?
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What is the maximum BEWE score that can be achieved for a single sextant?
What is the maximum BEWE score that can be achieved for a single sextant?
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When examining teeth for BEWE, what should be discarded?
When examining teeth for BEWE, what should be discarded?
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Which of the following conditions is NOT a sign of tooth wear?
Which of the following conditions is NOT a sign of tooth wear?
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What is the recommended time interval for repeating the BEWE examination in high-risk cases?
What is the recommended time interval for repeating the BEWE examination in high-risk cases?
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What is the BEWE score for a tooth with initial signs of wear, including rounding of cusps?
What is the BEWE score for a tooth with initial signs of wear, including rounding of cusps?
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Which of these is NOT a component of the BEWE assessment?
Which of these is NOT a component of the BEWE assessment?
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What is the main purpose of the Basic Erosive Wear Examination (BEWE)?
What is the main purpose of the Basic Erosive Wear Examination (BEWE)?
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What is the significance of the BEWE score?
What is the significance of the BEWE score?
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What is the preferred term for tooth wear in the UK and other countries?
What is the preferred term for tooth wear in the UK and other countries?
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How is the BEWE assessment applied to children with a mix of primary and permanent teeth?
How is the BEWE assessment applied to children with a mix of primary and permanent teeth?
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What role does acid play in tooth wear?
What role does acid play in tooth wear?
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Where can dentists find resources and information about the BEWE?
Where can dentists find resources and information about the BEWE?
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What is one of the main benefits of using the BEWE?
What is one of the main benefits of using the BEWE?
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What is the recommended approach to using the BEWE, according to the text?
What is the recommended approach to using the BEWE, according to the text?
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What is the main purpose of the toolkit for practitioners mentioned in the text?
What is the main purpose of the toolkit for practitioners mentioned in the text?
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What does the information provided in the text suggest about the impact of the BEWE?
What does the information provided in the text suggest about the impact of the BEWE?
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What BEWE score indicates a discrete area of wear with no other signs of wear?
What BEWE score indicates a discrete area of wear with no other signs of wear?
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What condition qualifies as a grade three in tooth wear assessment?
What condition qualifies as a grade three in tooth wear assessment?
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What is typically noted for patients over the age of 20 with regards to dentition wear?
What is typically noted for patients over the age of 20 with regards to dentition wear?
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What should be chosen when there is doubt between BEWE scores?
What should be chosen when there is doubt between BEWE scores?
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What diameter signifies a concavity on cusps that qualifies as cupping?
What diameter signifies a concavity on cusps that qualifies as cupping?
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What does a sextant score of 1 indicate regarding wear on the canines?
What does a sextant score of 1 indicate regarding wear on the canines?
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Which score would be assigned if wear involves the whole incisal edge of the two central incisors?
Which score would be assigned if wear involves the whole incisal edge of the two central incisors?
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What is the clinical crown height measured from?
What is the clinical crown height measured from?
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What does a BEWE score of 0 indicate?
What does a BEWE score of 0 indicate?
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What is considered concave wear on cusps known as?
What is considered concave wear on cusps known as?
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What is the minimum diameter for considering wear as cupping?
What is the minimum diameter for considering wear as cupping?
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When scoring enamel developmental defects, what is the important consideration?
When scoring enamel developmental defects, what is the important consideration?
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What would be the appropriate score for wear that is classified as severe with complete loss of incisal edge?
What would be the appropriate score for wear that is classified as severe with complete loss of incisal edge?
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What is the primary purpose of the BEWE score in assessing tooth wear?
What is the primary purpose of the BEWE score in assessing tooth wear?
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What should be recorded for each sextant when using the BEWE?
What should be recorded for each sextant when using the BEWE?
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In the BEWE scoring system, what does a score of 2 indicate?
In the BEWE scoring system, what does a score of 2 indicate?
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What is indicated if a tooth has a BEWE score of 3?
What is indicated if a tooth has a BEWE score of 3?
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Why might a BEWE score not be assigned to a restored tooth?
Why might a BEWE score not be assigned to a restored tooth?
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What is the main feature distinguishing BEWE scores 0 and 1?
What is the main feature distinguishing BEWE scores 0 and 1?
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How is an overall BEWE score for the mouth determined?
How is an overall BEWE score for the mouth determined?
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What is a critical feature of the BEWE system regarding clinical assessments?
What is a critical feature of the BEWE system regarding clinical assessments?
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Flashcards
BEWE Score 3
BEWE Score 3
Indicates hard tissue loss with >50% surface area affected, dentine often involved.
Concavities merging (cupping)
Concavities merging (cupping)
Visible indentation on tooth surfaces due to erosion.
Occlusal surface loss
Occlusal surface loss
Loss of the chewing surface of a tooth covering over 50% of the area.
Restoration impact on scoring
Restoration impact on scoring
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Dentine involvement in erosion
Dentine involvement in erosion
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Tooth wear
Tooth wear
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Erosive tooth wear
Erosive tooth wear
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Clinical assessment
Clinical assessment
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BPE
BPE
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BEWE Index
BEWE Index
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Sextant
Sextant
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Score 0
Score 0
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Score 1
Score 1
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Score 2
Score 2
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Good lighting for assessment
Good lighting for assessment
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Third molars
Third molars
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Tooth wear risk factors
Tooth wear risk factors
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Acidic Aetiology
Acidic Aetiology
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Prevention in Dentistry
Prevention in Dentistry
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Practitioner Toolkit
Practitioner Toolkit
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Erosive Tooth Wear Foundation
Erosive Tooth Wear Foundation
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Index Scores for Tooth Wear
Index Scores for Tooth Wear
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Dental Public Health
Dental Public Health
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Clinical Crown
Clinical Crown
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Sextant Score
Sextant Score
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Incisal Edge Wear
Incisal Edge Wear
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Cupping
Cupping
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Diameter Assessment
Diameter Assessment
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Enamel Defects
Enamel Defects
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Tooth Shortening
Tooth Shortening
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Grade 3 Tooth Wear
Grade 3 Tooth Wear
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Cusp Concavity (Cupping)
Cusp Concavity (Cupping)
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Study Notes
Basic Erosive Wear Examination (BEWE) Index
- BEWE is a simple screening tool for tooth wear in general practice.
- Similar procedure to the Basic Periodontal Examination (BPE).
- Designed for routine dental examinations.
- Stakeholders in the UK endorsed recording BEWE alongside BPE.
- Ideally, all new patients should have BEWE recorded.
BEWE Index Assessment (Table 1)
- Score 0: No erosive tooth wear.
- Score 1: Initial surface texture loss (brightness, opaque, 'frosted glass').
- Score 2: Distinct defects and hard tissue loss (less than 50% of surface area). Dentin involvement possible.
- Score 3: Hard tissue loss (more than 50% of surface area). Dentin involvement possible.
- Sextant cumulative assessment (maximum 18) guides clinical management.
BEWE and BPE Procedure
- BEWE and BPE use similar procedure and scoring systems.
- Can be performed at the same time to save practitioner time.
- Facilitates early recognition and prevention of tooth wear.
Tooth Wear in Children and Mixed Dentition
- Same BEWE protocols apply to children and mixed dentition.
- Sextants categorized into anterior and posterior.
- Deciduous teeth are more prone to wear than adult teeth.
- Examination interval should be reduced to 6-12 months for high-risk cases.
Assessment of Molars and Premolars (Occlusal Surfaces)
- BEWE Score 0: No tooth wear, restorations don't show wear
- BEWE Score 1: First signs of wear, rounded cusps/grooves
- BEWE Score 2: Distinct defects, less than 50% surface loss, dentin often involved, concavities ≥0.5mm
- BEWE Score 3: Hard tissue loss more than 50%, dentin often involved, concavities merging
Assessment of Anterior Teeth (Buccal, Palatal/Lingual)
- BEWE Score 0: No tooth wear on buccal, palatal, or lingual surfaces.
- BEWE Score 1: Initial surface texture loss, minimal incisal edge loss.
- BEWE Score 2: Distinct defect, less than 50% surface or clinical crown height loss.
- BEWE Score 3: Hard tissue loss more than 50% of surface area.
Differential Diagnosis with Other Conditions
- Differentiate BEWE from gingival recession, root caries.
- Caries lesions appear as brown-orange, non-carious wear matches tooth structure color.
- Caries lesions might have a friable surface, while non-carious wear is hard.
- Assess tactile sensation and look for plaque stagnation.
- Consider caries if in doubt.
Conclusion
- BEWE is a simple, validated assessment tool for primary dental care.
- Reproducibility and consistent use crucial to reliable results.
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Description
Explore the BEWE Index, a vital screening tool for assessing tooth wear in dental practice. This quiz covers its scoring system, procedure, and the significance of recording BEWE alongside the BPE. Perfect for dental professionals looking to enhance their understanding of tooth wear management.