Erosive Tooth Wear and BEWE Assessment

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Questions and Answers

What percentage of adults have some tooth decay?

  • 50%
  • 90%
  • 34%
  • 77% (correct)

What is the recommended frequency of acidic food/drink consumption between meals for optimal oral health?

  • Once per day
  • At least twice per day
  • Never (correct)
  • Once per week

What is the recommended method for recording the severity score in the clinical examination?

  • Record the score for the middle surface in each sextant
  • Record the score for the least severe surface in each sextant
  • Record the score for the most severe surface in each sextant (correct)
  • Record the average score for all surfaces in each sextant

What is the importance of good lighting and clean, dry tooth surfaces during the clinical examination?

<p>For improved visibility and accuracy of the examination (B)</p> Signup and view all the answers

What is the primary aim of the mentioned dietary/habits history?

<p>To identify risk factors for oral health issues (A)</p> Signup and view all the answers

Which of these is NOT a red flag or risk factor mentioned in the text?

<p>Frequent brushing with whitening toothpaste (B)</p> Signup and view all the answers

What is the recommended approach to incorporating the Dietary, Behavioral, and Environmental factors (BEWE) into oral health assessments?

<p>As a routine part of the clinical examination (C)</p> Signup and view all the answers

What is the main concern regarding patients neglecting routine oral health assessments?

<p>They may miss out on opportunities for preventive measures (A)</p> Signup and view all the answers

What makes it challenging to identify erosive tooth wear?

<p>It is often asymptomatic in the early stages. (D)</p> Signup and view all the answers

What is a significant concern for dentists regarding erosive tooth wear?

<p>Patients often ignore initial warning signs. (C)</p> Signup and view all the answers

Which statement regarding the costs of treating erosive tooth wear is accurate?

<p>Costs can reach up to £13,000 for private treatment. (D)</p> Signup and view all the answers

What has contributed to an increased risk of dissatisfaction among dental patients?

<p>Higher retention of natural teeth among patients. (D)</p> Signup and view all the answers

What should be communicated to patients regarding the early stages of erosive tooth wear?

<p>They are unlikely to notice any changes themselves. (A)</p> Signup and view all the answers

What is the prevalence of erosive tooth wear compared to other oral conditions?

<p>It is similarly prevalent to caries and periodontal disease. (A)</p> Signup and view all the answers

What is a suggested tool for monitoring erosive tooth wear?

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

Why is early identification of erosive tooth wear important?

<p>It can prevent the condition from progressing rapidly. (C)</p> Signup and view all the answers

What demographic shows the greatest increase in moderate tooth wear?

<p>Young adults. (A)</p> Signup and view all the answers

Which factor could impact the care of erosive tooth wear among younger generations?

<p>Increased mobility for work or study. (A)</p> Signup and view all the answers

How does erosive tooth wear generally progress in patients?

<p>It tends to have a slow rate of progression. (D)</p> Signup and view all the answers

What is a consequence of not monitoring erosive tooth wear in dental assessments?

<p>It may compromise the longevity of the dentition. (B)</p> Signup and view all the answers

What common misconception exists regarding erosive tooth wear screenings?

<p>They are part of all dental examinations. (B)</p> Signup and view all the answers

What should patients understand about the progression of their condition?

<p>It is influenced by their own behavior and not just by oversight. (C)</p> Signup and view all the answers

What is an important aspect of managing risk factors for erosive tooth wear?

<p>Diet management and addressing intrinsic factors. (B)</p> Signup and view all the answers

How does erosive tooth wear relate to oral health assessments?

<p>It must be included as part of routine oral health assessments. (A)</p> Signup and view all the answers

Which characteristic is most likely true about erosive tooth wear in future populations?

<p>It will become more prevalent due to modern lifestyles. (A)</p> Signup and view all the answers

What is one recommended approach by oral healthcare providers for managing erosive tooth wear?

<p>Regularly examining the teeth for signs of tooth wear. (B)</p> Signup and view all the answers

Who plays a role in supporting patients in the management of risk factors?

<p>Healthcare providers collectively support patients. (A)</p> Signup and view all the answers

Which of the following is NOT a risk factor for the progression of erosive tooth wear?

<p>Poor dental hygiene exclusively. (B)</p> Signup and view all the answers

What role does patient education play in managing erosive tooth wear?

<p>It helps the patient understand the prevention strategies. (C)</p> Signup and view all the answers

Flashcards

Erosive Tooth Wear

A condition involving gradual loss of tooth structure due to acid exposure.

Monitoring of Tooth Wear

Regular checks for signs of dental erosion in patients.

Full Mouth Rehabilitation Cost

The expense related to restoring teeth affected by erosive wear.

Importance of Early Detection

Recognizing tooth wear early to prevent severe damage.

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Patient Expectations

Increasing demands from patients for effective dental care.

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BEWE

Basic Erosive Wear Examination, a screening tool to monitor erosive tooth wear in patients.

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Oral Health Assessment

A systematic evaluation to identify dental issues, including erosive tooth wear.

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Prevention of Erosive Tooth Wear

Actions taken to protect teeth from erosion, often through dietary and lifestyle advice.

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Progression of Tooth Wear

The rate at which erosive wear develops, which can vary from slow to rapid among individuals.

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Impact on Longevity of Dentition

The adverse effects that erosive tooth wear can have on the lifespan of teeth.

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Dentine Hypersensitivity

A painful sensation resulting from exposed dentine due to wear, often associated with erosive tooth wear.

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Patient-Practitioner Relationship

The ongoing interaction between a patient and their dentist, affecting care consistency.

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Tooth Erosion

Loss of tooth structure due to acid exposure.

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Acidic Foods

Foods that lower the pH and can harm teeth.

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Dietary Habits Assessment

Questions about diet to evaluate oral health risks.

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Clinical Examination

Physical check of teeth in a controlled manner.

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Red Flags

Warning signs indicating potential oral health issues.

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Sextant in Dentistry

A division of the mouth into six areas for examination.

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Reflux Related Causes

Tooth wear cause linked to stomach acid reaching the mouth.

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Diet impact on dental health

Diet plays a crucial role in supporting the management of dental risks, particularly erosive tooth wear.

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Intrinsic factors

Internal conditions like acid reflux that contribute to dental issues such as erosive tooth wear.

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Role of dental professionals

Dental professionals must educate patients about risks and management of erosive tooth wear.

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Routine oral health assessment

Regular examinations performed by dental professionals to check for issues like tooth wear.

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Prevention of tooth wear

Actions taken by healthcare providers to identify and mitigate erosive tooth wear early.

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Patient's role in dental health

The patient's behavior directly influences the progression of dental conditions, including erosive wear.

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Management of risk factors

Strategies to help patients reduce risks associated with erosive tooth wear, focusing on lifestyle changes.

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Study Notes

Erosive Toothwear

  • Erosive tooth wear is the third most common oral condition (after caries and periodontal disease).
  • Prevalence is similar to dentine hypersensitivity.
  • Not routinely screened or monitored.
  • Increasing patient expectations and litigation risk.
  • Progression can be slow or rapid, affecting longevity of teeth.
  • Affects committed patients as not linked to poor oral hygiene.
  • Increased prevalence expected with increased patient longevity.
  • Early detection crucial to prevent restorative intervention.

BEWE (Basic Erosive Wear Examination)

  • Proposed simple screening tool for erosive tooth wear.
  • Should be part of routine oral health assessments.
  • Easy to implement, similar process to BPE.
  • Records severity of wear on surfaces of each sextant.
  • Scores range from 0 (no wear) to 3 (severe wear).
  • Scores based on enamel and dentine loss.
  • Aims to reduce litigation risk by detecting wear early.
  • Facilitates consistent approach for monitoring and treatment.

Outlook and Impact of Tooth Wear

  • Prevalence of moderate toothwear rising, particularly among young adults.
  • Patient mobility impacting consistent care relationships, making it harder to monitor conditions like erosive toothwear.
  • Full mouth rehabilitation is expensive and time-consuming, costing up to £13,000 and taking up to 24 months.
  • Patients need early awareness of the condition.
  • Condition progression depends on patient behaviour, not a healthcare provider oversight.

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Monitoring Erosive Toothwear: BEWE 2019 PDF

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