Generalized Tooth Wear Treatment Options Quiz

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Questions and Answers

What are the three categories of generalized TW patients according to Turner and Missirilian?

Excessive tooth wear with a loss in the OVD, excessive wear without loss of OVD, and no loss of OVD with sufficient space for restorative material

Excessive tooth wear with a loss in the OVD, excessive wear without loss of OVD, and no loss of OVD with insufficient space for restorative material (correct)

Excessive tooth wear with limited space available, excessive wear without loss of OVD, and no loss of OVD with sufficient space for restorative material

Excessive tooth wear with limited space available, excessive wear without loss of OVD, and no loss of OVD with insufficient space for restorative material

What are the treatment options provided for generalized TW patients in the text?

Extracting remaining teeth and providing complete dentures, complete or partial overdentures, and partial dentures in combination with adhesive or conventional fixed prosthodontics (correct)

Extracting all teeth and providing complete dentures, complete or partial overdentures, and partial dentures in combination with adhesive or conventional fixed prosthodontics

Extracting remaining teeth and providing complete dentures, complete or partial overdentures, and complete or partial onlay or overlay dentures

Extracting all teeth and providing complete dentures, complete or partial overdentures, and complete or partial onlay or overlay dentures

What is the difference between Category 2 and Category 3 of generalized TW patients?

Category 2 involves excessive wear with loss of OVD but with limited space available, while Category 3 involves no loss of OVD with limited space available

Category 2 involves excessive wear without loss of OVD but with limited space available, while Category 3 involves no loss of OVD with insufficient space for restorative material (correct)

Category 2 involves excessive wear with loss of OVD but with insufficient space for restorative material, while Category 3 involves no loss of OVD with insufficient space for restorative material

Category 2 involves excessive wear without loss of OVD but with insufficient space for restorative material, while Category 3 involves no loss of OVD with limited space available

What is the estimated normal vertical loss of enamel from physiological wear per year?

20−38 μm Signup and view all the answers

Which type of tooth wear is caused by flexural forces during function and parafunction, located in the cervical area?

Abfraction Signup and view all the answers

What percentage of 20-year-olds exhibit severe tooth wear according to a systematic review?

3% Signup and view all the answers

Why is it suggested that males tend to experience greater tooth wear than females?

Increased tooth retention and greater occlusal forces in males Signup and view all the answers

What is the minimum thickness required for direct resin composite placed in functional loading surfaces to increase restoration survival?

1.5-2 mm Signup and view all the answers

What is the main reason for the lower failure rate of full gold crowns compared to metal-ceramic ones in cases of generalized tooth wear?

Biological complications Signup and view all the answers

What is the most common treatment option for severely worn teeth?

Crowns Signup and view all the answers

What is the main purpose of using removable prostheses in cases of severe tooth surface loss?

Managing tooth wear Signup and view all the answers

What is the main indication for using complete or partial overdentures in active restorative management of generalized tooth wear?

Excessive tooth wear without loss of the OVD Signup and view all the answers

What is the main contraindication for using removable prosthodontic treatment in cases of severe tooth surface loss?

Patients unable to tolerate a removable prosthesis Signup and view all the answers

What is the minimum thickness required for adhesive metal palatal veneers according to the manufacturer and the implicated load?

0.7 mm Signup and view all the answers

What is the primary material requirement for conventional metal-ceramic restorations in terms of space on the occlusal surface?

Up to 2 mm Signup and view all the answers

What is the usual approach for localized tooth wear in terms of restorative techniques?

Adhesive techniques with composite resin restorations Signup and view all the answers

What is the most appropriate treatment option for patients well adapted to wearing removable prostheses?

Removable prosthodontic treatment Signup and view all the answers

What is the primary contraindication for using fixed prosthodontic treatment in cases of severe tooth surface loss?

The lack of coronal tooth tissue Signup and view all the answers

What is the main purpose of increasing the OVD in active restorative management of generalized tooth wear?

To create space for restorations Signup and view all the answers

Which type of tooth wear is characterized by lesions that look flat, glossy with distinct margins?

Bruxism Signup and view all the answers

Which type of tooth wear results in lesions that are very similar to abrasive wear but are recognizable due to their more angular aspect?

Abfraction Signup and view all the answers

What type of tooth wear is associated with sharp defined margins, helping differentiate it from erosive wear?

Abrasion Signup and view all the answers

Which type of tooth wear presents with lesions impacting the buccal cervical areas of the maxillary teeth and the occlusal ones of the mandibular posterior teeth?

Erosion Signup and view all the answers

Which examination is based on a partial scoring system that registers the status of the most affected surface of each tooth and the most affected tooth of each sextant?

Basic Erosive Wear Examination (BEWE) Signup and view all the answers

What is the most commonly used index for evaluating tooth wear that assesses the loss of enamel, dentine, and the change of the contour clinically?

Tooth Wear Index (TWI) Signup and view all the answers

What is recommended to be done every six to twelve months for monitoring the prevention of dental wear?

Periodic study casts Signup and view all the answers

Which type of prevention treatment in the dental office helps in distributing the forces across the masticatory system and reduce the frequency of the heavy occlusal loads?

Occlusal Splints Signup and view all the answers

What is recommended for patients who are asymptomatic, with no active wear, according to the text?

Only preventive measures Signup and view all the answers

What type of treatment approach is preferred for grade 2 involving non-occlusal or non-incisal surfaces, grade 3, and grade 4 according to the text?

Restorative approach Signup and view all the answers

What should the dentist be asking about according to the text, to link to the etiology of wear?

Patient's diet and habits Signup and view all the answers

What should be evaluated to assess the presence of severe dental wear according to the text?

The resting vertical dimension Signup and view all the answers

Which type of tooth wear presents as localized lesions, matching the shape of the object when an object is held between the teeth?

Abrasion Signup and view all the answers

What is the most affected surface from bruxism, leading to flat, glossy lesions with distinct margins?

Occlusal and incisal surfaces Signup and view all the answers

Which index evaluates tooth surfaces based on the loss of enamel, dentine, and contour changes?

Tooth Wear Index (TWI) Signup and view all the answers

What type of tooth wear manifests as wedge-shaped defects at the level of the cementoenamel junction, resembling abrasive wear but with a more angular aspect?

Abfraction Signup and view all the answers

Which type of wear affects the palatal surfaces of maxillary anterior teeth?

Intrinsic erosion Signup and view all the answers

What is the primary focus of preventive measures for dental wear?

Monitoring and dietary advice Signup and view all the answers

What is the dynamic grinding of teeth called?

Bruxism Signup and view all the answers

What accelerates as dentine tends to be removed two to five times quicker than enamel in bruxist patients?

Dentine wear Signup and view all the answers

What type of wear results in widespread cupped out lesions, impacting specific tooth areas?

Extrinsic erosion Signup and view all the answers

What examination registers the status of the most affected surface of each tooth and the most affected tooth of each sextant?

Basic Erosive Wear Examination (BEWE) Signup and view all the answers

What is the decision to treat dental wear based on?

Classification, severity of wear, and patient symptoms Signup and view all the answers

What type of tooth wear usually presents sharp defined margins, distinguishing it from erosive wear?

Abrasive wear Signup and view all the answers

Study Notes

Dental Wear: Types and Clinical Manifestations

Bruxism is the dynamic grinding of teeth, while clenching is the static contact of teeth together as power from the closing muscles of the jaw is applied.
The most affected surfaces from bruxism are the occlusal and incisal ones, leading to flat, glossy lesions with distinct margins.
Dentine wear accelerates as dentine tends to be removed two to five times quicker than enamel in bruxist patients.
Intrinsic erosion affects the palatal surfaces of maxillary anterior teeth, while extrinsic erosion results in widespread cupped out lesions, impacting specific tooth areas.
Abrasion presents as localized lesions, matching the shape of the object when an object is held between the teeth.
Abrasive wear usually presents sharp defined margins, distinguishing it from erosive wear.
Abfraction manifests as wedge-shaped defects at the level of the cementoenamel junction, resembling abrasive wear but with a more angular aspect.
Dentists should inquire about diet, habits, and oral hygiene techniques to determine the etiology of wear.
The Tooth Wear Index (TWI) evaluates tooth surfaces based on the loss of enamel, dentine, and contour changes.
Basic Erosive Wear Examination (BEWE) registers the status of the most affected surface of each tooth and the most affected tooth of each sextant.
Preventive measures for dental wear include monitoring, dietary advice, medical referral, oral hygiene education, and suppression of bad habits.
The decision to treat dental wear is based on classification, severity of wear, and patient symptoms, with preventive or restorative approaches recommended based on the findings.

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Description

Test your knowledge of treatment options for patients with generalized tooth wear (TW) with this quiz. Explore options such as extracting remaining teeth and providing complete dentures, complete or partial overdentures, onlay or overlay dentures, and more. This quiz covers the active restorative management of generalized TW, as categorized by TW Turner and Missirilian.

Generalized Tooth Wear Treatment Options Quiz

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Questions and Answers

What are the three categories of generalized TW patients according to Turner and Missirilian?

What are the treatment options provided for generalized TW patients in the text?

What is the difference between Category 2 and Category 3 of generalized TW patients?

What is the estimated normal vertical loss of enamel from physiological wear per year?

Which type of tooth wear is caused by flexural forces during function and parafunction, located in the cervical area?

What percentage of 20-year-olds exhibit severe tooth wear according to a systematic review?

Why is it suggested that males tend to experience greater tooth wear than females?

What is the minimum thickness required for direct resin composite placed in functional loading surfaces to increase restoration survival?

What is the main reason for the lower failure rate of full gold crowns compared to metal-ceramic ones in cases of generalized tooth wear?

What is the most common treatment option for severely worn teeth?

What is the main purpose of using removable prostheses in cases of severe tooth surface loss?

What is the main indication for using complete or partial overdentures in active restorative management of generalized tooth wear?

What is the main contraindication for using removable prosthodontic treatment in cases of severe tooth surface loss?

What is the minimum thickness required for adhesive metal palatal veneers according to the manufacturer and the implicated load?

What is the primary material requirement for conventional metal-ceramic restorations in terms of space on the occlusal surface?

What is the usual approach for localized tooth wear in terms of restorative techniques?

What is the most appropriate treatment option for patients well adapted to wearing removable prostheses?

What is the primary contraindication for using fixed prosthodontic treatment in cases of severe tooth surface loss?

What is the main purpose of increasing the OVD in active restorative management of generalized tooth wear?

Which type of tooth wear is characterized by lesions that look flat, glossy with distinct margins?

Which type of tooth wear results in lesions that are very similar to abrasive wear but are recognizable due to their more angular aspect?

What type of tooth wear is associated with sharp defined margins, helping differentiate it from erosive wear?

Which type of tooth wear presents with lesions impacting the buccal cervical areas of the maxillary teeth and the occlusal ones of the mandibular posterior teeth?

Which examination is based on a partial scoring system that registers the status of the most affected surface of each tooth and the most affected tooth of each sextant?

What is the most commonly used index for evaluating tooth wear that assesses the loss of enamel, dentine, and the change of the contour clinically?

What is recommended to be done every six to twelve months for monitoring the prevention of dental wear?

Which type of prevention treatment in the dental office helps in distributing the forces across the masticatory system and reduce the frequency of the heavy occlusal loads?

What is recommended for patients who are asymptomatic, with no active wear, according to the text?

What type of treatment approach is preferred for grade 2 involving non-occlusal or non-incisal surfaces, grade 3, and grade 4 according to the text?

What should the dentist be asking about according to the text, to link to the etiology of wear?

What should be evaluated to assess the presence of severe dental wear according to the text?

Which type of tooth wear presents as localized lesions, matching the shape of the object when an object is held between the teeth?

What is the most affected surface from bruxism, leading to flat, glossy lesions with distinct margins?

Which index evaluates tooth surfaces based on the loss of enamel, dentine, and contour changes?

What type of tooth wear manifests as wedge-shaped defects at the level of the cementoenamel junction, resembling abrasive wear but with a more angular aspect?

Which type of wear affects the palatal surfaces of maxillary anterior teeth?

What is the primary focus of preventive measures for dental wear?

What is the dynamic grinding of teeth called?

What accelerates as dentine tends to be removed two to five times quicker than enamel in bruxist patients?

What type of wear results in widespread cupped out lesions, impacting specific tooth areas?

What examination registers the status of the most affected surface of each tooth and the most affected tooth of each sextant?

What is the decision to treat dental wear based on?

What type of tooth wear usually presents sharp defined margins, distinguishing it from erosive wear?

Study Notes

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