Podcast
Questions and Answers
According to the study by Salas MM, et al., what was the primary focus of their research?
According to the study by Salas MM, et al., what was the primary focus of their research?
In the study "Terminology of Erosive Tooth Wear," what was the key objective of the authors?
In the study "Terminology of Erosive Tooth Wear," what was the key objective of the authors?
Which of the following studies focused on the impact of physical activity on dental erosion?
Which of the following studies focused on the impact of physical activity on dental erosion?
What is the BEWE score assigned to a premolar showing erosive tooth wear covering more than 50% of the tooth surface?
What is the BEWE score assigned to a premolar showing erosive tooth wear covering more than 50% of the tooth surface?
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What is a key characteristic of a BEWE score of 2?
What is a key characteristic of a BEWE score of 2?
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What is the recommended toothbrush bristle type for patients with tooth wear?
What is the recommended toothbrush bristle type for patients with tooth wear?
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What did the study by Schlueter, et al., titled "Erosive tooth wear – a review on global prevalence and on its prevalence in risk groups" investigate?
What did the study by Schlueter, et al., titled "Erosive tooth wear – a review on global prevalence and on its prevalence in risk groups" investigate?
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Which research paper focused on the association between gastroesophageal reflux disease (GERD) and dental lesions?
Which research paper focused on the association between gastroesophageal reflux disease (GERD) and dental lesions?
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What is the main purpose of the BEWE score?
What is the main purpose of the BEWE score?
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Which BEWE score is characterized by a 'halo effect'?
Which BEWE score is characterized by a 'halo effect'?
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Which of the following is NOT a recommended preventative measure for tooth wear?
Which of the following is NOT a recommended preventative measure for tooth wear?
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What is the significance of the BEWE score in clinical management?
What is the significance of the BEWE score in clinical management?
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What is the primary purpose of the BEWE system?
What is the primary purpose of the BEWE system?
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What is the recommended frequency of acidic drinks for patients with tooth wear?
What is the recommended frequency of acidic drinks for patients with tooth wear?
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A BEWE score of 1 typically indicates:
A BEWE score of 1 typically indicates:
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Why is saliva considered a significant modifying factor in tooth wear?
Why is saliva considered a significant modifying factor in tooth wear?
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What is the maximum concentration of fluoride in toothpaste that is available by prescription?
What is the maximum concentration of fluoride in toothpaste that is available by prescription?
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The BEWE score is independent of:
The BEWE score is independent of:
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Which of the following images would most likely have a BEWE score of 0?
Which of the following images would most likely have a BEWE score of 0?
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What are the two main types of interventions for tooth wear?
What are the two main types of interventions for tooth wear?
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Which of the following dietary factors is NOT recommended for patients with tooth wear?
Which of the following dietary factors is NOT recommended for patients with tooth wear?
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What is the first step in managing tooth wear, if the erosion is under control?
What is the first step in managing tooth wear, if the erosion is under control?
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Which of the following may be necessary to address tooth wear once it stabilizes?
Which of the following may be necessary to address tooth wear once it stabilizes?
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Which of the following conditions might necessitate a referral to a General Dental Practitioner (GDP)?
Which of the following conditions might necessitate a referral to a General Dental Practitioner (GDP)?
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What is the primary focus of a preventative approach to tooth wear management?
What is the primary focus of a preventative approach to tooth wear management?
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When might an occlusal splint be considered for tooth wear management?
When might an occlusal splint be considered for tooth wear management?
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What does BEWE stand for in the context of tooth wear assessment?
What does BEWE stand for in the context of tooth wear assessment?
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Which of the following is NOT a common factor considered in the assessment of tooth wear?
Which of the following is NOT a common factor considered in the assessment of tooth wear?
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What is the primary reason why bonding materials are often challenging to use in restorative procedures for tooth wear?
What is the primary reason why bonding materials are often challenging to use in restorative procedures for tooth wear?
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What can be examined during a clinical detection for tooth wear?
What can be examined during a clinical detection for tooth wear?
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What is the systematic screening tool used for detecting tooth wear?
What is the systematic screening tool used for detecting tooth wear?
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The maximum score for a BEWE assessment on a single sextant is:
The maximum score for a BEWE assessment on a single sextant is:
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In terms of BEWE scoring, what would a score of 0 indicate?
In terms of BEWE scoring, what would a score of 0 indicate?
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What is one of the key pieces of information a dentist should keep in mind when assessing tooth wear?
What is one of the key pieces of information a dentist should keep in mind when assessing tooth wear?
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What is a key step in the BEWE screening tool?
What is a key step in the BEWE screening tool?
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What type of wear does the BEWE system specifically focus on?
What type of wear does the BEWE system specifically focus on?
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What information can be gleaned from patient factors during tooth wear detection?
What information can be gleaned from patient factors during tooth wear detection?
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Flashcards
BEWE
BEWE
A scoring system for assessing tooth wear and its management.
BEWE 0
BEWE 0
Indicates no signs of erosive tooth wear on the premolar and molar.
BEWE 1
BEWE 1
Shows discrete areas of early erosive tooth wear with small lesions present.
BEWE 2
BEWE 2
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BEWE 3
BEWE 3
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Erosive Tooth Wear
Erosive Tooth Wear
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Cuspal Changes
Cuspal Changes
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Dentine Hypersensitivity
Dentine Hypersensitivity
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Gastroesophageal reflux disease (GERD)
Gastroesophageal reflux disease (GERD)
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Erosive lesions
Erosive lesions
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Diet's role in tooth erosion
Diet's role in tooth erosion
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Regular Physical Activity and tooth erosion
Regular Physical Activity and tooth erosion
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Terminology of Erosive Tooth Wear
Terminology of Erosive Tooth Wear
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Tooth Wear Symptoms
Tooth Wear Symptoms
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Clinical Detection
Clinical Detection
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BEWE Tool
BEWE Tool
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BEWE Scores
BEWE Scores
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Tooth Morphology Knowledge
Tooth Morphology Knowledge
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Subtle Changes in Teeth
Subtle Changes in Teeth
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Age and Wear Assessment
Age and Wear Assessment
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Preventive Management Strategies
Preventive Management Strategies
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Preventative Monitoring
Preventative Monitoring
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Occlusal Splint
Occlusal Splint
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Restorations
Restorations
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Specialist Referral
Specialist Referral
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Bruxism Management
Bruxism Management
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Eating Disorder Consultation
Eating Disorder Consultation
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GORD Query
GORD Query
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Risk Assessment Factors
Risk Assessment Factors
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Saliva's Role
Saliva's Role
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Preventive Care
Preventive Care
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Home Care Advice
Home Care Advice
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Dietary Advice
Dietary Advice
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Fluoride Toothpaste
Fluoride Toothpaste
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Fluoride Varnish
Fluoride Varnish
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Study Notes
Tooth Wear 2 - Miss Felix
- Course: Oral and Dental Sciences
- Lecturer: Miss Felix
- Institution: Eastman Dental Hospital, LSBU
Tooth Wear Lectures and Assessments
- Lectures:
- Tooth Wear 1: Pre-recorded lectures with workbooks
- Tooth Wear 2: Pre-recorded lectures with quizzes
- Tooth Wear 3: Live lectures with case studies for application of theory
- Assessments:
- Formative: Workbooks, quizzes, and case studies
- Summative: E-assessments and/or case studies
Intended Learning Outcomes
- Students will be able to describe clinical signs and symptoms of tooth wear, and how to detect them.
- Students will be able to describe the BEWE screening tool.
- Students should be able to outline preventive management strategies.
- GDC learning outcomes relevant to the topic include 1.1.2, 1.1.4, 1.1.8, 1.7.7, 1.10.1, 1.10.2, 1.10.3, 1.10.4, and 1.10.6
Clinical Detection: Signs and Symptoms
- Key factors for clinical detection include clinical signs, the BEWE tool, and patient history.
Detection
- Tooth wear risk assessment is conducted by combining clinical examination (signs) with patient factors (symptoms and history).
Clinical Detection
- Preparation: Mirror, dry surface (3 in 1 or cotton wool rolls)
- Examination: Occlusal, palatal/lingual, buccal clinical signs
- BEWE: Systematic screening tool, including sextants, similar to BPE assessment for hard tissue.
Tips to Detect Clinical Signs
- Morphology: Use knowledge of normal tooth morphology to detect subtle changes
- Early Stages: Early tooth wear may not be obvious; look for subtle changes
- Physiological Processes: Most adults exhibit tooth wear due to normal physiological processes
- Age Comparison: Assess the rate of wear in comparison to patient age
Basic Erosive Wear Examination (BEWE) Index
- Scoring:
- 0: No erosive wear
- 1: Initial loss of surface texture (e.g., "frosted glass" appearance)
- 2: Distinct defect, hard tissue loss <50% of the surface area.
- 3: Hard tissue loss >50% of the surface area.
- Cumulative Score: Scores per sextant are added for a total score; this score informs risk assessment for clinical management.
- Purpose: Used to record tooth wear regardless of etiology.
Patient Factors in Risk Assessment
- Age: Rate of wear specific to the patient's age
- History: Etiological factors of past and current frequent exposures to internal/external acids, occupation, and medical history
- Habits: Dietary factors, patient symptoms/concerns, sensitivity due to exposed dentine, chipping of anterior teeth, and grinding habits
- Saliva: Saliva plays a significant role in modifying tooth wear
Interventions
- Preventive: Risk assessment, preventive care and advice, and monitoring
- Restorative: Restorative care or referral. This is considered only when tooth wear is under control.
Restorative Options
- Bonding difficult: Depending on complexity, specialist referral is possible
- Options: Bonding materials, veneers, crowns, complex build-ups
- Stability: Restorative options are considered when tooth wear is stable.
Referrals
- Limits of Care: Sever tooth wear, Bruxism, complex restorative care, eating disorders, and gastroesophageal reflux disease (GORD) may require referrals outside of immediate scope
- Specialists: Recommendations for referring to GDP/specialist.
Summary
- Detection: Risk assessment, patient history, and clinical signs (such as BEWE).
- Interventions: Preventive, monitoring, and restorative care.
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Description
This quiz focuses on the clinical signs and symptoms of tooth wear, specifically designed for the Oral and Dental Sciences course by Miss Felix at Eastman Dental Hospital. Students will explore detection methods and preventive management strategies, including the BEWE screening tool. Test your knowledge and understanding of tooth wear and its implications in dental health.