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The aBC oF The worn DenTiTion h
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edited by F. Khan and w.G. Young THE ABC of THE Worn DEnTiTion
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This is one of the first books to provide a clinically focussed account of the diagnosis, prevention and treatment
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of all forms of toothwear. Bringing together the latest research, it is compiled by international leaders in the
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field to create an essential clinical guide for dental practitioners. The book covers all forms of toothwear and edited by F. Khan
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dental erosion, and is presented in a practical format that allows for ease of reference and helps assimilate n
clinical information quickly. it defines the stages of toothwear, provides schematic approaches to allow better and w.G. Young
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understanding of the key role that saliva plays, and highlights the differences between acid erosion and
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dental caries. importantly for clinicians, it provides a framework for developing best practice management d
strategies by discussing diagnostic skills, treatment planning and therapeutic modalities. foreword by A. Lussi
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An essential resource based on a solid research platform, this book will provide dental clinical professionals o
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with the missing links they seek to diagnose, prevent, manage, restore and rehabilitate the worn dentition
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more confidently. it will be of value to dentists, dental therapists, dental hygienists, and students in these
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areas.
Key Features
• Covers all forms of toothwear and dental erosion across all age-groups
• includes discussion of best practice management strategies
• Discusses aetiology, diagnosis, prevention and treatment in a clinical context
• Contains many full colour clinical illustrations and schematic conceptualisations
• Brings together the latest clinical views and research with a wide range
of international contributors
Related Titles
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irwin M. Becker
iSBn 9780813805849
Dry Mouth, The Malevolent Symptom: A Clinical Guide
Edited by Leo M. Sreebny and Arjan Vissink
iSBn 9780813816234
Cover design: www.hisandhersdesign.co.uk
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BLBK366-FM BLBK366-Khan May11,2011 11:4 PrinterName:YettoCome
Toothwear: The ABC of the
Worn Dentition
P1:SBT Trim:246mmX189mm
BLBK366-FM BLBK366-Khan May11,2011 11:4 PrinterName:YettoCome
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BLBK366-FM BLBK366-Khan May11,2011 11:4 PrinterName:YettoCome
Toothwear: The ABC of
the Worn Dentition
Edited by
Dr Farid Khan
and
Professor William George Young
A John Wiley & Sons, Ltd., Publication
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BLBK366-FM BLBK366-Khan May11,2011 11:4 PrinterName:YettoCome
Thiseditionfirstpublished2011byJohnWiley&SonsLtd
(cid:2)C 2011JohnWiley&SonsLtd
Wiley-BlackwellisanimprintofJohnWiley&Sons,formedbythemergerofWiley’sglobalScientific,TechnicalandMedical
businesswithBlackwellPublishing.
Registeredoffice: JohnWiley&SonsLtd,TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK
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reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell.
TherightoftheauthortobeidentifiedastheauthorofthisworkhasbeenassertedinaccordancewiththeUKCopyright,
DesignsandPatentsAct1988.
Allrightsreserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,ortransmitted,inanyform
orbyanymeans,electronic,mechanical,photocopying,recordingorotherwise,exceptaspermittedbytheUKCopyright,
DesignsandPatentsAct1988,withoutthepriorpermissionofthepublisher.
Designationsusedbycompaniestodistinguishtheirproductsareoftenclaimedastrademarks.Allbrandnamesandproduct
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publisherisnotengagedinrenderingprofessionalservices.Ifprofessionaladviceorotherexpertassistanceisrequired,the
servicesofacompetentprofessionalshouldbesought.
LibraryofCongressCataloging-in-PublicationData
Toothwear:TheABCoftheworndentition/editedbyDrFaridKhanandProfessorWilliamGeorgeYoung.
p. ; cm.
Includesbibliographicalreferencesandindex.
ISBN978-1-4443-3655-9(paperback:alk.paper)
1.Teeth–Abrasion. I.Khan,Farid,editor. II.Young,WilliamGeorge,1939-editor.
[DNLM: 1.ToothWear–diagnosis. 2.DentalRestoration,Permanent–methods. 3.ToothWear–prevention&control.
4.ToothWear–rehabilitation.WU210]
RK307.T662011
617.6(cid:3)075–dc22 2010047726
AcataloguerecordforthisbookisavailablefromtheBritishLibrary.
Thisbookispublishedinthefollowingelectronicformats:ePDF9781444341119;ePub9781444341126;Mobi9781444341133
(cid:2)
Setin9.5/12ptPalatinobyAptaraR Inc.,NewDelhi,India
PrintedinSingapore
1 2011
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Contents
Contributors ix
Foreword: AdrianLussi xi
1 The multifactorial nature of toothwear 1
FaridKhanandWilliamG.Young
Toothwearprocesses 1
Salivaprotection 4
Intrinsicandextrinsicacids 4
Examinationoffacial,extraoralandintraoralsofttissues 4
Toothwearinchildren 9
Toothwearanddentalcaries 9
Toothwear–Amultifactorialprocess 12
References 14
2 Diagnosis and management of toothwear in children 16
W.KimSeowandSueTaji
Clinicalpresentationsoftoothwearinchildren 16
History-taking,assessmentanddiagnosis 20
Childrenatincreasedriskfortoothwear 21
Managementoftoothwearinchildren 25
Theglobalperspective 32
References 32
3 Childhood diet and dental erosion 34
LouiseBrearleyMesserandWilliamG.Young
Dentalerosioninchildren,adolescentsandteenagers 34
Concernsofpatientsandparents 34
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vi Contents
Clinicalappearanceofdentalerosion 35
Dietaryfindingsindentalerosion 35
Dentalerosionasalifestyleissue 37
Recommendationsforpatientstoreduceerosion 39
Dentalerosionanddentalcariescompared 41
Dietarycounsellingforchildrenandadolescents 42
Thekeymessages 48
References 48
4 The oral presentation of toothwear in adults 50
FaridKhanandWilliamG.Young
Diagnosticmodalities 50
Surfacesusceptibilityoftoothwearandsitespecificityofdentalcaries 52
Theclinicalpresentationoftoothwear 53
Chartingtoothwear 65
ApplicationofTheStagesofWeartodiagnosingtoothwear 71
Utilisingthechartedodontogramtoassesspatientrisk 72
Summary 73
References 73
5 Salivary protection against toothwear and dental caries 75
ColinDawes
Factorscausingtoothwear 75
Factorscausingdentalcaries 75
Whydoesatoothdissolveinacid? 77
Sourcesandcomponentsofsalivarelevanttotoothwearandcaries 78
Conclusions 86
References 87
6 Dental diagnosis and the oral medicine of toothwear 89
WilliamG.YoungandColinDawes
Theapproach 89
Mild,moderateorseveretoothwear 89
Complaint/discovery 90
Development 90
Attrition 91
Abrasion 92
Toothbrushing 92
Oralhygiene 93
Dieterosion 93
Gastricerosion 94
Sportsandsocial 94
Medical 95
Addictions,fixationsandconfidentiality 95
Thecases 96
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Contents vii
Summary 108
References 108
7 Preventive and management strategies against toothwear 111
FaridKhanandWilliamG.Young
Aimingpreventionatallages 111
Lifestyle,healthandenvironmentalriskfactors 114
TheWATCHstrategy 117
Adjunctiveproducts 117
Dietdiariesandreview 126
Patient’sreportingsensitivity 126
Treatmentplanning 128
Thereviewappointment 129
Summary 130
References 131
8 Measurement of severity and progression of toothwear 134
WilliamH.DouglasandWilliamG.Young
Non-parametricorsemi-parametricapproaches 134
Parametricmeasurementoftoothwear 135
Reportingtoothwear 137
Thecases 145
References 151
9 Biomaterials 153
StephenC.Bayne
Introduction 153
Overviewofbiomaterialswear 157
Clinicalwearperformanceofbiomaterials 161
Commentsonspecialwearsituations 165
References 167
10 The role of toothwear in occlusion 168
AndersJohanssonandGunnarE.Carlsson
Developmentofocclusion 170
Patternsoftoothwearonanteriorpalatalandposteriorocclusalsurfaces
andAngle’sclassification 176
Conclusion 179
References 180
11 Restoration of the worn dentition 182
IanMeyersandFaridKhan
Torestoreornottorestoreisacentralquestion 182
Pre-restorativetreatment–preparationandplanning 183
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viii Contents
Restorativechallenges 184
Restoringthestagesofwear 184
Patientdemands,aspirations,aestheticsandcaseselection 187
Conservativerestorativeoptionsforpartialorfull-mouthocclusalreconstruction 188
Summary 202
References 202
12 Rehabilitation of the worn dentition 205
RidwaanOmarandAnn-KatrinJohansson
Principlesandstrategiesforrehabilitatingworndentitions 206
Conclusion 226
References 226
Index 229
Description:This is one of the first books to provide a clinically focussed account of the diagnosis, prevention and treatment of all forms of toothwear. Bringing together the latest research, it is compiled by international leaders in the field to create an essential clinical guide for dental practitioners. Th