Sinopsis

Tooth wear is a significant challenge. Progressive, irreversible, and multifactorial in nature, it requires a patient-centered methodology for successful treatment. In this impressive book, the authors advance an integrative and multidisciplinary approach to worn dentitions that promotes early detection, thorough assessment, and conservative modalities and also understands that comprehensive treatment can require surgery, implants, orthodontics, and indirect restoration to improve oral health and achieve esthetic results. Overall, this book effectively compiles all clinical aspects of tooth wear—from concept and diagnosis, treatment and communication, to prevention and long-term maintenance.

Índice

Section I. Understanding Tooth Wear
Chapter 01. Tooth Wear: A Major Health Issue

The Global Burden of Tooth Wear
Physiologic Versus Pathologic Wear
Anthropologic and Contemporary Tooth Wear
Prevalence of Tooth Wear
Tooth Wear and General Health
The Quintessential Challenge of Tooth Wear
The Economy of Tooth Wear: The TW Curve Shape
The Geography of Tooth Wear
Key Points
References

Chapter 02. Tooth Wear and Saliva: The First Line of Defense

The Oral–General Health Connection
Saliva and the Oral Microbiome: Defenders of Oral and General Health
Saliva, the Oral Microbiome, and Tooth Wear
The Importance of Unstimulated Salivary Flow for the TW Patient
Saliva and Erosion
The Critical pH
Bruxism and Saliva
Improving Salivation: The Invisible Guard
Key Points
References

Chapter 03. Etiology and Types of Tooth Wear

Tooth Wear: Classical Nomenclature
The Etiology of Tooth Wear
Tooth Wear and the Pediatric Patient
Tooth Wear in Adolescents and Adult Patients
Tooth Wear Indices
Following Tooth Wear Clues: Lifestyle and Health TW Questionnaire
Key Points
References

Section II. Assessing and Treating Tooth Wear
Chapter 04. Diagnosis and Treatment Planning in Tooth Wear

Initial Visit of the Patient with TW
Anamnesis of the Patient with Tooth Wear
Informed Consent for the Patient with Tooth Wear
Patient-Centered Path in Tooth Wear Treatment
The Ideal Occlusal Scheme
Material Selection: When to Subtract and When to Add
Accuracy and the Preservation Principle
Traditional Acquisition of Data
Digital Acquisition of Data: Cross-Mounting in the Digital Era
Traditional and Digital: Hop-On, Hop-Off Workflow
Sequence of Reconstruction by Sector
Key Points: TW Treatment Flowchart
References

Chapter 05. Incipient Tooth Wear

The Onset of Tooth Wear
Erosion and Caries: Is There a Link?
A Close-Up Look at the Incisal Edges
Anterior and Canine Guidance in Incipient Tooth Wear
Intercepting Tooth Wear with Orthodontics
Restoration of Canine and Anterior Guidance
Intercepting Incipient Erosive Damage
Key Points: Incipient TW Flowchart
References

Chapter 06. Moderate Tooth Wear: Treatment Strategies

Moderate TW: The Space Issue
Adhesion to Worn Surfaces
Composite for Moderate Tooth Wear: Direct versus Indirect
Palatal Restorations for Tooth Wear
Porcelain Laminate Veneers for Tooth Wear
Increasing VDO: A Tool More than a Target
Non-Carious Cervical Lesions
Key Points: Decision Making in Moderate/Severe TW
References

Chapter 07. Severe Tooth Wear: Treatment Strategies

From Moderate to Severe Tooth Wear
Wax-Up: The Blueprint
Additive Approach with Porcelain Laminate Veneers for Anterior Guidance
Occlusal Scheme: Vertical Dimension of Occlusion and Centric Relation
Indirect Bonded Inlays/Onlays
Partial and Full Crowns for Single-Tooth Restorations: Occlusal Adjustment and Polishing
Key Points: Decision Making in Severe TW
References

Chapter 08. Orthodontics in Tooth Wear Treatment

Malocclusion and Tooth Wear
Orthodontics to Intercept Tooth Wear and Preserve Tooth Structure
Orthodontics to Provide Missing Space and Preserve Tooth Structure
Communication: A Key Player in the Tooth Wear Outcome
Timing of Orthodontic and Restorative Interventions
Key Points: TW Treatment Planning: Considerations for the Orthodontic-Restorative Team
References

Chapter 09. Implants in Patients with Tooth Wear

Biologic and Mechanical Considerations
Clinical Recommendations
Overload and Implant Failure in Patients with Tooth Wear
Implants and Occlusal Space in Patients with Severe TW: Management of Vertical Collapse
Digital Cross-Mounting and Advantages of Digital Protocols in TW Treatment
Maintenance Protocols in Patients with TW and Implants
Key Points: Implants in TW
References

Section III. Prevention and Long-Term Maintenance in Tooth Wear Treatment
Chapter 10. Are we in Time to Flatten the Tooth Wear Curve?

30 Years of Treating Tooth Wear: What have we learned?
Modern Lifestyle: Change what is possible
Targeting Nutritional Risk Factors: The Benefits of Erosion-Protective Foods
Parafunctional Habit Control and Ideal Occlusal Scheme: Keys to Long-Term Maintenance
Oral Hygiene and Tooth Wear
New Strategies in TW Prevention: Enhancing Healthy Saliva, The Day and Night Bodyguard
Long-Term Maintenance of the Patient with TW
Patient-Centered Long-Term Management of TW: Quality of Life, Prems, and Proms
Key Points: General Maintenance Guidelines for the Patient with TW
References