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Dental attrition is a type of tooth wear caused by tooth-to-tooth contact, [1] resulting in loss of tooth tissue, usually starting at the incisal or occlusal surfaces. Tooth wear is a physiological process and is commonly seen as a normal part of aging.
Geriatric dentistry is the delivery of dental care to older adults involving diagnosis, prevention, management and treatment of problems associated with age related diseases. [1] The mouth is referred to as a mirror of overall health, reinforcing that oral health is an integral part of general health.
The word attrition is derived from the Latin verb attritium, which refers to the action of rubbing against something. [2] Attrition mostly causes wear of the incisal and occlusal surfaces of the teeth. Attrition has been associated with masticatory force and parafunctional activity [2] such as bruxism. A degree of attrition is normal ...
[1] [3] Most dentists therefore prefer to keep dental treatment in people with bruxism very simple and only carry it out when essential, since any dental work is likely to fail in the long term. [1] Dental implants , dental ceramics such as Emax crowns [ 51 ] and complex bridgework for example are relatively contraindicated in bruxists. [ 1 ]
A common scenario of dental treatment causing aggravation of tooth mobility is with a new filling or crown which is a fraction of a millimetre too prominent in the bite, which after a few days causes periodontal pain in that tooth and/or the opposing tooth. [30] Orthodontic treatment can cause increased tooth mobility as well.
The aetiology of dental abrasion can be due to a single stimulus or, as in most cases, multi-factorial. [6] The most common cause of dental abrasion is the combination of mechanical and chemical wear. Tooth brushing is the most common cause of dental abrasion, which is found to develop along the gingival margin, due to vigorous brushing in this ...
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Planned occlusal changes can be tested using a removable appliance prior to permanent treatment. Dental composite based approaches to tooth surface loss allow for easy adjustment or removal if required. One study published in the British Dental Journal, 2011 found that patient satisfaction was high when composite restorations were used in the ...
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