Toothwear

Professor William George Young has seen and followed more than 1500 patients with moderate to advanced toothwear over the past 25 years, maintaining a specialist practice dedicated to toothwear and dental erosion. Having lectured and worked concurrently at Universities for more than 35 years, Professor Young has supervised and co-ordinate undergraduate and postgraduate research projects in this field. The book Teeth on Edge, (2002), remains at the forefront of this field. Dr Farid Khan has conducted extensive research into the Toothwear field and has co-authored the text By The Skin of our Teeth (2009 in Press) with Professor Young. Together they have completed many research projects and authored journal articles, which focus their efforts on presenting findings and their passion for the field at numerous dental conferences, seminars and continuing education events for more than a decade. Dr Khan has recently been awarded a Queensland Government Grant to publish a guide for Queensland dentists and to formulate multiple choice examinations for continuing education purposes concurrently.

“Overall, the book is a useful adjunct to any dental student or general dental practitioner who wishes to better understand clinical management of tooth wear.”  (British Dental Journal, 27 April 2012)

• Contributors. Foreword (Adrian Lussi)1 The multifactorial nature of toothwear (Farid Khan and William G. Young).Toothwear processes.Saliva protection.Intrinsic and extrinsic acids.Examination of facial, extraoral and intraoral soft tissues.Toothwear in children.Toothwear and dental caries.Toothwear – A multifactorial process.References.2 Diagnosis and management of toothwear in children (W. Kim Seow and Sue Taji).Clinical presentations of toothwear in children.History-taking, assessment and diagnosis.Children at increased risk for toothwear.Management of toothwear in children.The global perspective.References.3 Childhood diet and dental erosion (Louise Brearley Messer andWilliamG. Young).Dental erosion in children, adolescents and teenagers.Concerns of patients and parents.Clinical appearance of dental erosion.Dietary findings in dental erosion.Dental erosion as a lifestyle issue.Recommendations for patients to reduce erosion.Dental erosion and dental caries compared.Dietary counselling for children and adolescents.The key messages.References.4 The oral presentation of toothwear in adults (Farid Khan and William G. Young).Diagnostic modalities.Surface susceptibility of toothwear and site specificity of dental caries.The clinical presentation of toothwear.Charting toothwear.Application of The Stages of Wear to diagnosing toothwear.Utilising the charted odontogram to assess patient risk.Summary.References.5 Salivary protection against toothwear and dental caries (Colin Dawes).Factors causing toothwear.Factors causing dental caries.Why does a tooth dissolve in acid?Sources and components of saliva relevant to toothwear and caries.Conclusions.References.6 Dental diagnosis and the oral medicine of toothwear (William G. Young and Colin Dawes).The approach.Mild, moderate or severe toothwear.Complaint/discovery.Development.Attrition.Abrasion.Toothbrushing.Oral hygiene.Diet erosion.Gastric erosion.Sports and social.Medical.Addictions, fixations and confidentiality.The cases.Summary.References.87 Preventive and management strategies against toothwear (Farid Khan and William G. Young).Aiming prevention at all ages.Lifestyle, health and environmental risk factors.The WATCH strategy.Adjunctive products.Diet diaries and review.Patient's reporting sensitivity.Treatment planning.The review appointment.Summary.References.8 Measurement of severity and progression of toothwear (William H. Douglas and William G. Young).Non-parametric or semi-parametric approaches.Parametric measurement of toothwear.Reporting toothwear.The cases.References.9 Biomaterials (Stephen C. Bayne).Introduction.Overview of biomaterials wear.Clinical wear performance of biomaterials.Comments on special wear situations.References.10 The role of toothwear in occlusion (Anders Johansson and Gunnar E. Carlsson).Development of occlusion.Patterns of toothwear on anterior palatal and posterior occlusal surfaces and Angle's classification.Conclusion.References.11 Restoration of the worn dentition (Ian Meyers and Farid Khan).To restore or not to restore is a central question.Pre-restorative treatment – preparation and planning.Restorative challenges.Restoring the stages of wear.Patient demands, aspirations, aesthetics and case selection.Conservative restorative options for partial or full-mouth occlusal reconstruction.Summary.References.12 Rehabilitation of the worn dentition (Ridwaan Omar and Ann-Katrin Johansson).Principles and strategies for rehabilitating worn dentitions.Conclusion.References.Index.