Dental education has experienced major changes in the last 20 years which greatly

الرجل البخاخالرجل البخاخ عضو ماسي
تم تعديل 2009/07/12 في المداواة اللبية Endodontics
Erosive tooth wear is becoming increasingly important when considering the
long-term health of the dentition. There is some evidence that the presence of this
condition is growing steadily. It is important that diagnosis of the tooth wear
process is made early. Clinical detection of dental erosion is important once
dissolution has started. The clinical appearance is the most important sign for
dental professionals to diagnose erosion. This is of particular importance in the
early stages of erosive tooth wear. The appearance of smooth silky-glazed
enamel, intact enamel along the gingival margin and grooving on occlusal
surfaces are some typical signs of early enamel erosion. Adequate preventive
measures can only be initiated when the risk factors are known and interactions
between them are present.
When substance loss caused by erosive tooth wear reaches a certain degree, oral
rehabilitation becomes necessary. Prior to the most recent decade, the severely
eroded dentition could only be rehabilitated by the provision of extensive crown
and bridge work or removable over dentures. As a result of the improvements in
composite restorative materials, and in adhesive techniques, it has become
possible to rehabilitate eroded dentitions in a less invasive manner. However,
even today advanced erosive destruction requires the placement of more extensive
restorations such as ceramic veneers or overlays and crowns. Restorative
treatment is dependent on individual circumstances and the perceived needs and
concerns of the patient. Long-term success is only possible when the cause is
eliminated. In all situations the restorative preparations have to follow the
principles of minimally invasive treatment.