Tooth Wear The Quintessential Challenge

Contents
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