Tratamiento de pacientes con desgaste dental

This paper presents European expert consensus guidelines on the management of severe tooth wear. It focuses on the definition of physiological vs pathological tooth wear and recommends diagnosis, prevention, counseling, and monitoring aimed at elucidating the etiology, nature, rate and means of controlling pathological tooth wear. Management decisions are multifactorial, depending principally on the severity and effects of the wear and the wishes of the patient. Restorative intervention is typically best delayed as long as possible. When such intervention is indicated and agreed upon with the patient, a conservative, minimally invasive approach is recommended, complemented by supportive preventive measures. Examples of adhesive, minimum-intervention management protocols are presented.

Pathological tooth wear is a multifactorial and cumulative process that involves the destruction of dental hard tissues and compromises the patient’s oral health. After an accurate assessment of the amount of worn dental tissues, possible loss of the vertical dimension, aesthetic and phonetic problems, minimally invasive restorations can be used in the rehabilitation of worn teeth after cost-benefit analysis. In addition, the patient should be informedabout the problem, the etiological factors and the clinical performance of the restorations needs to be monitored periodically.