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Biologically Based Restorative Management of Tooth Wear英文文献资料
HindawiPublishingCorporation
InternationalJournalofDentistry
Volume2012,ArticleID742509,9pages
doi:10.1155/2012/742509
ReviewArticle
BiologicallyBasedRestorativeManagementofToothWear
MartinG.D.Kelleher, DeborahI.Bom?m, andRupertS.Austin
1 2 3
1
2
3
King’sCollegeLondonDentalInstitute,DenmarkHill,LondonSE59RT,UK
EastmanDentalHospital,256Gray’sInnRoad,LondonWC1X8LD,UK
King’sCollegeLondonDentalInstitute,Guy’sHospital,LondonBridge,LondonSE19RT,UK
CorrespondenceshouldbeaddressedtoRupertS.Austin,rupert.s.austin@kcl.ac.uk
Received31July2011;Revised20September2011;Accepted20September2011
AcademicEditor:RidwaanOmar
Copyright?2012MartinG.D.Kelleheretal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttribution
License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly
cited.
Theprevalenceandseverityoftoothwearisincreasinginindustrialisednations.Yet,thereisnohigh-levelevidencetosupportor
refuteanytherapeuticintervention.Intheabsenceofsuchevidence,manycurrentlyprevailingmanagementstrategiesfortooth
wearmaybefailingintheirdutyofcareto?rstandforemostimprovetheoralhealthofpatientswiththisdisease.Thispaper
promotesbiologicallysoundapproachestothemanagementoftoothwearonthebasisofcurrentbestevidenceoftheaetiology
andclinicalfeaturesofthisdisease.Therelativerisksandbene?tsofthevaryingapproachestomanagingtoothweararediscussed
withreferencetolong-termfollow-upstudies.Usingreferencetoethicalstandardssuchas“TheDaughterTest”,thispaperpresents
casereportsofpatientswithmoderate-to-severelevelsoftoothwearmanagedinlinewiththesebiologicallysoundprinciples.
1.Introduction
patients’rightstohavethereasonabletreatmentundertaken
that most closely matches their wishes and expectations
(autonomy).Traditionalconceptsmustnowbereassessedin
ordertoachievearadicalparadigmshiftinthephilosophies
behindTWmanagement.
Toothwear(TW),alsoknownastoothsurfaceloss(TSL),is
aninsidiousandcumulativemultifactorialp
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