Meyers Ian A
School of Dentistry, University of Queensland, Brisbane, Queensland.
Ann R Australas Coll Dent Surg. 2008 Jun;19:27-30.
The incidence of tooth wear or non-carious tooth surface loss (NCTSL) is increasing and oral rehabilitation of patients with tooth tissue loss requires strategies that address all the factors relevant to the aetiology and pathogenesis of the disease. The multifactorial nature of the disease and the variability in its clinical presentation provides treatment challenges for the clinician. Management of tooth wear must be more than just restoration. Risk assessment, compliance and a commitment from both professional and patient underpin overall success of the treatment. Understanding that long term success is affected by the patient's oral environment and how diet, lifestyle and medical factors modify this environment. Improvements in the quantity and quality of saliva and remineralization strategies to enhance the remaining tooth structure are essential pre-restorative requirements. Successful management requires recognition of the problem, stabilization of the oral environment, remineralization of the tooth structure and when appropriate restoration.
牙齿磨损或非龋性牙面丧失（NCTSL）的发生率正在上升，对牙齿组织丧失患者进行口腔修复需要采取应对该疾病病因和发病机制所有相关因素的策略。该疾病的多因素性质及其临床表现的变异性给临床医生带来了治疗挑战。牙齿磨损的管理必须不仅仅是修复。风险评估、依从性以及专业人员和患者的共同努力是治疗总体成功的基础。要明白长期成功受患者口腔环境以及饮食、生活方式和医学因素如何改变这一环境的影响。改善唾液的量和质以及采用再矿化策略以增强剩余牙齿结构是修复前的基本要求。成功的管理需要认识到问题所在、稳定口腔环境、使牙齿结构再矿化并在适当的时候进行修复。
