Ganss Carolina, Lussi Adrian
Department of Conservative and Preventive Dentistry, Dental Clinic, Justus Liebig University Giessen, Giessen, Germany.
Monogr Oral Sci. 2014;25:22-31. doi: 10.1159/000359935. Epub 2014 Jun 26.
The clinical diagnosis 'erosion' is made from characteristic deviations from the original anatomical tooth morphology, thus distinguishing acid-induced tissue loss from other forms of wear. Primary pathognomonic features are shallow concavities on smooth surfaces occurring coronal from the enamel-cementum junction. Problems from diagnosing occlusal surfaces and exposed dentine are discussed. Indices for recording erosive wear include morphological as well as quantitative criteria. Currently, various indices are used, each having their virtues and flaws, making the comparison of prevalence studies difficult. The Basic Erosive Wear Examination (BEWE) is described, which is intended to provide an easy tool for research as well as for use in general dental practice. The cumulative score of this index is the sum of the most severe scores obtained from all sextants and is linked to suggestions for clinical management. In addition to recording erosive lesions, the assessment of progression is important as the indication of treatment measures depends on erosion activity. A number of evaluated and sensitive methods for in vitro and in situ approaches are available, but the fundamental problem for their clinical use is the lack of reidentifiable reference areas. Tools for clinical monitoring are described.
临床诊断“侵蚀”是基于与原始牙齿解剖形态的特征性偏差做出的，从而将酸诱导的组织损失与其他形式的磨损区分开来。主要的特征性表现是在釉质-牙骨质界冠方的光滑表面出现浅凹。文中讨论了诊断咬合面和暴露牙本质时存在的问题。记录侵蚀性磨损的指数包括形态学标准和定量标准。目前，使用了各种指数，每种指数都有其优点和缺点，这使得患病率研究的比较变得困难。文中描述了基本侵蚀性磨损检查（BEWE），它旨在为研究以及一般牙科实践提供一种简便的工具。该指数的累积分数是所有牙 sextant 中获得的最严重分数的总和，并与临床管理建议相关联。除了记录侵蚀性病变外，评估进展情况也很重要，因为治疗措施的指征取决于侵蚀活动。有许多经过评估的、用于体外和原位研究的敏感方法，但它们在临床应用中的根本问题是缺乏可重新识别的参考区域。文中还描述了临床监测工具。
