Department of Dentistry, Radboud University Medical Centre, Radboud Institute for Health Sciences, Nijmegen, The Netherlands; Faculty of Dentistry, Oral and Craniofacial Sciences, King´s College London, Guy´s Campus, London, UK; College of Medicine and Dentistry, Birmingham Campus, Ulster University, UK.
Department of Dentistry, Radboud University Medical Centre, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
Br Dent J. 2023 Mar;234(6):455-458. doi: 10.1038/s41415-023-5620-4. Epub 2023 Mar 24.
Patients with more severe forms of tooth wear may require restorative rehabilitation. The decision to commence treatment must be taken carefully and there are a multitude of factors to consider. Alongside the clinical signs and symptoms typically associated with tooth wear, there is also the need to assess the impact of the condition on the patient's oral health-related quality of life. As part of the discussions relating to the attainment of informed consent for the restoration of the worn dentition, not only is it relevant to appropriately appraise the risks, benefits, costs, reasonable alternatives and likely prognosis of the proposed treatments, but to also elaborate on the expected impact of the intervention on the patient's oral health-related quality of life. The aim of this article is to review the evidence relating to the impact of the quality of life with the management of tooth wear, with the introduction of the concept of an evidence-based approach to decision-making when planning care.
患有更严重牙齿磨损形式的患者可能需要修复治疗。开始治疗的决定必须谨慎做出，需要考虑众多因素。除了与牙齿磨损相关的典型临床症状和体征外，还需要评估该状况对患者口腔健康相关生活质量的影响。作为获得有关修复磨损牙列的知情同意讨论的一部分，不仅需要适当评估拟议治疗的风险、益处、成本、合理替代方案和可能的预后，还需要详细说明干预对患者口腔健康相关生活质量的预期影响。本文的目的是回顾与管理牙齿磨损的生活质量相关的证据，并引入循证决策方法的概念，以指导治疗计划。
