Chan Alice Kit Ying, Tsang Yiu Cheung, Lai Eddie Hsiang-Hua, Chu Chun Hung
Faculty of Dentistry, The University of Hong Kong, Hong Kong 99907, China.
School of Dentistry, College of Medicine, National Taiwan University, Taipei 103247, Taiwan.
Geriatrics (Basel). 2024 Jan 13;9(1):12. doi: 10.3390/geriatrics9010012.
Tooth wear is a prevalent dental condition among older adults, leading to pain and adversely affecting aesthetics, functionality, and their overall quality of life. This review aims to update the information on tooth wear in older adults from the past five years and to provide guidance on the clinical management of tooth wear in older adults.
A literature search was conducted in three electronic databases, Scopus, Pubmed, and Embase, for English publications from January 2019 to December 2023 on clinical studies with participants aged 65 or above on tooth wear. A total of 307 articles were retrieved and 14 articles were finally included as references for this study.
This review highlights the common causes of tooth wear and various risk factors, such as medical conditions, hyposalivation, dietary habits, oral hygiene practices, parafunctional habits, and occlusal factors, associated with tooth wear. It is crucial for oral health care professionals to diagnose and manage tooth wear at an early stage through a risk assessment and a clinical examination to avoid complex restorative procedures. Tooth wear management should prioritize prevention, aiming to control etiological and risk factors while employing non-restorative treatments. Restorative intervention, if indicated, should be simple, minimally invasive, and cost-effective. Tooth wear progression should be monitored regularly to determine if a further intervention is needed.
Since the clinical studies on tooth wear in older adults over the past five years are limited and mainly cross-sectional, more interventional clinical studies are warranted to provide more clinical guidance on tooth wear management in older adults.
牙齿磨损是老年人中普遍存在的口腔问题，会导致疼痛，并对美观、功能及其整体生活质量产生不利影响。本综述旨在更新过去五年中关于老年人牙齿磨损的信息，并为老年人牙齿磨损的临床管理提供指导。
在Scopus、PubMed和Embase这三个电子数据库中进行文献检索，以查找2019年1月至2023年12月期间发表的关于65岁及以上参与者牙齿磨损的英文临床研究。共检索到307篇文章，最终纳入14篇文章作为本研究的参考文献。
本综述强调了牙齿磨损的常见原因以及各种风险因素，如医疗状况、唾液分泌减少、饮食习惯、口腔卫生习惯、副功能习惯和咬合因素等与牙齿磨损相关。口腔保健专业人员通过风险评估和临床检查在早期诊断和管理牙齿磨损至关重要，以避免复杂的修复程序。牙齿磨损管理应优先考虑预防，旨在控制病因和风险因素，同时采用非修复性治疗。如果需要进行修复干预，应简单、微创且具有成本效益。应定期监测牙齿磨损的进展，以确定是否需要进一步干预。
由于过去五年中关于老年人牙齿磨损的临床研究有限且主要为横断面研究，因此需要更多的干预性临床研究，以为老年人牙齿磨损管理提供更多临床指导。
