A new look at erosive tooth wear in elderly people.

BACKGROUND: The author describes the clinical appearance of and the outcomes associated with erosive tooth wear, particularly that in older people. TYPES OF STUDIES REVIEWED: The author conducted a traditional clinical review that was based on a synopsis of the current literature on dental erosion. He found that intrinsic and extrinsic acids are known to be associated with acid erosion and tooth wear. He also explored the etiology and pathogenesis of tooth wear and compared the longevity of restorations to the option of monitoring and preventing tooth wear. He found that preventive measures, which included limiting the frequency of acid exposure and using fluoride toothpastes and dentin-bonding agents, could prolong tooth life.
RESULTS: Tooth wear and acid erosion are common clinical findings in patients of all ages. The results of tooth wear can cause significant damage to teeth, which can require complex and costly prosthodontic treatment. CLINICAL IMPLICATIONS: Diagnosing the cause of a patient's tooth wear can help prevent further damage.