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Signs and Diagnosis
Everyone with natural teeth is likely to develop some signs of tooth wear, but many patients are unlikely to be aware that it is happening to them until it has reached an advanced stage.1
Currently, tooth wear normally only reaches a diagnostic threshold when restorative dentistry is indicated. Improving recognition of the early signs and symptoms is crucial if effective preventative measures are to be taken.1
Possible signs and symptoms of tooth wear2
| Transparency |
Front teeth may appear slightly transparent near their biting edges |
| Sensitivity |
As dentin becomes exposed, an occasional slight twinge may be felt when consuming hot, cold or sweet foods and drinks |
| Discoloration |
Teeth can have a slight yellow appearance as the dentin shows through |
| Rounded Teeth |
A rounded 'sandblasted' look on the surface and edges of the teeth |
| Cracks |
Small cracks and roughness may be present at the edges of the teeth |
| Cupping |
Small dents may appear on the chewing surface of the teeth - at this stage any fillings may appear to rise up |
At any stage of tooth wear, dentin hypersensitivity may occur. This could range from infrequent twinges during consumption of hot, cold or sweet foods, through to fairly continuous sensitivity readily provoked by the mildest of stimuli. Occasional sensitivity may well go unreported by the patient during routine examinations.3
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