Intraoral scanner-based monitoring of tooth wear in young adults: 36-month results.


Journal

Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115

Informations de publication

Date de publication:
01 Jun 2024
Historique:
received: 29 11 2023
accepted: 24 05 2024
medline: 1 6 2024
pubmed: 1 6 2024
entrez: 1 6 2024
Statut: epublish

Résumé

The study continues our longitudinal observation of wear aiming to further monitoring of progression and lesion morphology and to identify relationships with assumed aetiological factors. Molars (FDI #36 or #46) of 74 participants (23.8 ± 2.2 years) were scanned (Trios 3, 3Shape) at the third follow-up (T3; observation period 1,111 ± 10 days). Data sets from T3, T2 (24-month follow-up) and T1 (12-month follow-up) were superimposed with baseline in a 3D analysis software (GOM Inspect). Wear was quantified as maximum vertical tissue loss (µm; median, 95% CI) in various occlusal areas (4/5 cusps and 2 ridges). Morphologies were classified into cupping (C), facet (F), and combined cupping-facet (CF). Aetiological factors were assessed with questionnaires. Wear increased at T3 significantly at low rates in all areas of the occlusal surface (median between 7.0 (4.0;10.5) and 9.5 (6.0;15.0) µm). There was a clear trend for higher loss values in males, but no association with other factors such as nutrition. C and CF showed significantly higher loss values than F. Areas without initial wear developed F first, which either persisted or developed into C and CF. Wear continued at low rates with C/CF morphology and sex as significant factors. Cupped lesions seem to develop from facets and thus may not be a valid diagnostic criterion for erosive tooth wear. Wear is a cumulative process that apparently follows complex mechanisms that cannot be conceptualized in simplified terms; C and CF may be indicators for higher progression rates.

Identifiants

pubmed: 38822893
doi: 10.1007/s00784-024-05740-0
pii: 10.1007/s00784-024-05740-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

350

Informations de copyright

© 2024. The Author(s).

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Auteurs

Maximiliane Amelie Schlenz (MA)

Department of Prosthodontics, Dental Clinic of the Justus Liebig University Giessen, Giessen, Germany. maximiliane.a.schlenz@dentist.med.uni-giessen.de.

Moritz Benedikt Schlenz (MB)

Department of Oral and Maxillofacial Surgery, Dr. Horst Schmidt Clinic Wiesbaden, Wiesbaden, Germany.

Bernd Wöstmann (B)

Department of Prosthodontics, Dental Clinic of the Justus Liebig University Giessen, Giessen, Germany.

Anna Sophia Glatt (AS)

Department of Prosthodontics, Dental Clinic of the Justus Liebig University Giessen, Giessen, Germany.

Carolina Ganss (C)

Department of Conservative and Preventive Dentistry, Dental Clinic of the Justus Liebig University Giessen, Giessen, Germany.
Department of Operative Dentistry, Endodontics and Paediatric Dentistry, Section Cariology of Aging, Dental Clinic of the Philipps-University Marburg, Marburg, Germany.

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