Causes of Tooth Wear
- Tooth wear is a normal physiological process that occurs in approximately 97% of the population.
- Tooth wear can be caused by attrition, abrasion, and erosion.
- Attrition is loss of tooth substance caused by physical tooth-to-tooth contact.
- Abrasion is loss of tooth substance caused by physical means other than teeth.
- Erosion is chemical dissolution of tooth substance caused by acids.
- Attrition is associated with masticatory force and parafunctional activity such as bruxism.
- A degree of attrition is normal, especially in elderly individuals.
- Vigorous, horizontal tooth brushing and using toothpaste with a high RDA value can cause abrasion.
- Pipe smoking, nail biting, and improper use of dental floss or toothpicks can also lead to abrasion.
- Excessive consumption of acidic foods and drinks can cause erosion.
- Medical conditions involving repeated regurgitation and reflux of gastric acid can also contribute to erosion.

Assessment of Tooth Wear
- Importance of assessing tooth wear
- Methods of assessing tooth wear, such as clinical examination and diagnostic tools
- Identification of etiological factors contributing to tooth wear
- Assessment of tooth wear severity and classification
- Documentation and recording of tooth wear findings

Prevention and Passive Management of Tooth Wear
- Importance of preventive measures in managing tooth wear
- Strategies for preventing tooth wear, such as oral hygiene practices and dietary modifications
- Use of protective measures, such as mouthguards, to prevent tooth wear
- Role of fluoride in preventing tooth wear
- Importance of patient education in passive management of tooth wear

Treatment Planning and Active Restorative Care for Tooth Wear
- Importance of individualised treatment planning for tooth wear
- Factors to consider in treatment planning, such as patient's age, severity of tooth wear, and patient's expectations
- Selection of appropriate treatment options based on the extent and location of tooth wear
- Integration of interdisciplinary approaches in treatment planning
- Importance of regular follow-up and maintenance after treatment
- Role of restorative techniques in managing tooth wear
- Different restorative materials and their suitability for tooth wear treatment
- Techniques for restoring vertical dimension in tooth wear cases
- Considerations for occlusal rehabilitation in tooth wear patients
- Importance of a multidisciplinary approach in active restorative care

Management of Generalised Tooth Wear
- Definition and characteristics of generalised tooth wear
- Diagnostic criteria for generalised tooth wear
- Treatment options for managing generalised tooth wear, such as direct and indirect restorations
- Role of adhesive techniques in managing generalised tooth wear
- Long-term outcomes and prognosis of treatment for generalised tooth wear