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Tooth Wear

Tooth wear is a significant challenge. Progressive, irreversible, and multifactorial in nature, it requires a patient-centered methodology for successful treatment. In this impressive book, the author

$345.45 ex GST

Tooth wear is a significant challenge. Progressive, irreversible, and multifactorial in nature, it requires a patient-centered methodology for successful treatment. In this impressive book, the authors advance an integrative and multidisciplinary approach to worn dentitions that promotes early detection, thorough assessment, and conservative modalities and also understands that comprehensive treatment can require surgery, implants, orthodontics, and indirect restoration to improve oral health and achieve esthetic results. Overall, this book effectively compiles all clinical aspects of tooth wear—from concept and diagnosis, treatment and communication, to prevention and long-term maintenance.

Contents
Section I. Understanding Tooth Wear
Chapter 01. Tooth Wear: A Major Health Issue

The Global Burden of Tooth Wear
Physiologic Versus Pathologic Wear
Anthropologic and Contemporary Tooth Wear
Prevalence of Tooth Wear
Tooth Wear and General Health
The Quintessential Challenge of Tooth Wear
The Economy of Tooth Wear: The TW Curve Shape
The Geography of Tooth Wear
Key Points
References

Chapter 02. Tooth Wear and Saliva: The First Line of Defense

The Oral–General Health Connection
Saliva and the Oral Microbiome: Defenders of Oral and General Health
Saliva, the Oral Microbiome, and Tooth Wear
The Importance of Unstimulated Salivary Flow for the TW Patient
Saliva and Erosion
The Critical pH
Bruxism and Saliva
Improving Salivation: The Invisible Guard
Key Points
References

Chapter 03. Etiology and Types of Tooth Wear

Tooth Wear: Classical Nomenclature
The Etiology of Tooth Wear
Tooth Wear and the Pediatric Patient
Tooth Wear in Adolescents and Adult Patients
Tooth Wear Indices
Following Tooth Wear Clues: Lifestyle and Health TW Questionnaire
Key Points
References

Section II. Assessing and Treating Tooth Wear
Chapter 04. Diagnosis and Treatment Planning in Tooth Wear

Initial Visit of the Patient with TW
Anamnesis of the Patient with Tooth Wear
Informed Consent for the Patient with Tooth Wear
Patient-Centered Path in Tooth Wear Treatment
The Ideal Occlusal Scheme
Material Selection: When to Subtract and When to Add
Accuracy and the Preservation Principle
Traditional Acquisition of Data
Digital Acquisition of Data: Cross-Mounting in the Digital Era
Traditional and Digital: Hop-On, Hop-Off Workflow
Sequence of Reconstruction by Sector
Key Points: TW Treatment Flowchart
References

Chapter 05. Incipient Tooth Wear

The Onset of Tooth Wear
Erosion and Caries: Is There a Link?
A Close-Up Look at the Incisal Edges
Anterior and Canine Guidance in Incipient Tooth Wear
Intercepting Tooth Wear with Orthodontics
Restoration of Canine and Anterior Guidance
Intercepting Incipient Erosive Damage
Key Points: Incipient TW Flowchart
References

Chapter 06. Moderate Tooth Wear: Treatment Strategies

Moderate TW: The Space Issue
Adhesion to Worn Surfaces
Composite for Moderate Tooth Wear: Direct versus Indirect
Palatal Restorations for Tooth Wear
Porcelain Laminate Veneers for Tooth Wear
Increasing VDO: A Tool More than a Target
Non-Carious Cervical Lesions
Key Points: Decision Making in Moderate/Severe TW
References

Chapter 07. Severe Tooth Wear: Treatment Strategies

From Moderate to Severe Tooth Wear
Wax-Up: The Blueprint
Additive Approach with Porcelain Laminate Veneers for Anterior Guidance
Occlusal Scheme: Vertical Dimension of Occlusion and Centric Relation
Indirect Bonded Inlays/Onlays
Partial and Full Crowns for Single-Tooth Restorations: Occlusal Adjustment and Polishing
Key Points: Decision Making in Severe TW
References

Chapter 08. Orthodontics in Tooth Wear Treatment

Malocclusion and Tooth Wear
Orthodontics to Intercept Tooth Wear and Preserve Tooth Structure
Orthodontics to Provide Missing Space and Preserve Tooth Structure
Communication: A Key Player in the Tooth Wear Outcome
Timing of Orthodontic and Restorative Interventions
Key Points: TW Treatment Planning: Considerations for the Orthodontic-Restorative Team
References

Chapter 09. Implants in Patients with Tooth Wear

Biologic and Mechanical Considerations
Clinical Recommendations
Overload and Implant Failure in Patients with Tooth Wear
Implants and Occlusal Space in Patients with Severe TW: Management of Vertical Collapse
Digital Cross-Mounting and Advantages of Digital Protocols in TW Treatment
Maintenance Protocols in Patients with TW and Implants
Key Points: Implants in TW
References

Section III. Prevention and Long-Term Maintenance in Tooth Wear Treatment
Chapter 10. Are we in Time to Flatten the Tooth Wear Curve?

30 Years of Treating Tooth Wear: What have we learned?
Modern Lifestyle: Change what is possible
Targeting Nutritional Risk Factors: The Benefits of Erosion-Protective Foods
Parafunctional Habit Control and Ideal Occlusal Scheme: Keys to Long-Term Maintenance
Oral Hygiene and Tooth Wear
New Strategies in TW Prevention: Enhancing Healthy Saliva, The Day and Night Bodyguard
Long-Term Maintenance of the Patient with TW
Patient-Centered Long-Term Management of TW: Quality of Life, Prems, and Proms
Key Points: General Maintenance Guidelines for the Patient with TW
References

Author

Dr. Beatriz R. Vilaboa PhD

Spain, Madrid

Dr Beatriz R. Vilaboa received her degree in medicine and surgery with honours from the Complutense University of Madrid from which she also attained her specialty in stomatology. She joined Clinica Vilaboa in Madrid soon after her sister Dr Debora R. Vilboa founded it in 1987. She enjoys her private practice at the Vilaboa Clinic, dedicated to esthetic and restorative dentistry.Her devotion to treating patients using the most conservative approach possible motivated her to embrace the adhesive-additive concept to provide solutions to the tooth wear patient. Her interest in tooth wear culminated with a PhD from San Pablo CEU University Faculty of Medicine in Madrid, where she is now Co-Director of the undergraduate Esthetic Dentistry department. Dr Beatriz Vilboa’s passion for teaching is also evident in the many courses that she and her sister have given over the last 30 years. Dr. Beatriz Vilaboa has the honour of being an active member of the European Academy of Esthetic Dentistry (EAED) and the Italian Academy of Esthetic Dentistry (IAED). She is also founding member of the International Academy of Adhesion (IAA). Her desire to better help patients suffering from cancer and other major medical conditions pushed her to become a member of the American Academy of Oral Medicine (AAOM). She is also a member of the Spanish Society of Stomatological Prosthetics (SEPES) and Spanish Society of Periodontology (SEPA), as well as a fellow member of the International College of Dentists (ICD) and an academic from the Pierre Fauchard Academy. She lectures worldwide on esthetic and restorative dentistry and especially on tooth wear. Dr Beatriz Vilaboa treasures friendship with colleagues worldwide and believes that the common passion for dentistry goes beyond borders.

Author

Dr. Débora R. Vilaboa

Spain, Madrid

Dr Debora R. Vilaboa graduated from the Complutense University Faculty of Medicine and Surgery in Madrid. The same year, she was accepted at the Seville School of Dentistry, where she obtained her dental degree. Later on she chose to attend the Advanced Pediactric Dentistry Program at the University of Southern California in Los Angeles. After establishing the Vilaboa Clinic in 1987, she found that some cases could not be explained by caries nor periodontal disease and began gathering data. She lectured on tooth wear as early as 1992, both in Spain and the United States. Understanding how to approach the treatment of young children helped Dr Deborah Vilaboa in her work with tooth wear patients, many of whom had a fear of dentistry. As a pioneer in the field of porcelain laminate veneers, she treated such cases with a novel adhesive concept. Dr Debora Vilaboa soon became a member of the Spanish Society of Stomatological Prosthetics (SEPES) and the Spanish Society of Periodontology (SEPA). Her passion for treating patients and continuing education was rewarded in becoming an active member of the European Academy of Esthetic Dentistry (EAED). She was then able to pursue her restorative and prosthodontic interests, thanks to a truly collaborative and generous exchange of knowledge among the active members that is still a driving force for the team at Vilaboa Clinic. She is also an active member of the Italian Academy of Esthetic Dentistry (IAED). Dr Debora Vilaboa was invited by the San Pablo CEU University to create an undergraduate Esthetic Dentistry Department that she co-directs with her sister, Dr Beatriz Vilaboa. She lectures worldwide in esthetic dentistry, with a focus on tooth wear. She was a contributor to Esthetics in Dentistry (Quintessence, 2016). Given her medical background, Dr Deboarh Vilaboa is devoted to understanding and treating conditions arising from medical and oral imbalances, and through her research, she has obtained several patents related to her work. She is an active member of the American Academy of Oral Medicine (AAOM), a fellow member of the International College of Dentists (ICD), and an academic at the Pierre Fauchard Academy.

Author

Dr. Débora Reuss

Spain, Madrid

Dr Debora Reuss obtained her Master’s Degree in Orthodontics at the European University of Madrid, 4 years after graduating as a dentist from San Pablo CEU University of Madrid. Having completed several postgraduate specialty courses (including Damon self-ligating and Invisalign systems), she joined the Spanish Orthodontics Society (SEDO) and the Spanish Society of Aligners (SEDA). As a Member of the American Association of Orthodontics (AAO), she is a firm believer in facial- and profile-guided orthodontics. Dr Reuss trained in occlusion at the Pankey Institute of Miami and believes that a classical concept of occlusion must be a driving force in treating orthodontic patients. Her passion for treating patients within a multidisciplinary approach has inspired her to attend continuing education courses on occlusion, restorative, and prosthodontic topics and is the reason behind her affiliation with the Spanish Society of Stomatological Prosthetics (SEPES) as well as the reason why she became affiliate member of the European Academy of Esthetic Dentistry (EAED) and the Italian Academy of Esthetic Dentistry (IAED). Dr Reuss teaches at the Esthetic Dentistry Department at San Pablo CEU University of Madrid. Multidisciplinary thinking led her to join the Vilaboa Team in Madrid to help treat tooth wear patients with a minimally invasive philosophy to prevent further wear and to ensure conservative performance of the required restorations. An education in three-dimensional thinking as an orthodontist is key in leading the tooth wear team to a facially guided restoration as an architect of the oral complex.

Author

Dr. Jose Manuel Reuss

Spain, Madrid

Dr Jose Manuel Reuss graduated in dentistry from the University Complutense of Madrid, where he also obtained a Master´s Degree of Science. As a postgraduate in surgical implant dentistry at the University of California at Los Angeles, he was a recipient of a grant from the American Academy of Implant Dentistry for preclinical and clinical research. During his postgraduate research, he focused on bone regeneration with growth factor technologies. Dr Jose Manual Reuss’s clinical background both in implant surgery and prosthodontics has led him to develop a facially guided restoration concept. In particular, severe tooth wear or highly dysfunctional cases can benefit from the combination of digital protocols and a more traditional classical workflow. His current clinical and research foci relie on the integration of facial scanners into guided surgery systems, restorative protocols, and clinician-technician communication. As an affiliate member of the European Academy of Esthetics Dentistry, he is an enthusiast of multidisciplinary thinking and is therefore also a member of the Spanish Society of Prosthodontics (SEPES), the Spanish Society of Periodontics (SEPA), the Academy of Osseointegration (AO), and the European Academy of Osseointegration (EAO). Dr Jose Manuel Reuss is a Collaborating Professor in the Postgraduate Prosthodontics Department in the field of implant and restorative dentistry at the University Complutense of Madrid, the University of Leon, and at the Esthetic Dentistry Department at the University San Pablo CEU of Madrid. His current focus of research is digital implant dentistry and severe tooth wear with the aim to optimize diagnostic and treatment phases and engage the working team in research. His goal to simplify the communication between the team members of an integrated multifaceted treatment plan challenges Dr Reuss almost as much as his passion for sports in his personal life.