Tooth Wear in Older Adults: A Review of Clinical Studies.

Autor: Chan AKY; Faculty of Dentistry, The University of Hong Kong, Hong Kong 99907, China., Tsang YC; Faculty of Dentistry, The University of Hong Kong, Hong Kong 99907, China., Lai EH; Faculty of Dentistry, The University of Hong Kong, Hong Kong 99907, China.; School of Dentistry, College of Medicine, National Taiwan University, Taipei 103247, Taiwan.; Department of Dentistry, National Taiwan University Hospital, Taipei 103247, Taiwan.; Department of Oral Health, Ministry of Health and Welfare, Taipei 103247, Taiwan., Chu CH; Faculty of Dentistry, The University of Hong Kong, Hong Kong 99907, China.
Jazyk: angličtina
Zdroj: Geriatrics (Basel, Switzerland) [Geriatrics (Basel)] 2024 Jan 13; Vol. 9 (1). Date of Electronic Publication: 2024 Jan 13.
DOI: 10.3390/geriatrics9010012
Abstrakt: Introduction: Tooth wear is a prevalent dental condition among older adults, leading to pain and adversely affecting aesthetics, functionality, and their overall quality of life. This review aims to update the information on tooth wear in older adults from the past five years and to provide guidance on the clinical management of tooth wear in older adults.
Methods: A literature search was conducted in three electronic databases, Scopus, Pubmed, and Embase, for English publications from January 2019 to December 2023 on clinical studies with participants aged 65 or above on tooth wear. A total of 307 articles were retrieved and 14 articles were finally included as references for this study.
Results: This review highlights the common causes of tooth wear and various risk factors, such as medical conditions, hyposalivation, dietary habits, oral hygiene practices, parafunctional habits, and occlusal factors, associated with tooth wear. It is crucial for oral health care professionals to diagnose and manage tooth wear at an early stage through a risk assessment and a clinical examination to avoid complex restorative procedures. Tooth wear management should prioritize prevention, aiming to control etiological and risk factors while employing non-restorative treatments. Restorative intervention, if indicated, should be simple, minimally invasive, and cost-effective. Tooth wear progression should be monitored regularly to determine if a further intervention is needed.
Conclusion: Since the clinical studies on tooth wear in older adults over the past five years are limited and mainly cross-sectional, more interventional clinical studies are warranted to provide more clinical guidance on tooth wear management in older adults.
Databáze: MEDLINE