by Dr. Reza Ardalan, Dental Slang Podcast
In this episode of the Dental Slang Podcast, Dr. Reza Ardalan interviews Dr. Andrea Shepperson, a prominent dentist and educator from New Zealand, to explore the complex world of tooth wear and its implications for dental health. Renowned for her expertise in interdisciplinary reconstruction, Dr. Shepperson shares her journey and passion for studying tooth wear, encouraging her colleagues to move beyond traditional teachings for a deeper understanding of this often-misunderstood condition.
Listen to the full podcast on DentalSlang.com, or read the recap below.
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Dr. Shepperson explains that tooth wear can range from mild to severe and is often mistakenly diagnosed as bruxism. Her approach to the medical model of tooth wear has been influenced by pioneering researchers like John Featherstone, who have significantly advanced the field. She emphasizes the critical need to distinguish between adaptive and active wear in patients, a distinction that can greatly impact treatment strategies.
Throughout the conversation, Dr. Shepperson provides valuable insights into key topics such as diagnosis, etiology, risk assessment, and management strategies for tooth wear. She also discusses the increasing role of digital technology in monitoring the progression of tooth wear, enabling dentists to track changes over time with greater precision.
Additionally, she underscores the importance of understanding the chemical balance in patients' mouths and offers practical tips for addressing tooth wear, including the risks associated with fad diets and the vital importance of clear patient communication.
Tune into the full podcast to dive deeper into:
Tooth Wear Differentiation: Understanding that not all tooth wear is due to bruxism is crucial. Dentists should focus on differentiating the various forms of tooth wear, assessing the etiology, and recognizing the difference between adaptive and active wear, which can range from mild to severe cases.
Comprehensive Tooth Wear Education: Dr. Shepperson highlights the need for thorough education on tooth wear, beyond what is typically covered in dental school. Both new and experienced dentists can gain from understanding the multifaceted aspects of tooth wear, including its causes, risk factors, and management strategies.
Patient Communication: Effective communication with patients is key. Dentists should explain the causes and effects of tooth wear in straightforward terms. Assessing patients' diets—especially concerning fad diets and acidic beverages—is essential, as these can contribute to tooth wear. Salivary biomarker tests can also be used to diagnose conditions like gastric reflux that may be causing tooth wear.
Digital Technology and Monitoring: Leveraging digital technology is invaluable in monitoring tooth wear progression over time. These tools enable dentists to track changes and adjust treatment plans as needed, enhancing diagnostic accuracy and supporting data-driven treatment decisions.
Dr. Shepperson’s cutting-edge teaching facility on Waiheke Island, New Zealand, offers mentoring programs and courses focused on tooth wear in collaboration with the University of Otago. These programs present a unique opportunity for dentists to expand their knowledge in a beautiful, immersive environment.
To learn more about tooth wear, be sure to check out her latest article, Does Tooth Wear Matter?
