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About The Video
In this episode of Before and Beyond, Dr Bernard analyses a clinical case involving significant dental erosion. He examines areas of tooth wear, particularly in a patient presenting with sensitivity, and explains how erosion leads to faster tooth breakdown. Using visual cues from the patient's teeth, he highlights how discoloration and damage can indicate deeper issues like sclerosis and dentin exposure.
Dr Bernard also outlines effective treatment approaches for erosion management. He emphasises the use of ceramic restorations for their durability and acid resistance, and the importance of sealing exposed dentin to prevent further damage. Personalised care is also discussed, considering patient needs and goals. The episode provides a comprehensive look at the strategies dental professionals use to treat and prevent erosion-related tooth loss.
Tooth erosion is a progressive condition where the enamel and underlying dentin wear away due to acid exposure or mechanical forces like grinding. As Dr. Bernard points out, once erosion begins, it can accelerate rapidly—sometimes occurring three times faster than normal enamel wear. This not only leads to sensitivity and functional issues but also affects aesthetics. The key to managing such cases lies in early detection and tailored treatment.
Bonding restorations to exposed dentin, using ceramics for their durability, and implementing preventive measures such as night guards and bite adjustments are all essential strategies. Importantly, patient education is critical—helping individuals understand their habits, dietary influences, and the importance of timely dental care. As dental erosion becomes increasingly common, especially in younger patients, proactive care and restorative planning become vital tools in preserving oral health and function.
