Education Courses Management of Severe Tooth wear: Diagnostics and treatment

About the course

A unique course in which diagnostics and clinically useful tips are central!
Severe tooth wear is seen as an increasing problem in dentistry. Among adolescents, in one-third of the population dental wear is observed, which assumes that nutrition plays an important role. However, the number of patients with tooth wear that needs restorative treatment is limited and the etiology of wear seems to be complex and multifactorial. Besides the chemical wear, also a mechanical wear (e.g. attrition (bruxism) and abrasion) play an important part. Restorative treatment is complex and the question is when it is wise to start such treatment, partly because in patients with severe wear the prognosis of the restorations is uncertain. Both indirect, semi-direct and direct techniques are eligible, although long-term results are still scarce.

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About the course

This course is divided into a theoretical and practical part. In the theoretical part, diagnosis, appearance and etiology of teeth wear are the choice between different treatment options will be thoroughly discussed. In the practical part, you will actively start to place an increase of vertical dimension of occlusion with direct composite restorations using the Direct Shaping in Occlusion (DSO).

Course content

  • Diagnostic tools to diagnose (severe) tooth wear. Take note of the appearance of the wear!
  • Finding the underlying etiology: is it really the use of soda?
  • When is a restorative treatment indicated or could ‘counseling and monitoring’ be an option?
  • Presentation of different restorative approaches
  • Advantages and disadvantages of different treatment options


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Medina Agic
Project officer

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In short

  • dentists

  • Location

    Radboudumc, Dental School
    Ph. Van Leydenlaan 25
    6525 EX Nijmegen, The Netherlands


Program day 1: 
08.30 - 09.00: Welcome
09.00.- 10.30: Theory, part 1
10.30 - 10.45: Coffee break
10.45 - 12.00: Theory, part 2
12.00 - 13.30: Lunch break
13:30 - 16.30: Theory, part 3
16.30 - 17.00: Evaluation and a drink

Program day 2: 
08.30 - 09.00: Welcome 
09.00.- 09.30: Introduction pre-clinical course, part 1
09:30 - 12:00: Pre-clinic
12.00 - 13.30: Lunch break
13:30 - 14:00: Introduction pre-clinical course, part 2
14:00 - 16.30: Pre-clinic 
16.30 - 17.00: Evaluation and a drink

Learning goals

  • Understand the underlying etiological factors and manifestations of severe tooth wear
  • Acquire knowledge of the various possible treatments (counseling & monitoring, direct techniques, indirect techniques, hybrid techniques and 3D CAD-CAM procedures)
  • Learning to transfer a desired increase of vertical dimension of occlusion to a patient
  • Practicing with the placement of direct composite restorations (e.g. DSO technique)
  • Application of a treatment protocol to treat a patient with severe tooth wear
  • Obtaining many clinically useful tips!