I think you'll find something here..

Reliability of Two Clinical Scoring Systems for Dental Erosive Wear

Caries Res 2010;44:294–299

(DOI:10.1159/000314811)

Thanks Mohammed.  I will look for the paper.  Mariela.

If you have to score restored teeth, don't forget the old but reliable USPHS system[1]... The original paper seems difficult to find online, but at least the Library of Congress is bound to have a communicable copy. It is also available as [2].

HTH,

--

Emmanuel Charpentier

1. Cvar J, Ryge G. Criteria for the clinical evaluation of dental restoration materials. USPHS Publicatio N° 790. US Government Printing Office; 1971.

2. Schmalz G, Ryge G. Reprint of Criteria for the clinical evaluation of dental restorative materials. Clin Oral Invest. 2005 Nov 29;9(4):215–32.

Hi Mariela,

There are several erosion/ tooth wear indices already out there. Maybe worth looking into them to give you ideas, like: Smith and Knight's, ACE, Simplified Tooth Wear Index, BEWE, etc.

Two critical papers to review: 

Young, Alix, et al. "Current erosion indices—flawed or valid? Summary." Clinical oral investigations 12.1 (2008): 59-63.

Bardsley, Penny Fleur. "The evolution of tooth wear indices." Clinical oral investigations 12.1 (2008): 15-19.

Thanks Emmanuel and Khaled.  I think I will use the BEWE this time.

Mariela.

Hi Mariela,

Adrian Lussi wrote a very interesting book in 2006: ‘Dental erosion, from diagnosis to therapy’.

Definition, diagnosis, prevalence, incidence and chemistry of dental erosion are discussed in the first part of the publication. Further, topics like extrinsic and intrinsic causes of dental erosion are covered and a chapter is devoted to dental erosion in children.

Methods of assessment are presented and critically evaluated. The book concludes with themes on dentinal hypersensitivity, risk assessment and preventive measures and restorative options for erosive lesions.

This publication is not only highly recommended to faculty members, researchers and dental students, but also to practitioners and other dental professionals who are committed to the prevention and treatment of dental erosion.

See in attach for further info.

Philippe Nuytens

Thanks Philippe.  Nice recommendation.

Hi Mariela,

It's a good idea to develop a new scoring system for charting worn teeth and surfaces.

I would like to suggest score for charting..Could be called EDP System..

or we can call it (Sanabani-Mariela) system,  after finding out the reliability and validity.

The suggested score:

- E : Enamel involved and using Number (E1, E2, and E3)  for subscoring, describing the amount of Enamel loose (severity).

- D: Dentine involved and using Number ( D1, D2, and D3) for subscoring , describing the the amount of  Dentine loose (severity).

- P: Pulp involved....

These scores could be applied simply for caries chart, Which commonly used showing all teeth and surfaces..

So, the score can be recorded on the  worn surface and tooth on the chart..

All the best.

Absolutely Khaled :-) I completely agree. For record keeping you might be best using a scale that has more versatility, like Smith and Knight (modified). BEWE is blunt and won't really add any value to your clinical notes, in my opinion.

Hope this helps!