Deeban et al reported a simple grading classification for aesthetic changes from tooth surface loss (TSL). The authors are from the University of Sheffield, Majmaah University, and Mohammed Bin Rashid University of Medicine and Health Sciences.
Parameters:
(1) severity of visible tooth surface loss (TSL)
(2) impact of tooth surface loss
Visible Tooth Surface Loss
Appearance
Aesthetic Impact
none or minimal
not noticeable
none
on labial surface or incisal edge
no effect on facial profile or aesthetic appearance; no reduction in OVD
minor
moderate
some effect on facial profile; slight reduction in OVD; noticeable but not severe
moderate
severe
severe reduction in OVD and unacceptable appearance
severe
where:
ª OVD = occlusal vertical dimension
The appearance related to tooth surface loss may be affected by adjacent:
(1) missing teeth
(2) restoration
(3) variation in shades
(4) periodontal disease
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