Clinical Examination

A full examination and tooth indexing for erosion, known as the Basic Erosive Wear Examination (BEWE), should be performed. The patient should be assessed for erosion, abrasion, attrition, abfraction, tooth wear etiology, recession, dentinal hypersensitivity, occlusion, salivary flow rate, and staining (which would suggest erosion is likely not occurring at that time) (Figure 23).

Figure 23.
Photo showing young 30-year-old presenting with multiple types of wear.
Image of young 30-year-old presenting with multiple types of wear.