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Attrition
Attrition for Oral Pathology Review from RealizeIt (E. Andrews)
Question | Answer |
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What are the clinical features of Attrition? | The loss of structure due to tooth-tooth contact. This condition occurs in the deciduous and permanent dentition. Patients will show shortening of the arch length and a decrease in a vertical dimension. Pulp exposure and sensitivity are rare. |
Describe the demographics of patients diagnosed with Attrition. | There is an increased likelihood of condition when there is poor quality of enamel, edge to edge occlusion, premature occlusion, intraoral abrasive’s, and a tooth grinding habit. |
Elaborate on appropriate lesion terminology used to describe Attrition. | Extensive loss of coronal tooth height without pulp exposure in patient with edge-to-edge occlusion. |
Describe the lesion appearance/histological features of Attrition. | n many cases, no histologic features will be used to diagnose this defect. |
List 3 differential diagnosis for Attrition condition. | 1. Erosion 2. Abrasion 3. Abfraction |
Describe the type of treatment appropriate for Attrition. | Early diagnosis and intervention are key approaches to decrease the amount of destruction. Normal levels of attrition require no therapy. |