A proposed system for screening tooth wear

This paper presents a useful and convenient way to record the severity of tooth wear for patients seen in primary care. The index developed in collaboration with colleagues in Europe because there is widespread belief that tooth wear and in particular erosion is a growing issue for practitioners. The index is based on the BPE and uses similar protocols. It is designed to be simple to use, easily recorded in the notes, and gives practitioners the opportunity to record that the wear has been examined and considered. The four level index uses 0 (no wear), 1 (initial loss of surface texture), 2 (< 50% loss of surface) and 3 (> 50% loss of surface) to record the severity of wear.