Challenges in the Management of ETW

Management challenges for ETW include early diagnosis of erosive lesions, the initiation of preventive strategies and behavioral changes, and early intervention with minimally-invasive restorative procedures. Early diagnosis should include charting of erosive lesions, sensitive teeth, staining, and making note of areas of exposed dentin. In addition, a risk assessment should be performed.

Patients should be taught preventive habits that reduce the risk of ETW. These include:

  • Staying hydrated.
  • Rinsing with water before brushing.
  • Brushing with a stannous fluoride toothpaste.
  • Not brushing for at least 1-2 hours after an acid challenge.

The bottom line in the management of ETW is early diagnosis, initiation of preventive measures, and early intervention to avoid the need for extensive and invasive care.