Restorative & Materials · single question

A patient presents with erosion and attrition on their teeth. All of the following are appropriate treatments EXCEPT:

  1. Crowns on severely worn teeth
  2. Composite resin restorations to restore lost structure
  3. Night guard/occlusal splint to reduce further attrition
  4. Root canal treatment (RCT) — NOT indicated for erosion/attrition unless there is pulpal pathology
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Correct answer: D. Root canal treatment (RCT) — NOT indicated for erosion/attrition unless there is pulpal pathology

  • A. Crowns on severely worn teeth protect and restore function — appropriate when wear is extensive.
  • B. Composite resin restorations restore lost tooth structure due to erosion/attrition — appropriate management.
  • C. Night guard/occlusal splint reduces nocturnal bruxism (primary cause of attrition) — appropriate preventive treatment.
  • D. Correct. RCT is NOT a treatment for erosion or attrition per se — it is only indicated if pulpal pathology (irreversible pulpitis, necrosis) develops as a COMPLICATION of severe wear. Treating erosion/attrition with RCT routinely would be inappropriate and over-treatment.

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