Why is the BEWE important to me? – A workshop why it’s useful and how to use it
31 Aug 2022 Online Event | 19:30 GST (UAE) | 18:30 KSA | 17:30 CET Area of interest: General Dentistry, Oral Hygiene, Cosmetic Dentistry, Prosthodontics, Restorative Dentistry, Periodontics


Why is the BEWE important to me? – a workshop why it’s useful and how to use it
Speaker: Professor David Bartlett, UK 

Head of the Centre for Oral, Clinical & Translational Science and Prosthodontics King's College London

Erosive tooth wear is the 3rd most common dental condition. The term erosive tooth wear recognises that erosion is often the underlying element causing tooth wear but acknowledges attrition and abrasion can also be important. For other conditions, such as periodontal disease, there are established ways to screen each new patient to ensure that a missed diagnosis does not occur. The BEWE was developed to help dentists to easily screen and record the presence of erosive tooth wear. It was designed to be simple and follow the same routine as the BPE and records the most advanced lesion, using a sextant approach.

The BEWE examiners every tooth surface but records the most severe using one of 4 scores; 0 is no evidence, 1 is early loss of surface features, 2 is wear less than 50% of the surface and 3 is over 50%. Identifying the clinical features is the first step, but the next is to initiate prevention. The most effective intervention is to limit acidic food and drinks to mealtimes to reduce the risk of progression. In conjunction with a fluoride toothpaste to strengthen the enamel surface. There are also “soft” aspects to using the BEWE. One involved the patient in their diagnosis and let them know you have examined their teeth for signs of erosion.

The lecture will explain the steps in diagnosis, show how to use the BEWE and to reinforce the impact of dietary control to help prepare the audience to become familiar and confident in its use.

Learning Objectives:

  • Learn how ot use the BEWE for general practice
  • If I identfy erosive tooth wear how do I prevent it
  • What do I look for with erosive tooth wear
  • How do I change my patients eating habits
  • How likely is that I will see it in my practice

Tooth wear Epidemiology in the Arab world
Speaker: Professor Manal Awad, UAE 

Professor and Vice Dean, University of Sharjah, College of Dental Medicine. Department of Preventive & Restorative Dentistry

Introduction: Assessment of the prevalence of tooth wear and its impact on patients is important to guide health professionals and policy makers in applying the necessary and appropriate measures to prevent or control its occurrence. The aim of this study was to assess the prevalence and severity of tooth wear and related risk indicators in six Arab countries.

Methods: This cross-sectional study was conducted among 2924 participants between the ages of 18-35 years old from six Arab countries (United Arab Emirates, Oman, Saudi Arabia, Kuwait, Egypt and Jordan). Calibrated dentists assessed tooth wear using the Basic Erosive Wear Examination Index (BEWE). Participants were also asked to complete a questionnaire that assessed the frequency of drinking and eating acidic foods, as well as oral health habits such as tooth brushing. Each participant was identified by the sextant with the highest BEWE score in the upper and lower jaws.

Results: In this study, Oman had the highest prevalence of BEWE score 3 (N= 255 (60.2%)). The incisal edge of the upper anterior teeth (N= 602 (20.6%)) and the lower left posterior region on the occlusal surface of Sextant 6 (N=466 (15.9%)) had the highest percentage of BEWE score 3. Severe tooth wear in both regions was associated with eating or drinking more than six times per day, participants’ age and level of education. Drinking soft drinks “once a day” was significantly associated with severe tooth wear in the posterior region (OR: 1.3, 95% CI:1.05, 1.6).  Brushing teeth more than twice a day was inversely associated with tooth wear in the anterior region (OR:0.75, 95% CI: 0.57,0.97).

Conclusion: The present study found that the prevalence of severe tooth wear in Arab populations is relatively high. specific preventive and therapeutic measures should be developed to target people at higher risk of this condition.

Learning Objectives:

  • Know the prevalence of tooth wear in Arab countries
  • Be able to identify correlated of severe tooth wear in Arab populations.
  • Understand the significance of tooth wear as an oral health problem
  • Understand the role of the dentist in controlling/ preventing the occurrence of severe tooth wear.