A reliability study of clinical occlusal tooth wear measurements
Identifieur interne : 008583 ( Main/Exploration ); précédent : 008582; suivant : 008584A reliability study of clinical occlusal tooth wear measurements
Auteurs : F. Lobbezoo ; W. J. Groenink ; A. A. Kranendonk ; I. H. Aartman [Pays-Bas] ; M. NaeijeSource :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2002-09.
Descripteurs français
- Wicri :
- geographic : Pays-Bas.
English descriptors
- KwdEn :
- Academic centre, Anterior temporalis, Anticipatory activity, Apnoea, Appliance, Arbitrary moulding, Arthrogenous origin, Auscultation, Bennett movement, Bennett side shift, Bilateral, Bilateral clenching, Bilateral measurement, Blackwell, Blackwell science, Bosman department, Botulinum toxin, Bres, Bruxers, Bruxism, Bruxism time index, Central incisor, Centre, Cervical, Cervical spine, Clenching, Clinical assessment, Clinical signs, Complete dentures, Contraction episodes, Contraction time, Contralateral side, Control appliance, Control group, Corresponding amas, Craniomandibular, Craniomandibular disorders, Crown height, Daily stress, Deformation displacement, Dental research, Dentine exposure, Dentistry, Dentistry amsterdam, Denture, Diagnostic criteria, Different design, Different foods, Digastric, Disorder, Edentate people, Edentulous, Edentulous patients, Experimental muscle pain, Experimental occlusal interference, Facial pain, Flemish adolescent girls, Food resistance, Force transducer, Full dentures, Functional impression trays, Functional impressions, Glenoid fossa, Haemodynamic changes, Healthy subjects, Horizontal forces, Hospital anxiety, Hydrodynamic stimulation, Implant, Incisor, Interference period, Interobserver reliability, Interrater reliability, Item scores, Laryngeal, Laryngeal elevation, Laryngeal vibration, Lateral, Lateral pterygoid muscles, Life quality, Little modulation, Local anaesthesia, Local application, Local craniomandibular pain, Lower ridge region, Lower ridge resorption, Magnetic resonance imaging, Main complaint, Mandible, Mandibular, Mandibular contact movements, Mandibular movement, Mandibular movements, Mandibular posture, Masseter, Masseter muscle activity, Masseter muscles, Masticatory, Masticatory muscle palpation, Masticatory muscles, Masticatory performance, Masticatory system, Mcgill pain questionnaire, Molar, Mouth opening, Multiple regression analysis, Muscle activity, Myofascial pain, Myogenous, Myogenous pain, Naeije department, Narrow occlusal surface, Natural environment, Nerve responses, Netherlands, Occlusal, Occlusal anatomy, Occlusal appliance therapy, Occlusal surface, Occlusal tooth, Odds ratio, Okayama university, Oral function, Oral habits, Oral physiology, Oral rehabilitation, Other techniques, Other variables, Outcome variables, Pain intensity, Painful body areas, Palatal, Palatal appliances, Palpation, Patient group, Periodontal receptors, Personality characteristics, Physiology, Physiotherapeutic treatment modalities, Physiotherapy, Physiotherapy group, Positive effect, Posterior digastric, Posterior digastric muscle palpation, Posterior part, Posterior temporalis, Predictor variables, Premature contact, Present study, Pressure onset, Previous study, Prosthetic dentistry, Prosthodontics, Psychological characteristics, Psychological distress, Psychological factors, Psychosomatic disorders, Pulpal blood circulation, Randomized, Recent studies, Recurrent headache, Reliability, Removable prosthodontics, Replacement dentures, Ridge incisal edge, Right masseter muscle, Ring rates, Risk factors, Sagittal distance, Several types, Side mandible, Spearman correlation, Splint therapy, Stabilization appliance, Statistical analysis, Sternocleidomastoid muscles, Stimulation cavity, Stomatognathic physiology, Such treatment, Superior laryngeal nerve, Supramedullary region, Symptom, Temporal muscles, Temporalis, Temporalis muscle, Temporomandibular, Temporomandibular disorders, Temporomandibular joints, Tongue motion, Tooth plastic rims, Treatment contrast, Treatment demand, Treatment effect, Treatment group, Treatment need, Treatment outcome, Twitch force, Unilateral, Unilateral clenching, Vallon department, Vertical distance, Visual analogue scale, Visual analogue scales, Visual feedback, Younger persons.
- Teeft :
- Academic centre, Anterior temporalis, Anticipatory activity, Apnoea, Appliance, Arbitrary moulding, Arthrogenous origin, Auscultation, Bennett movement, Bennett side shift, Bilateral, Bilateral clenching, Bilateral measurement, Blackwell, Blackwell science, Bosman department, Botulinum toxin, Bres, Bruxers, Bruxism, Bruxism time index, Central incisor, Centre, Cervical, Cervical spine, Clenching, Clinical assessment, Clinical signs, Complete dentures, Contraction episodes, Contraction time, Contralateral side, Control appliance, Control group, Corresponding amas, Craniomandibular, Craniomandibular disorders, Crown height, Daily stress, Deformation displacement, Dental research, Dentine exposure, Dentistry, Dentistry amsterdam, Denture, Diagnostic criteria, Different design, Different foods, Digastric, Disorder, Edentate people, Edentulous, Edentulous patients, Experimental muscle pain, Experimental occlusal interference, Facial pain, Flemish adolescent girls, Food resistance, Force transducer, Full dentures, Functional impression trays, Functional impressions, Glenoid fossa, Haemodynamic changes, Healthy subjects, Horizontal forces, Hospital anxiety, Hydrodynamic stimulation, Implant, Incisor, Interference period, Interobserver reliability, Interrater reliability, Item scores, Laryngeal, Laryngeal elevation, Laryngeal vibration, Lateral, Lateral pterygoid muscles, Life quality, Little modulation, Local anaesthesia, Local application, Local craniomandibular pain, Lower ridge region, Lower ridge resorption, Magnetic resonance imaging, Main complaint, Mandible, Mandibular, Mandibular contact movements, Mandibular movement, Mandibular movements, Mandibular posture, Masseter, Masseter muscle activity, Masseter muscles, Masticatory, Masticatory muscle palpation, Masticatory muscles, Masticatory performance, Masticatory system, Mcgill pain questionnaire, Molar, Mouth opening, Multiple regression analysis, Muscle activity, Myofascial pain, Myogenous, Myogenous pain, Naeije department, Narrow occlusal surface, Natural environment, Nerve responses, Netherlands, Occlusal, Occlusal anatomy, Occlusal appliance therapy, Occlusal surface, Occlusal tooth, Odds ratio, Okayama university, Oral function, Oral habits, Oral physiology, Oral rehabilitation, Other techniques, Other variables, Outcome variables, Pain intensity, Painful body areas, Palatal, Palatal appliances, Palpation, Patient group, Periodontal receptors, Personality characteristics, Physiology, Physiotherapeutic treatment modalities, Physiotherapy, Physiotherapy group, Positive effect, Posterior digastric, Posterior digastric muscle palpation, Posterior part, Posterior temporalis, Predictor variables, Premature contact, Present study, Pressure onset, Previous study, Prosthetic dentistry, Prosthodontics, Psychological characteristics, Psychological distress, Psychological factors, Psychosomatic disorders, Pulpal blood circulation, Randomized, Recent studies, Recurrent headache, Reliability, Removable prosthodontics, Replacement dentures, Ridge incisal edge, Right masseter muscle, Ring rates, Risk factors, Sagittal distance, Several types, Side mandible, Spearman correlation, Splint therapy, Stabilization appliance, Statistical analysis, Sternocleidomastoid muscles, Stimulation cavity, Stomatognathic physiology, Such treatment, Superior laryngeal nerve, Supramedullary region, Symptom, Temporal muscles, Temporalis, Temporalis muscle, Temporomandibular, Temporomandibular disorders, Temporomandibular joints, Tongue motion, Tooth plastic rims, Treatment contrast, Treatment demand, Treatment effect, Treatment group, Treatment need, Treatment outcome, Twitch force, Unilateral, Unilateral clenching, Vallon department, Vertical distance, Visual analogue scale, Visual analogue scales, Visual feedback, Younger persons.
Abstract
Tooth wear represents a clinical problem that is becoming increasingly important in ageing populations. Attrition caused by bruxism is its most visible sign. To determine the optimal moment to start the restoration of the worn dentition, one should first be able to measure the amount of tooth wear reliably in the clinical setting. So far, most studies of tooth wear severity have been performed on dental study casts. However, such an indirect approach is less applicable to the everyday dental practice, the more so because by grading of casts, the identification of dentine exposure is hard or even impossible to achieve. In this study, occlusal tooth wear was assessed clinically in 45 volunteers (17 men; 28 women; mean age 33·7 ± 10·7 years), TMD patients and symptom‐free persons alike, on four occasions: two calibrated examiners graded the occlusal wear at two different points in time, using a 5‐point scale (0=no wear; 1=visible wear within the enamel; 2=visible wear with dentine exposure and loss of clinical crown height <1/3; 3=loss of crown height between 1/3 and 2/3; 4=loss of crown height >2/3). The overall values of the intra‐rater and interrater reliability, expressed as Cohen's κ, were substantial (κ=0·632–0·678) and did not differ significantly from one another (repeated measures anova: F3,19=1·428, P=0·266). The clinical variable ‘quadrant’ (e.g. right maxillary dental arch) did not influence the values of κ whereas the interrater reliability during the first session was better for the element types ‘incisors’ and ‘cuspids’ than for the element type ‘premolars’ (one‐way anova: F3,23=4·577, P=0·012; post hoc Bonferroni tests: P=0·030 and 0·036). Qualitative assessment of the clinical variable ‘severity of wear’ indicated that the more advanced the tooth wear is, the more reliably it can be graded. The presence of restorations did not influence the reliability. It was concluded that occlusal tooth wear can be assessed reliably in the clinical setting, especially in the anterior parts of a dentition that demonstrates considerable wear. (Supported by the lOT)
Url:
DOI: 10.1046/j.1365-2842.2002.01026_26.x
Affiliations:
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Lobbezoo</name><affiliation><wicri:noCountry code="no comma">Departments of Oral Function and</wicri:noCountry></affiliation></author><author><name sortKey="Groenink, W J" sort="Groenink, W J" uniqKey="Groenink W" first="W. J." last="Groenink">W. J. Groenink</name><affiliation><wicri:noCountry code="no comma">Departments of Oral Function and</wicri:noCountry></affiliation></author><author><name sortKey="Kranendonk, A A" sort="Kranendonk, A A" uniqKey="Kranendonk A" first="A. A." last="Kranendonk">A. A. Kranendonk</name><affiliation><wicri:noCountry code="no comma">Departments of Oral Function and</wicri:noCountry></affiliation></author><author><name sortKey="Aartman, I H" sort="Aartman, I H" uniqKey="Aartman I" first="I. H." last="Aartman">I. H. Aartman</name><affiliation wicri:level="1"><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Social Dentistry, Academic Centre for Dentistry Amsterdam (ACTA)</wicri:regionArea><wicri:noRegion>Academic Centre for Dentistry Amsterdam (ACTA)</wicri:noRegion></affiliation></author><author><name sortKey="Naeije, M" sort="Naeije, M" uniqKey="Naeije M" first="M." last="Naeije">M. Naeije</name><affiliation><wicri:noCountry code="no comma">Departments of Oral Function and</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL ORAL REHABILITATION</title><idno type="ISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><imprint><biblScope unit="vol">29</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="881">881</biblScope><biblScope unit="page" to="882">882</biblScope><biblScope unit="page-count">1</biblScope><publisher>Blackwell Science Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2002-09">2002-09</date></imprint><idno type="ISSN">0305-182X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0305-182X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Academic centre</term><term>Anterior temporalis</term><term>Anticipatory activity</term><term>Apnoea</term><term>Appliance</term><term>Arbitrary moulding</term><term>Arthrogenous origin</term><term>Auscultation</term><term>Bennett movement</term><term>Bennett side shift</term><term>Bilateral</term><term>Bilateral clenching</term><term>Bilateral measurement</term><term>Blackwell</term><term>Blackwell science</term><term>Bosman department</term><term>Botulinum toxin</term><term>Bres</term><term>Bruxers</term><term>Bruxism</term><term>Bruxism time index</term><term>Central incisor</term><term>Centre</term><term>Cervical</term><term>Cervical spine</term><term>Clenching</term><term>Clinical assessment</term><term>Clinical signs</term><term>Complete dentures</term><term>Contraction episodes</term><term>Contraction time</term><term>Contralateral side</term><term>Control appliance</term><term>Control group</term><term>Corresponding amas</term><term>Craniomandibular</term><term>Craniomandibular disorders</term><term>Crown height</term><term>Daily stress</term><term>Deformation displacement</term><term>Dental research</term><term>Dentine exposure</term><term>Dentistry</term><term>Dentistry amsterdam</term><term>Denture</term><term>Diagnostic criteria</term><term>Different design</term><term>Different foods</term><term>Digastric</term><term>Disorder</term><term>Edentate people</term><term>Edentulous</term><term>Edentulous patients</term><term>Experimental muscle pain</term><term>Experimental occlusal interference</term><term>Facial pain</term><term>Flemish adolescent girls</term><term>Food resistance</term><term>Force transducer</term><term>Full dentures</term><term>Functional impression trays</term><term>Functional impressions</term><term>Glenoid fossa</term><term>Haemodynamic changes</term><term>Healthy subjects</term><term>Horizontal forces</term><term>Hospital anxiety</term><term>Hydrodynamic stimulation</term><term>Implant</term><term>Incisor</term><term>Interference period</term><term>Interobserver reliability</term><term>Interrater reliability</term><term>Item scores</term><term>Laryngeal</term><term>Laryngeal elevation</term><term>Laryngeal vibration</term><term>Lateral</term><term>Lateral pterygoid muscles</term><term>Life quality</term><term>Little modulation</term><term>Local anaesthesia</term><term>Local application</term><term>Local craniomandibular pain</term><term>Lower ridge region</term><term>Lower ridge resorption</term><term>Magnetic resonance imaging</term><term>Main complaint</term><term>Mandible</term><term>Mandibular</term><term>Mandibular contact movements</term><term>Mandibular movement</term><term>Mandibular movements</term><term>Mandibular posture</term><term>Masseter</term><term>Masseter muscle activity</term><term>Masseter muscles</term><term>Masticatory</term><term>Masticatory muscle palpation</term><term>Masticatory muscles</term><term>Masticatory performance</term><term>Masticatory system</term><term>Mcgill pain questionnaire</term><term>Molar</term><term>Mouth opening</term><term>Multiple regression analysis</term><term>Muscle activity</term><term>Myofascial pain</term><term>Myogenous</term><term>Myogenous pain</term><term>Naeije department</term><term>Narrow occlusal surface</term><term>Natural environment</term><term>Nerve responses</term><term>Netherlands</term><term>Occlusal</term><term>Occlusal anatomy</term><term>Occlusal appliance therapy</term><term>Occlusal surface</term><term>Occlusal tooth</term><term>Odds ratio</term><term>Okayama university</term><term>Oral function</term><term>Oral habits</term><term>Oral physiology</term><term>Oral rehabilitation</term><term>Other techniques</term><term>Other variables</term><term>Outcome variables</term><term>Pain intensity</term><term>Painful body areas</term><term>Palatal</term><term>Palatal appliances</term><term>Palpation</term><term>Patient group</term><term>Periodontal receptors</term><term>Personality characteristics</term><term>Physiology</term><term>Physiotherapeutic treatment modalities</term><term>Physiotherapy</term><term>Physiotherapy group</term><term>Positive effect</term><term>Posterior digastric</term><term>Posterior digastric muscle palpation</term><term>Posterior part</term><term>Posterior temporalis</term><term>Predictor variables</term><term>Premature contact</term><term>Present study</term><term>Pressure onset</term><term>Previous study</term><term>Prosthetic dentistry</term><term>Prosthodontics</term><term>Psychological characteristics</term><term>Psychological distress</term><term>Psychological factors</term><term>Psychosomatic disorders</term><term>Pulpal blood circulation</term><term>Randomized</term><term>Recent studies</term><term>Recurrent headache</term><term>Reliability</term><term>Removable prosthodontics</term><term>Replacement dentures</term><term>Ridge incisal edge</term><term>Right masseter muscle</term><term>Ring rates</term><term>Risk factors</term><term>Sagittal distance</term><term>Several types</term><term>Side mandible</term><term>Spearman correlation</term><term>Splint therapy</term><term>Stabilization appliance</term><term>Statistical analysis</term><term>Sternocleidomastoid muscles</term><term>Stimulation cavity</term><term>Stomatognathic physiology</term><term>Such treatment</term><term>Superior laryngeal nerve</term><term>Supramedullary region</term><term>Symptom</term><term>Temporal muscles</term><term>Temporalis</term><term>Temporalis muscle</term><term>Temporomandibular</term><term>Temporomandibular disorders</term><term>Temporomandibular joints</term><term>Tongue motion</term><term>Tooth plastic rims</term><term>Treatment contrast</term><term>Treatment demand</term><term>Treatment effect</term><term>Treatment group</term><term>Treatment need</term><term>Treatment outcome</term><term>Twitch force</term><term>Unilateral</term><term>Unilateral clenching</term><term>Vallon department</term><term>Vertical distance</term><term>Visual analogue scale</term><term>Visual analogue scales</term><term>Visual feedback</term><term>Younger persons</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Academic centre</term><term>Anterior temporalis</term><term>Anticipatory activity</term><term>Apnoea</term><term>Appliance</term><term>Arbitrary moulding</term><term>Arthrogenous origin</term><term>Auscultation</term><term>Bennett movement</term><term>Bennett side shift</term><term>Bilateral</term><term>Bilateral clenching</term><term>Bilateral measurement</term><term>Blackwell</term><term>Blackwell science</term><term>Bosman department</term><term>Botulinum toxin</term><term>Bres</term><term>Bruxers</term><term>Bruxism</term><term>Bruxism time index</term><term>Central incisor</term><term>Centre</term><term>Cervical</term><term>Cervical spine</term><term>Clenching</term><term>Clinical assessment</term><term>Clinical signs</term><term>Complete dentures</term><term>Contraction episodes</term><term>Contraction time</term><term>Contralateral side</term><term>Control appliance</term><term>Control group</term><term>Corresponding amas</term><term>Craniomandibular</term><term>Craniomandibular disorders</term><term>Crown height</term><term>Daily stress</term><term>Deformation displacement</term><term>Dental research</term><term>Dentine exposure</term><term>Dentistry</term><term>Dentistry amsterdam</term><term>Denture</term><term>Diagnostic criteria</term><term>Different design</term><term>Different foods</term><term>Digastric</term><term>Disorder</term><term>Edentate people</term><term>Edentulous</term><term>Edentulous patients</term><term>Experimental muscle pain</term><term>Experimental occlusal interference</term><term>Facial pain</term><term>Flemish adolescent girls</term><term>Food resistance</term><term>Force transducer</term><term>Full dentures</term><term>Functional impression trays</term><term>Functional impressions</term><term>Glenoid fossa</term><term>Haemodynamic changes</term><term>Healthy subjects</term><term>Horizontal forces</term><term>Hospital anxiety</term><term>Hydrodynamic stimulation</term><term>Implant</term><term>Incisor</term><term>Interference period</term><term>Interobserver reliability</term><term>Interrater reliability</term><term>Item scores</term><term>Laryngeal</term><term>Laryngeal elevation</term><term>Laryngeal vibration</term><term>Lateral</term><term>Lateral pterygoid muscles</term><term>Life quality</term><term>Little modulation</term><term>Local anaesthesia</term><term>Local application</term><term>Local craniomandibular pain</term><term>Lower ridge region</term><term>Lower ridge resorption</term><term>Magnetic resonance imaging</term><term>Main complaint</term><term>Mandible</term><term>Mandibular</term><term>Mandibular contact movements</term><term>Mandibular movement</term><term>Mandibular movements</term><term>Mandibular posture</term><term>Masseter</term><term>Masseter muscle activity</term><term>Masseter muscles</term><term>Masticatory</term><term>Masticatory muscle palpation</term><term>Masticatory muscles</term><term>Masticatory performance</term><term>Masticatory system</term><term>Mcgill pain questionnaire</term><term>Molar</term><term>Mouth opening</term><term>Multiple regression analysis</term><term>Muscle activity</term><term>Myofascial pain</term><term>Myogenous</term><term>Myogenous pain</term><term>Naeije department</term><term>Narrow occlusal surface</term><term>Natural environment</term><term>Nerve responses</term><term>Netherlands</term><term>Occlusal</term><term>Occlusal anatomy</term><term>Occlusal appliance therapy</term><term>Occlusal surface</term><term>Occlusal tooth</term><term>Odds ratio</term><term>Okayama university</term><term>Oral function</term><term>Oral habits</term><term>Oral physiology</term><term>Oral rehabilitation</term><term>Other techniques</term><term>Other variables</term><term>Outcome variables</term><term>Pain intensity</term><term>Painful body areas</term><term>Palatal</term><term>Palatal appliances</term><term>Palpation</term><term>Patient group</term><term>Periodontal receptors</term><term>Personality characteristics</term><term>Physiology</term><term>Physiotherapeutic treatment modalities</term><term>Physiotherapy</term><term>Physiotherapy group</term><term>Positive effect</term><term>Posterior digastric</term><term>Posterior digastric muscle palpation</term><term>Posterior part</term><term>Posterior temporalis</term><term>Predictor variables</term><term>Premature contact</term><term>Present study</term><term>Pressure onset</term><term>Previous study</term><term>Prosthetic dentistry</term><term>Prosthodontics</term><term>Psychological characteristics</term><term>Psychological distress</term><term>Psychological factors</term><term>Psychosomatic disorders</term><term>Pulpal blood circulation</term><term>Randomized</term><term>Recent studies</term><term>Recurrent headache</term><term>Reliability</term><term>Removable prosthodontics</term><term>Replacement dentures</term><term>Ridge incisal edge</term><term>Right masseter muscle</term><term>Ring rates</term><term>Risk factors</term><term>Sagittal distance</term><term>Several types</term><term>Side mandible</term><term>Spearman correlation</term><term>Splint therapy</term><term>Stabilization appliance</term><term>Statistical analysis</term><term>Sternocleidomastoid muscles</term><term>Stimulation cavity</term><term>Stomatognathic physiology</term><term>Such treatment</term><term>Superior laryngeal nerve</term><term>Supramedullary region</term><term>Symptom</term><term>Temporal muscles</term><term>Temporalis</term><term>Temporalis muscle</term><term>Temporomandibular</term><term>Temporomandibular disorders</term><term>Temporomandibular joints</term><term>Tongue motion</term><term>Tooth plastic rims</term><term>Treatment contrast</term><term>Treatment demand</term><term>Treatment effect</term><term>Treatment group</term><term>Treatment need</term><term>Treatment outcome</term><term>Twitch force</term><term>Unilateral</term><term>Unilateral clenching</term><term>Vallon department</term><term>Vertical distance</term><term>Visual analogue scale</term><term>Visual analogue scales</term><term>Visual feedback</term><term>Younger persons</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Pays-Bas</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Tooth wear represents a clinical problem that is becoming increasingly important in ageing populations. Attrition caused by bruxism is its most visible sign. To determine the optimal moment to start the restoration of the worn dentition, one should first be able to measure the amount of tooth wear reliably in the clinical setting. So far, most studies of tooth wear severity have been performed on dental study casts. However, such an indirect approach is less applicable to the everyday dental practice, the more so because by grading of casts, the identification of dentine exposure is hard or even impossible to achieve. In this study, occlusal tooth wear was assessed clinically in 45 volunteers (17 men; 28 women; mean age 33·7 ± 10·7 years), TMD patients and symptom‐free persons alike, on four occasions: two calibrated examiners graded the occlusal wear at two different points in time, using a 5‐point scale (0=no wear; 1=visible wear within the enamel; 2=visible wear with dentine exposure and loss of clinical crown height <1/3; 3=loss of crown height between 1/3 and 2/3; 4=loss of crown height >2/3). The overall values of the intra‐rater and interrater reliability, expressed as Cohen's κ, were substantial (κ=0·632–0·678) and did not differ significantly from one another (repeated measures anova: F3,19=1·428, P=0·266). The clinical variable ‘quadrant’ (e.g. right maxillary dental arch) did not influence the values of κ whereas the interrater reliability during the first session was better for the element types ‘incisors’ and ‘cuspids’ than for the element type ‘premolars’ (one‐way anova: F3,23=4·577, P=0·012; post hoc Bonferroni tests: P=0·030 and 0·036). Qualitative assessment of the clinical variable ‘severity of wear’ indicated that the more advanced the tooth wear is, the more reliably it can be graded. The presence of restorations did not influence the reliability. It was concluded that occlusal tooth wear can be assessed reliably in the clinical setting, especially in the anterior parts of a dentition that demonstrates considerable wear. (Supported by the lOT)</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><noCountry><name sortKey="Groenink, W J" sort="Groenink, W J" uniqKey="Groenink W" first="W. J." last="Groenink">W. J. Groenink</name><name sortKey="Kranendonk, A A" sort="Kranendonk, A A" uniqKey="Kranendonk A" first="A. A." last="Kranendonk">A. A. Kranendonk</name><name sortKey="Lobbezoo, F" sort="Lobbezoo, F" uniqKey="Lobbezoo F" first="F." last="Lobbezoo">F. Lobbezoo</name><name sortKey="Naeije, M" sort="Naeije, M" uniqKey="Naeije M" first="M." last="Naeije">M. Naeije</name></noCountry><country name="Pays-Bas"><noRegion><name sortKey="Aartman, I H" sort="Aartman, I H" uniqKey="Aartman I" first="I. H." last="Aartman">I. H. Aartman</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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