. 2008 Jan 29;12(Suppl 1):65–68. doi: 10.1007/s00784-007-0181-5

Table 2.

Risk levels as a guide to clinical management

Risk level	Cumulative score of all sextants	Management
None	Less than or equal to 2^a	Routine maintenance and observation
None	Less than or equal to 2^a	Repeat at 3-year intervals
Low	Between 3 and 8^a	Oral hygiene and dietary assessment, and advice, routine maintenance and observation
Low	Between 3 and 8^a	Repeat at 2-year intervals
Medium	Between 9 and 13^a	Oral hygiene and dietary assessment, and advice, identify the main aetiological factor(s) for tissue loss and develop strategies to eliminate respective impacts
		Consider fluoridation measures or other strategies to increase the resistance of tooth surfaces
		Ideally, avoid the placement of restorations and monitor erosive wear with study casts, photographs, or silicone impressions
		Repeat at 6–12-month intervals
High	14 and over^a	Oral hygiene and dietary assessment, and advice, identify the main aetiological factor(s) for tissue loss and develop strategies to eliminate respective impacts
		Consider fluoridation measures or other strategies to increase the resistance of tooth surfaces
		Ideally, avoid restorations and monitor tooth wear with study casts, photographs, or silicone impressions
		Especially in cases of severe progression consider special care that may involve restorations
		Repeat at 6–12-month intervals

^aThe cut-off values are based on experience and studies of one of the authors (A. L.) and have to be reconsidered.