Table 4.

Risk levels as a guide to clinical management (adapted from Bartlett et al)¹¹

Risk Level	Cumulative Score of all Sextants	Management
None	Less than or equal to 2	Routine maintenance and observation Repeat at 3‐year intervals.
Low	Between 3 and 8	Oral hygiene and dietary assessment and advice, routine maintenance, and observation Repeat at 2‐year intervals
Medium	Between 9 and 13	Oral hygiene and dietary assessment, and advice, identify the main etiological 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‐ to 12‐month intervals.
High	14 and above	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. In particular, in cases of severe progression consider special care that may involve restorations. Repeat at 6‐ to 12‐month intervals.