Table 10.

Management of Type B (hard tissue loss+no soft tissue loss)

Category code names	Chronology of management (reevaluation for CCC after each phase)
BLMi	TWES: 0–1 - AH (DS-dentifrice) - Review TWES: 2–4 - IO (occlusive/appropriate periodontal therapy) - Review - AH (DS-dentifrice)
BLMo	TWES: 0–1 - IO (appropriate occlusive therapy) - Review - AH (DS-dentifrice) TWES: 2–4 - IO (appropriate restorative therapy) - AH (DS-dentifrice)
BLSe	TWES: 0–1 - IO (appropriate occlusive therapy) - AH (DS-dentifrice) TWES: 2–4 - IOa (appropriate restorative therapy) - AH (DS-dentifrice)
BGMi	TWES: 0–1 – AH (DS-dentifrice) - Review TWES: 2–4 – IO (appropriate restorative therapy) - AH (DS-dentifrice) - Review
BGMo	TWES: 0–1 - AHb (DS-dentifrice) - IO (appropriate occlusive therapy) TWES: 2–4 - IO (appropriate restorative therapy) - AH (DS-dentifrice)
BGSe	TWES: 0–1 - IO (appropriate occlusive therapy) - AH (DS-dentifrice) TWES: 2–4 - IO (appropriate restorative therapy) - AH (DS-dentifrice) - Review

^a Endodontic therapy in rare cases; ^b The idea of considering the AH preferred to IO initially is with bearing in mind that the severity might downgrade. Also, the review may also result in the change of case to a localized moderate. Though these cases have predominantly a had tissue loss, yet a comprehensive periodontal assessment is recommended for presence of periodontal pocket, in which case the management should be as per category A. Occlusive Therapy – Physical/ chemical/laser occlusion of dentinal tubules. TWES (citation) (0 – No wear; 1 – Wear confined to enamel; 2 – Wear with exposed dentin≤1/3 of crown height; 3 – Wear>1/3 but<2/3 of crown height; 4 – Wear≥2/3 of crown height). According to TWES classification only preventive measures and monitoring should be advocated when grade 0 or 1 exists on the surfaces that are involved in occlusion/articulation, and/or grade 0 or 1 on the nonocclusal/nonincisal surfaces. Similarly, restorative treatment is to be considered when grade 3 or 4 exists on the surfaces that are involved in occlusion/articulation, and/or grade 2 on the nonocclusal/ nonincisal surfaces are diagnosed as well. IO – In-office management; AH – At home management; TWES – Tooth wear evaluation system; DS – Dentin sensitivity; Mi – Mild; Mo – Moderate; Se – Severe; CCC – triple C