Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs

Clin Oral Investig. 2008 Mar;12 Suppl 1(Suppl 1):S65-8. doi: 10.1007/s00784-007-0181-5. Epub 2008 Jan 29.


A new scoring system, the Basic Erosive Wear Examination (BEWE), has been designed to provide a simple tool for use in general practice and to allow comparison to other more discriminative indices. The most severely affected surface in each sextant is recorded with a four level score and the cumulative score classified and matched to risk levels which guide the management of the condition. The BEWE allows re-analysis and integration of results from existing studies and, in time, should initiate a consensus within the scientific community and so avoid continued proliferation of indices. Finally, this process should lead to the development of an internationally accepted, standardised and validated index. The BEWE further aims to increase the awareness of tooth erosion amongst clinicians and general dental practitioners and to provide a guide as to its management.

MeSH terms

  • Dental Enamel / pathology
  • Diagnosis, Differential
  • Odontometry / methods*
  • Reproducibility of Results
  • Severity of Illness Index
  • Tooth Abrasion / classification
  • Tooth Abrasion / diagnosis*
  • Tooth Attrition / classification
  • Tooth Attrition / diagnosis*
  • Tooth Erosion / classification
  • Tooth Erosion / diagnosis*