BEWE (Erosive Tooth Wear)

Basic Erosive Wear Examination (BEWE; Bartlett 2008): dental erosive tooth wear screen.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Sextant 1
1 - initial loss of surface texture
Sextant 2
1 - initial loss of surface texture
Sextant 3
2 - distinct defect, hard-tissue loss under 50%
Sextant 4
2 - distinct defect, hard-tissue loss under 50%
Sextant 5
2 - distinct defect, hard-tissue loss under 50%
Sextant 6
1 - initial loss of surface texture

Result: BEWE 9 of 18 — medium-risk erosive wear.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Per sextant
0 none, 1 initial texture loss, 2 defect < 50% surface, 3 loss >= 50%. Total = sum of the highest score in each of 6 sextants (0-18).
Levels
0-2 none (routine), 3-8 low (hygiene/diet, fluoride), 9-13 medium (avoid restorations), >= 14 high (consider restorations).

What you enter

  • Sextant 1 (upper right)
  • Sextant 2 (upper anterior)
  • Sextant 3 (upper left)
  • Sextant 4 (lower left)
  • Sextant 5 (lower anterior)
  • Sextant 6 (lower right)
How this is calculated

Bartlett D, Ganss C, Lussi A. Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Investig. 2008;12(Suppl 1):S65-S68. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.