BEWE Score 16 Specialist Referral — ORE Part 1 MCQ

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ModerateDental Public Health & EpidemiologyBEWE Score 16 Specialist ReferralORE Part 1

A 45-year-old patient has generalised erosive tooth wear. Their cumulative Basic Erosive Wear Examination (BEWE) score is 16. Using BEWE management guidance, which management category is most appropriate?

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Correct answer: D — High risk: provide preventive care and arrange specialist assessment

**A is correct.** A cumulative BEWE score of 16 is within the high-risk band (score ≥9), so management includes addressing causes and preventive measures, monitoring progression, and specialist assessment where comprehensive restorative planning is required. The stem also describes generalised erosive wear, supporting the need for a more detailed assessment rather than simple observation. UK guidance confirms that the cumulative BEWE score assists management and that multiple sextants with severe wear warrant further investigation. **B** is wrong because medium risk applies to cumulative scores of 3–8. **C** is wrong because low risk applies to scores of 0–2. **D** and **E** fail because a score of 16 already establishes severe, high-risk tooth wear and requires active management rather than no action or delayed categorisation.

Reference: Department of Health and Social Care, NHS England et al. Delivering Better Oral Health: an evidence-based toolkit for prevention, Chapter 7: tooth wear, updated 10 September 2025. https://www.gov.uk/government/publications/delivering-better-oral-health-an-evidence-based-toolkit-for-prevention/chapter-7-tooth-wear