A Multidisciplinary Approach to Dental Erosion: A Case Report

Abstract

Chemical erosion is the loss of superficial tooth structure by chemical action in the continued presence of demineralizing agents. This can be prominent in patients with oral habits such as constant citrus ingestion (like lemon chewing), chlorinated swimming pool water or gastrointestinal problems that produce repeated exposure of teeth to gastric acids. In this case report, a multidisciplinary approach to restore the severe wear due to dental erosion by proper techniques and materials was presented.

Restorative Rehabilitation of a Patient with Generalized Non-Carious Cervical Lesions: Case Report

“…The patient had a clinical history of an excessive, prolonged intake of medications and a carbonated and acidic diet. It has been reported that the use of medications causes xerostomia, therefore decreasing the capacity of the saliva buffer (14). The multiple NCCL caused excessive demineralization of the dental structure, thus the loss of vertical dimension.…”

Aesthetic Rehabilitation in Teeth with Wear from Bruxism and Acid Erosion

“…Patients with constant eating habits such as the ingestion of citrus fruits, contact with chlorinated pool water or gastrointestinal problems that produce a repeated exposure of the teeth to hydrochloric acid present in gastric juice may develop acid erosion. Considering that the pH of citric acid is 2.5 and the critical point at which enamel dissolves is the pH range of 5.0-5.7, citric acid may play a significant role in tooth erosion [ 13 ]. It is therefore relevant to diagnose acid erosion at the anamnesis and clinical examination to institute better treatment before the aesthetic rehabilitation.…”

“…A bite plaque is essential for protecting the teeth from erosion and maintaining the vertical dimension of occlusion through the mutually protected occlusion [ 13 ]. The occlusal bite guard is made after the completion of the treatment and is designed for continuous use.…”

“…Frequency of consumption [ 11 ], time of contact with acid [ 12 ] and unusual patterns of consumption are also relevant factors that influence the erosive effect. In patients with teeth eroded and worn by bruxism, the main cause of tooth structure loss should be determined to eliminate etiologic factors before rehabilitation therapy is performed [ 13 ].…”

Is Your Knowledge Up‐to‐date?

“…Saliva, with its buffering capacity and its ability to form a protective enamel pellicle, can control dental decalcification (23). The reduction in loss of salivary buffering capacity would contribute to the process of enamel erosion (24). Assessing salivary parameters such as pH and buffering capacity in the dental office is possible using commercially available diagnostic kits.…”