Objectives\u00a0 <\/b>Dental erosion, which is defined as the gradual but irreversible loss of hard tissue is a major dental is\u00adsue as it may be linked to system\u00adic diseases such as eating disor\u00adders or gastroesophageal reflux (GERD), giving rise to difficulties in diagnosis.<\/p>\n
In both pathological forms, the presence of gastric juices in the oral cavity causes the erosion of the palatal surfaces of the upper elements, often associated with variable sensitivity; carious lesions are generally not associated. Ero\u00adsions associated with gastro\u00adesophageal reflux are often asso\u00adciated with mucosal irritation, oral ulcers and altered taste. It may be due to mechanical or chemical causes, which often lead to prob\u00adlems in treatment.<\/p>\n
Compared to traditional classifica\u00adtions, the ACE classification sees these lesions divided mainly relat\u00aded to the anterior sector and to the therapeutic intervention strategy. Early diagnosis is crucial to maxi\u00admize therapeutic alternatives.<\/p>\n
The treatment of erosions is closely related to the amount of enamel and dentinal tissue in\u00advolved as well as to the vertical di\u00admension to be obtained in order to obtain satisfactory aesthetic re\u00adsults for the patient. Best erosion treatment involves a multi-disci\u00adplinary team and may range from direct composite reconstructions and fixed prostheses to innovative indirect reconstruction systems that aim at preserving as much tissue as possible. The new CAD\/ CAM technology offers important advantages in terms of result forecasting, accuracy, precision and better patient-dentist com\u00admunication.<\/p>\n
The principle aims of treatment are aesthetic rehabilitation, recov\u00adery of functional mastication, es\u00adtablishment of the correct vertical dimension and achievement of stable and reproducible out\u00adcomes. In this regard, a multidis\u00adciplinary treatment that involves various professional figures would seem to guarantee good and pre\u00addictable results.<\/p>\n
Materials and methods\u00a0 <\/b>The present clinical report de\u00adscribes the treatment of asymp\u00adtomatic dental erosion in a patient with eating disorders associated with bruxism and cervical myal\u00adgia. The patient requested esthet\u00adic rehabilitation without invasive interventions. A multi-disciplinary approach included esthetic analy\u00adsis which was followed by posture assessment using a stabilometric platform and a podoscope.<\/p>\n
A modified 3-step rehabilitation technique was supported by digi\u00adtal technology. Composite resto\u00adrations were inserted in the poste\u00adrior areas and double veneers in the anterior. The outcome was stable and easy to monitor.<\/p>\n
Results and conclusions\u00a0 <\/b>The main objectives of prosthetic rehabilitation are preserving as much residual dental tissue as possible and achieving stable oc\u00adclusal rehabilitation with a multi\u00addisciplinary approach, involving dentists, physiatrists and postur\u00adologists. Treatment depends on careful assessment of postural and temporal-mandibular abnor\u00admalities, as well as tooth damage.<\/p>\n
A multidisciplinary approach to\u00adgether with the advantages of\u00adfered by CAD\/CAM technology provides acceptable, predictable outcomes when treating dental erosive lesions. It is often partic\u00adularly problematic to propose in\u00advasive therapeutic solutions, in the absence of relevant clinical symptoms.<\/p>\n
New technologies, together with adhesive strategies in the pros\u00adthetic field, allow the partial over\u00adcoming of this problem.<\/p>\n
Clinical significance <\/b> The proposed treatment rep\u00adresents a valid alternative to more invasive prosthetic reconstructions and highlights the importance of the multidisciplinary approach to the treatment of dental erosions.<\/p>\n
Per continuare la lettura gli abbonati possono scaricare l’allegato.<\/i><\/p>\n
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