Cases reported "Tooth Erosion"

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1/6. Restoration of enamel and dentin erosion due to gastroesophageal reflux disease: a case report.

    gastroesophageal reflux disease (GERD) is a condition where acid contents of the stomach are regurgitated into the oral cavity, which results in continual exposure of the teeth to these acids. knowledge of the relationship between GERD and dental erosion enables the appropriate diagnosis and treatment of the underlying medical condition as well as the affected teeth. This article details a case report where severe dental erosion was present due to GERD. After management of the disease, treatment (i.e., diagnosis, treatment planning, and restoration) of the eroded dentition is described.
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2/6. Dental erosion caused by silent gastroesophageal reflux disease.

    BACKGROUND: gastroesophageal reflux disease, or GERD, is a relatively common condition, in which stomach acid may be refluxed up through the esophagus and into the oral cavity, resulting in enamel erosion. Symptoms such as belching, unexplained sour taste and heartburn usually alert the patient to the condition. In silent GERD, however, these symptoms do not occur, and enamel erosion of the posterior dentition may be the first indication of GERD. CASE DESCRIPTION: A 30-year-old man came to a dental clinic with enamel erosion on the occlusal surfaces of his posterior teeth and the palatal surfaces of his maxillary anterior teeth. He reported no history of gastrointestinal disease or heartburn. CLINICAL IMPLICATIONS: Enamel erosion may be a clinical sign of silent GERD that allows the dentist to make the initial diagnosis. Referral to a physician or gastroenterologist is necessary to define the diagnosis; however, dental expertise may be essential in distinguishing between differential diagnoses such as bulimia, attrition and abrasion. Successful treatment of this medical condition is necessary before dental rehabilitation can be initiated successfully.
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keywords = oral cavity, cavity
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3/6. Restoring erosion associated with gastroesophageal reflux using direct resins: case report.

    gastroesophageal reflux disease (GERD) is a condition where stomach acids are chronically regurgitated into the esophagus and oral cavity, resulting in pathology, such as esophagitis, varices or ulcers. Continual exposure of the teeth to these acids can also cause severe dental erosion. This condition frequently is asymptomatic, and the only evident sign may be the irreversible erosion of tooth structure. The dentist often is the first health care professional to identify the affected dentition. knowledge of this cause and effect relationship between GERD and dental erosion will better prepare the practitioner to refer patients for appropriate diagnosis and treatment of the underlying medical condition and provide treatment for the affected teeth. This article presents a case report where dental erosion was present due to GERD. After management of the disease with medication, dental treatment of the eroded dentition is described, including diagnosis, treatment planning and restorative reconstruction.
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keywords = oral cavity, cavity
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4/6. gastroesophageal reflux diagnosed by occlusal splint tintion.

    The gastroesophageal reflux (GER) disease is a very frequent digestive disorder, mainly characterised by the reflux of the gastric acidic content to the esophage in abnormal quantities. There are different situations that favour this situation but almost in all of them rely an incompetence of the esophagic sphincter. The clinical consequences are many, including oral manifestations. Among all of them the most frequent is the esophagitis followed by symptoms at the pharynx or larynx and finally, the oral cavity. At this level fundamentally we will find enamel and oral mucosa erosions. We report the case of a patient who was indirectly diagnosed of her esophague disease by the observation of the alterations in the occlusal splint induced by the gastric reflux. We review the literature concerning the above topic and its possible association with the miofascial syndrome.
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keywords = oral cavity, cavity
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5/6. Endodontic involvement resulting from dental abrasion or erosion.

    A case is presented of extreme loss of tooth substance, most probably as a result of dentifrice abrasion. The lesions resulted in many instances of pulpal death and periapical pathosis. In most instances, an opening into the pulp chamber could not be demonstrated using an explorer. In two instances, an opening into the pulp chamber was present and probable. This communication with the oral cavity resulted in pulpal pathosis and an accompanying periapical lesion. In most cases of dental abrasion and erosion, or both, pulpal pathosis and periapical pathosis do not occur because of the ability of the pulp to lay down dentin as the pulp recedes. The findings in this case are not typical.
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6/6. Perimylolysis of the permanent dentition in an adolescent.

    During a routine dental appointment at a dental school clinic, a fifteen-year-old black male patient was diagnosed with severe erosion of the dentition together with several carious lesions and a crowded dentition. During treatment of the carious lesions, severe erosion (perimylolysis) of the maxillary and mandibular teeth were observed, which at first alerted the attending clinician to a preliminary diagnosis of anorexia and/or bulimia. Because of the age, gender and social and medical history of the patient, these preliminary diagnoses were discounted, with a hypothesis of gastrointestinal disorder presented to the patient and his parents after consultation with oral medicine and oral pathology faculty. saliva pH analysis, along with further research concluded that gastrointestinal reflux disease (GERD), surreptitious rumination, or a combination of both were possible diagnoses. Referral to a gastroenterologist for further examination was recommended, while a night-guard was fabricated for the patient to wear at night with fluoride gel. root canal therapy together with prosthodontic care are often treatment options for patients suffering from gastrointestinal problems. This paper demonstrates how important routine dental examinations are, especially since dentists can often recognize systemic disorders whose symptoms first appear in the oral cavity.
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