11/63. Indirectly formed matrix for multiple composite core restorations: two clinical treatments illustrating an expanded technique.The technique described in this report is an expansion of a previously reported intraoral procedure for directly developing a matrix for the fabrication of composite cores. The expanded method allows a matrix to be created indirectly after the involved teeth are trimmed or restored on a cast into slightly oversized crown preparations before the treatment visit. The cast may serve for both the matrix and the interim fixed restoration, enabling fabrication by the dental laboratory. A semirigid (occlusal registration) elastomeric material is used to form the matrix. The matrix is used to apply the composite and shape the cores after the abutment teeth have been prepared, pins or posts have been placed, and adhesive procedures have been implemented. The elastomeric matrix can be modified for use as the impression matrix. The described technique allows the simultaneous formation of multiple composite cores. An alternative method in which light-polymerized core composite is used with a vacuum-formed, dual-laminate transparent matrix is described and compared with the semirigid elastomeric matrix.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
12/63. diagnosis and management of maxillary incisors affected by incisal wear: an interdisciplinary case report.In the attempt to restore anterior teeth affected by erosion and bruxism, many clinicians have been frustrated with the constant restorative failures. Frequently, these failures are attributed to the restorative materials employed, especially in cases in which composite resins are used. However, some flaws of the restorations are related to the oversight of occlusal principles. The purpose of this article is to discuss the etiology, signs, and symptoms of incisal wear, with special attention to that caused by bruxism and chemical erosion. Relatively simple management techniques (e.g., occlusal adjustment, adhesive restorations) are proposed, and the diagnosis and management of a representative clinical case is presented. CLINICAL SIGNIFICANCE: In some cases of bruxism and/or dental erosion, it is possible to acquire space to recuperate the esthetics and function of maxillary incisors affected by incisal wear through a conservative treatment associated with the control of the etiologic factors.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
13/63. Complications of medical management of dental erosion.This article reports the case of a patient presenting with dental erosion as a result of asymptomatic gastro-oesophageal reflux disease (GORD). The management of this patient is discussed, in particular the use of proton pump inhibitors. The advantages and disadvantages of the use of medication are discussed, especially in the light of the symptoms of GORD, which developed after taking omeprazole.- - - - - - - - - - ranking = 5keywords = dental (Clic here for more details about this article) |
14/63. Dental management of a child with anorexia nervosa who presents with severe tooth erosion.Carbonated soft drinks can, when consumed regularly and in large quantities, cause severe dental erosion. In patients with anorexia nervosa the temptation to substitute these drinks for their regular diet has increased, since they are readily available, relatively cheap and their consumption is socially acceptable. The dental management of a young child suspected of having anorexia, who presented with severe dental erosion, is described.- - - - - - - - - - ranking = 3keywords = dental (Clic here for more details about this article) |
15/63. Restoring the worn dentition.Strong dental materials and dental porcelains are providing dentists with restorative opportunities that are more conservative because they require less destruction of healthy tooth structure and yield a more esthetic result. In cases of severe wear due to attrition, abrasion, and erosion, this process can be stopped, restoring the esthetics and function by using proper techniques and materials. The case report described in this article demonstrates the conservative restoration of severe wear due to attrition and erosion. Teeth were lengthened, wear was restored, and further wear was ceased by using a combination of bonded porcelain, a heat, light, and self-cure resin system, and a new glass-ionomer restorative material. The result was a strong, durable restoration (that required no anesthesia) with high esthetics.- - - - - - - - - - ranking = 2keywords = dental (Clic here for more details about this article) |
16/63. Case report: management of tooth tissue loss from intrinsic acid erosion.Acid erosive tooth wear is increasingly being reported in many western countries, and is also being recognised as a significant cause of tooth destruction in persons with xerostomia. The primary aetiology is related to a high consumption of dietary sources of acids and also to an increasing awareness of gastric acid as a significant factor in both children and adults. Recommended preventive dental treatments aim to neutralise the effects of acids, reduce the severity of xerostomia, stimulate salivary flow and buffering capacity, and increase the acid resistance of tooth substance. Initial restorative treatments should be conservative, using adhesive dentistry techniques. This treatment approach is illustrated by the oral rehabilitation of a severe erosion case using adhesive onlays, veneers and all ceramic crowns.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
17/63. gastroesophageal reflux disease: a dental concern.Oral chemical erosion can be caused by several factors. The most significant and most frequent is gastroesophageal reflux disease (GERD). Asymptomatic patients with GERD often are unaware that they may have a potential life-threatening condition. The dental profession is in a position to identify the subtle oral signs of the disease and has the obligation to be alert to the signs of gastroesophageal reflux, making appropriate referrals when necessary. The purpose of this article is to raise awareness concerning earlier detection of the subtleties of chemical erosion, particularly from GERD. A severe case of asymptomatic chemical erosion caused by GERD is presented.- - - - - - - - - - ranking = 5keywords = dental (Clic here for more details about this article) |
18/63. gastroesophageal reflux disease, tooth erosion, and prosthodontic rehabilitation: a clinical report.gastroesophageal reflux disease (GERD) is a relatively common gastrointestinal disorder in the united states. The reflux of acid adversely affects the mucosal lining of the esophagus and is responsible for dental erosion. This article briefly reviews the etiology, risk factors, and medical management of GERD. The patient presentation describes the rehabilitation of a young adult with GERD who needed multidisciplinary care.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
19/63. Dental erosion: a complication of pervasive developmental disorder.A young teenage male presenting for a routine check-up reported no health problems. Initial clinical examination revealed some enamel loss on the palatal surfaces of the maxillary incisors. Erosion lesions were suspected. Similar lesions, however, were not found throughout the mixed dentition and radiographic findings were inconclusive. To confirm the diagnosis of these lesions and, more importantly, to disclose the etiology, a thorough and detailed clinical examination of these lesions was conducted. Study models were made, mounted in centric occluding position, and closely screened. In addition, the health history was revisited, by interviewing the patient and his legal guardian. The information gathered led to the conclusion that the lesions in question were erosion lesions with concomitant wear facets that resulted from attrition of the softened enamel surface. An ample light on the possible etiological factors was shed, which assisted in the planning phase for the course of management. It is not uncommon that dental health care providers encounter in daily practice cases of early erosion lesions similar to those reported here. In most of these instances, minor changes in tooth morphology that represent a slight departure from the norm could be overlooked and often ignored. If such lesions go undetected, the underlying causes may escape diagnosis. However, if action is taken to pursue investigation of the causative factor, the result could assist in understanding the overall complexity of the health condition of the patient. This would enable planning the proper course of management for the total well being of the patient.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
20/63. Eating disorder-induced dental complications: a case report.eating disorders are potentially life threatening and have not lost their relatively poor prognosis in the last decades. Whereas the increase in incidence and prevalence rates of anorexia nervosa over time are questionable, an increasing trend in incidence and prevalence of bulimia nervosa has been reported. dentists are often involved in treating teeth of patients with both anorexia nervosa and bulimia nervosa because the teeth of these patients are regularly affected by erosion and caries. Without identification of the underlying evidence of psychological problems and consequent treatment, a patient's medical and dental health will deteriorate as the eating disorder progresses. The dentition of the patient with an eating disorder may offer specific signs and characteristics to alert the dentist.- - - - - - - - - - ranking = 5keywords = dental (Clic here for more details about this article) |
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