scholarly journals Restorative Rehabilitation of a Patient with Dental Erosion

2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Mohammed Thamer AlShahrani ◽  
Satheesh B. Haralur ◽  
Mohammed Alqarni
Keyword(s):  
Medical Condition ◽  
Gastrointestinal Diseases ◽  
Dental Erosion ◽  
Clinical Report ◽  
Tooth Structure ◽  
Intrinsic Factors ◽  
Anterior Teeth ◽  
Structure Factors ◽  
Advanced Stages ◽  
Ceramic Restorations

Dental erosion is the chemical dissolution of the tooth structure. Factors like eating disorders and gastrointestinal diseases are recognized as intrinsic factors for dental erosion. Advanced stages of dental erosion extensively damage the tooth morphology, consequently affecting both esthetics and functions. Reports indicate the growing prevalence of erosion, and hence knowledge of restorative rehabilitation of tooth erosion is an integral part of the contemporary dental practice. This clinical report describes an adult patient with gastroesophageal reflux induced dental erosion involving the palatal surface of the maxillary anterior teeth. The extensive involvement of the palatal surfaces compromised the esthetics, incisal guidance, and functional occlusal efficiency. Indirect all-ceramic restorations were utilized to restore the esthetics and occlusal reconstruction. In conclusion, patients affected by severe dental erosion require prosthetic rehabilitation besides the management of the associated medical condition.

scholarly journals Aesthetic Rehabilitation in Teeth with Wear from Bruxism and Acid Erosion

2018 ◽  
Vol 12 (1) ◽  
pp. 486-493
Author(s):  
Pamella Tomazi Godoy de Oliveira ◽  
Deise Caren Somacal ◽  
Luiz Henrique Burnett Júnior ◽  
Ana Maria Spohr
Keyword(s):  
Joint Pain ◽  
Multidisciplinary Approach ◽  
Treatment Plan ◽  
Dental Erosion ◽  
Gingival Tissue ◽  
Clinical Report ◽  
Functional Disorder ◽  
Time Intervals ◽  
Anterior Teeth ◽  
Ceramic Restorations

Background:Bruxism is defined as a repetitive activity of grinding the teeth through lateral or protrusive movements of the mandible, and it is considered the most complex and destructive functional disorder. In addition, erosion caused by diet or reflux can damage the remaining teeth.Objective:In this report, a patient with bruxism and dental erosion was treated with a multidisciplinary approach to restore the function and aesthetic.Methods:This clinical report describes the management of an adult woman, 33 years old, who was dissatisfied with the aesthetics of her smile and complained of joint pain and headaches. As result of her condition, the patient’s dentition exhibited generalized wear on the vestibular and incisal surface of the upper incisors incompatible with her age, moderate darkening of the teeth and excess gingival tissue in the upper incisors. After a detailed anamnesis and clinical examination, a diagnosis of bruxism and acid erosion caused by a diet rich in citrus foods and beverages was obtained. Forthwith, a treatment plan was established, and the patient underwent home bleaching, gingivoplasty and ceramic laminates of lithium disilicate on the anterior teeth. After the rehabilitation was completed, a night guard was made to reduce the symptoms of bruxism and avoid fracture of the ceramic restorations. The patient was followed at different time intervals.Conclusion:The improvement in the aesthetics of the teeth was significant and remained stable after periodic controls in which no adverse effects were observed.

scholarly journals Dental erosion in a partially edentulous patient with gastroesophageal reflux disease: a case report

2014 ◽  
Vol 87 (4) ◽  
pp. 284-287
Author(s):  
Alina Monica Picos ◽  
Andrei Picos ◽  
Petra Nicoara ◽  
Monica M. Craitoiu
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Functional Results ◽  
Dental Erosion ◽  
Edentulous Patient ◽  
Tooth Structure ◽  
Direct Restoration ◽  
Advanced Stages ◽  
Fixed Prosthesis

Diseases such as gastroesophageal reflux disease (GERD), bulimia, anorexia, and extrinsic alimentary factors may cause dental erosion (DE). The minimally invasive therapeutic attitude preserves the remaining healthy tooth structure. In the earlier stages, the direct restoration of dental lesions is possible, using composite materials. In advanced stages of DE, prosthetic treatments are recommended for stable esthetic and functional results. We present a case of DE in a partially edentulous patient who benefited from a complex therapy. The prosthetic project of the case involves ceramic veneers associated with dental and implant supported fixed prosthesis for the restoration of esthetics, mastication, phonetics and their maintenance

scholarly journals A 7-Year Follow-Up of a Fractured Endodontically Treated Incisor Restored with a One-Piece Post and Core Laminate Veneer

2019 ◽  
Author(s):  
Hamid Kermanshah ◽  
Sara V Valizadeh
Keyword(s):  
Adhesive Bonding ◽  
Materials Science ◽  
Clinical Report ◽  
Tooth Structure ◽  
Restoration Technique ◽  
Technological Advances ◽  
Aesthetic Results ◽  
Maxillary Lateral Incisor ◽  
Post And Core ◽  
Ceramic Restorations

To achieve natural-appearing aesthetic results and for the conservation of tooth structure, it is important for practitioners to be aware of technological advances in materials science as well as the proper use of aesthetic dental techniques. This clinical report describes the restoration of a left maxillary lateral incisor using a one-piece post and core laminate veneer. This proposed restoration technique represents an alternative to traditional restoration procedures, such as metal-ceramic restorations, all-ceramic crowns, and conventional porcelain laminate veneers. It also conserves the remaining tooth structure, reestablishes function, and offers satisfactory aesthetics with the use of adhesive bonding techniques.

scholarly journals Fractographical Analysis and Biomechanical Considerations of a Tooth Restored With Intracanal Fiber Post: Report of the Fracture and Importance of the Fiber Arrangements

2016 ◽  
Vol 41 (5) ◽  
pp. E149-E158 ◽  
Author(s):  
VF Wandscher ◽  
CD Bergoli ◽  
IF Limberger ◽  
TP Cenci ◽  
P Baldissara ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Glass Fiber ◽  
Shear Stresses ◽  
Fiber Post ◽  
Element Analysis ◽  
Parallel Fibers ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Compressive Stresses

SUMMARY Objective: This article aims to present a fractographic analysis of an anterior tooth restored with a glass fiber post with parallel fiber arrangement, taking into account force vectors, finite element analysis, and scanning electron microscopy (SEM). Methods: A patient presented at the Faculty of Dentistry (Federal University of Santa Maria, Brazil) with an endodontically treated tooth (ETT), a lateral incisor that had a restorable fracture. The treatment was performed, and the fractured piece was analyzed using stereomicroscopy, SEM, and finite element analysis. Results: The absence of remaining coronal tooth structure might have been the main factor for the clinical failure. We observed different stresses actuating in an ETT restored with a fiber post as well as their relationship with the ultimate fracture. Tensile, compression, and shear stresses presented at different levels inside the restored tooth. Tensile and compressive stresses acted together and were at a maximum in the outer portions and a minimum in the inner portions. In contrast, shear stresses acted concomitantly with tensile and compressive stresses. Shear was higher in the inner portions (center of the post), and lower in the outer portions. This was confirmed by finite element analysis. The SEM analysis showed tensile and compression areas in the fiber post (exposed fibers=tensile areas=lingual surface; nonexposed fibers=compression areas=buccal surface) and shear areas inside the post (scallops and hackle lines). Stereomicroscopic analysis showed brown stains in the crown/root interface, indicating the presence of microleakage (tensile area=lingual surface). Conclusion: We concluded that glass fiber posts with parallel fibers (0°), when restoring anterior teeth, present a greater fracture potential by shear stress because parallel fibers are not mechanically resistant to support oblique occlusal loads. Factors such as the presence of remaining coronal tooth structure and occlusal stability assist in the biomechanical equilibrium of stresses that act upon anterior teeth.

Wear and microwear on the teeth of a moose (Alces alces) population in Manitoba, Canada

1986 ◽  
Vol 64 (11) ◽  
pp. 2467-2479 ◽  
Author(s):  
William G. Young ◽  
Therese M. Marty
Keyword(s):  
Tooth Loss ◽  
Microscopic Analysis ◽  
Tooth Wear ◽  
Incisor Tooth ◽  
Electron Microscopic ◽  
Tooth Structure ◽  
Microwear Analysis ◽  
Anterior Teeth ◽  
Scanning Electron Microscopic ◽  
Scanning Electron Microscopic Analysis

A group of wild moose from Manitoba, Canada, were documented as having excessive tooth wear. Replicas of one incisor tooth were collected from 16 individuals and from 19 controls for comparison by volumetric and scanning electron microscopic analysis. All animals were aged from tooth cementum lines. Tooth replicas were cast from silicone rubber impressions in epoxy resin and sputter coated with gold. Tooth wear with age was compared statistically by measuring crown height, percent tooth loss, interfacet distance, and facet area on the incisors. The unique pattern of wear on the anterior teeth of affected moose was described. In affected animals, crown heights were significantly reduced and percent tooth loss was excessive. Microwear analysis found that an abrasive agent, acting predominantly in a lingual to labial direction, had been responsible for loss of enamel and dentine incisally and interproximally, and on the facial and lingual surfaces to a lesser extent. Interdental facets became involved by vertical abrasion. Control teeth showed fewer but coarser scratches and only approached the pattern of wear found in affected moose in a few individuals in old age. The loss of tooth structure would lead to diminished cropping efficiency and damage to the periodontium.

Management of Fused Anterior Teeth: Review and Clinical Report

2022 ◽  
Author(s):  
Fangbing Chen ◽  
Shaolei Wang ◽  
Na Bai ◽  
Xue Li ◽  
Lizhe Wang ◽  
...  
Keyword(s):  
Clinical Report ◽  
Anterior Teeth

Full-Mouth Rehabilitation for a Patient With Dentinogenesis Imperfecta: A Clinical Report

2014 ◽  
Vol 40 (5) ◽  
pp. 593-600 ◽  
Author(s):  
Sompop Bencharit ◽  
Michael B. Border ◽  
C. Russell Mack ◽  
Warren C. Byrd ◽  
John T. Wright
Keyword(s):  
Dental Implants ◽  
Computer Aided Design ◽  
Genetic Disorder ◽  
Asian Woman ◽  
Clinical Report ◽  
Dentinogenesis Imperfecta ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Computer Aided ◽  
Full Mouth Rehabilitation

Dentinogenesis imperfecta (DI) is a genetic disorder affecting the structural integrity of the dentin that can result in weakened dentin. The affected teeth, especially posterior teeth, often need to be extracted due to severe wear or fracture. This frequently yields a loss of posterior occlusion and occlusal vertical dimension. Besides wear and fracture, anterior teeth often have an unesthetic appearance because of discoloration. Current treatments of choice, including composite bonding restorations and, more recently, all-ceramic restorations, are typically suggested to preserve the remaining teeth and tooth structure. However, there are a limited number of studies on dental implants in patients with DI. The effectiveness of dentin bonding and dental implants in patients with DI is not known. This clinical report describes a 32-year-old Asian woman with DI who underwent full-mouth rehabilitation. The posterior occlusion, mostly in the molar areas, was restored with dental implants and ceramometal restorations. The anterior teeth and premolars were restored with bonded lithium disilicate glass-ceramic pressed veneers and crowns made with computer-aided design/computer-aided manufacturing. This case demonstrates that restoring functional occlusion and esthetics for a patient with DI can be completed successfully using contemporary implant therapy and adhesive dentistry.

scholarly journals Masking Conventional Metallic Cast Post for Enhancing Esthetics

2016 ◽  
Vol 6 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Jyoti B Nadgere ◽  
Naisargi P Shah ◽  
Amit Mahadeo Gaikwad
Keyword(s):  
Case Report ◽  
Metal Core ◽  
Metallic Core ◽  
Tooth Structure ◽  
Custom Made ◽  
All Ceramic ◽  
Post And Core ◽  
Ceramic Restorations ◽  
Labial Surface ◽  
Metal Post

ABSTRACT Loss of tooth structure occurs due to caries, endodontic treatment, or fracture caused by trauma; restoring these teeth is difficult task for a clinician. Post and core is an option for teeth when excessive tooth structure is lost and teeth need to be restored with crown and bridge procedure. They can be prefabricated post with composite built up or a one-piece custom-made post. The custom-made cast metal post and core have disadvantage due to their color that imparts grayish hue to overlying ceramic restorations. Masking the metal core can enhance the esthetic of all ceramic restorations that are placed over the cast post and core. A case report is being presented where the metallic core was masked with ceramic built up on labial surface of metal core. How to cite this article Shah NP, Gaikwad AM, Ram SM, Nadgere JB. Masking Conventional Metallic Cast Post for Enhancing Esthetics. J Contemp Dent 2016;6(1):85-89.

scholarly journals Root grooves on two adjacent anterior teeth of Australopithecus africanus

2017 ◽  
Author(s):  
Ian Towle ◽  
Joel D. Irish ◽  
Marina Elliott ◽  
Isabelle De Groote
Keyword(s):  
South African ◽  
Root Surface ◽  
Dental Erosion ◽  
Tissue Loss ◽  
Cervical Lesions ◽  
Dental Tissue ◽  
Australopithecus Africanus ◽  
Food Items ◽  
Anterior Teeth ◽  
Fossil Hominin

AbstractTooth root grooves and other ante-mortem dental tissue loss not associated with caries found on or near the cementoenamel junction (CEJ) are commonly termed non-carious cervical lesions. Three main processes are implicated in forming these lesions: abrasion, dental erosion, and abfraction. As yet, these lesions have not been described in non-Homo hominins. In this study South African fossil hominin collections were examined for evidence of any type of non-carious cervical lesion. Only one individual shows ante-mortem root grooves consistent with non-carious cervical lesions. Two teeth, a mandibular right permanent lateral incisor (STW 270) and canine (STW 213), belonging to the same Australopithecus africanus individual, show clear ante-mortem grooves on the labial root surface. These lesions start below the CEJ, extend over a third of the way toward the apex, and taper to a point towards the lingual side. Microscopic examination revealed no clear directional striations. The shape of these grooves is extremely similar to clinical examples of dental erosion, with the lack of striations supporting this diagnosis. These are the oldest hominin examples of non-carious cervical lesions and first described in a genus other than Homo; further, the lesions suggest that this individual regularly consumed or processed acidic food items.

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