Management of tooth surface loss in a teenager patient with medical problems - a case report
Tooth wear is recognized as a major problem in children and adults. Prevalence data indicated that dental erosion of young people increases over time. The UK Child Dental Health Survey (CDHS), 2003 reported that 25% of 15 year olds had erosion at the palatal surfaces of their incisors. Erosion can...
| Main Author: | |
|---|---|
| Format: | Conference or Workshop Item |
| Language: | English English |
| Published: |
2012
|
| Subjects: | |
| Online Access: | http://irep.iium.edu.my/27417/ http://irep.iium.edu.my/27417/1/poster_kuching_3-2012.pdf http://irep.iium.edu.my/27417/4/ |
| Summary: | Tooth wear is recognized as a major problem in children and adults. Prevalence data indicated that dental erosion of young people increases over time. The UK Child Dental Health Survey (CDHS), 2003 reported that 25% of 15 year olds had erosion at the palatal surfaces of their incisors. Erosion can cause irreversible damage to the permanent teeth and may compromise the dentition for the entire lifetime if untreated. Therefore, knowledge of the etiological factors, early diagnosis, appropriate prevention and management are crucial.
In this case, erosion at the palatal and mesial surfaces of maxillary incisors in a very anxious teenager patient was found. There were a few aetiology factors for her tooth surfaces loss, intrinsic acid source from vomiting as a consequence of migraine and extrinsic source from acidic drink. She was also an asthmatic patient and was being managed by beta-2 agonist inhaler. The aims of treatment were to resolve sensitivity, for functional and aesthetic purposes, to prevent further tooth surface loss and to maintain a balanced occlusion. The problems were managed by active prevention advice and conservative treatment with no tooth preparation. The erosion at mesial surfaces was managed aesthetically with composite resins and at the palatal surfaces with nickel chrome veneers. The occlusal vertical dimension was increased after cementation of the veneers but the posterior teeth were in contact again after a month.
It was a great challenge to manage this patient without her becoming stressed as she tended to get migraine easily especially when in stressed.
|
|---|