PROSTHETIC APPROACH OF DENTAL EROSION IN PATIENT WITH GASTROESOPHAGEAL REFLUX DISEASE - CASE REPORT
Keywords:
erosion, gastroesophageal reflux, prosthetic approachAbstract
Dental erosion is defined as the loss of tooth structure due to a multifactorial chemical process that does
not involve bacterial action. Erosion may be due to extrinsic sources of acid, such as acidic foods, drinks, and acidic
medications. Gastroesophageal reflux disease (GERD) is the most common source of dental erosion, where the
cause this erosion can be a chronic regurgitation of gastric acid in patients, resulting in extensive loss of coronal
tooth tissue.
Case report. This clinical report describes prosthetic approach to tooth erosion caused by GERD in 65 years old
male patient. After the medical treatment of GERD we made preparation of the teeth and provisional restoration
where the vertical occlusal dimension was reestablished. After three weeks wearing without discomfort and
difficulty in function we fabricated full mouth restoration – metal-ceramic fixed partial dentures for both mandibular
and maxillary arches, cemented with glass-ionomer cement.
Discussion and conclusion. GERD very often is a reason for dental erosion and loss of tooth tissue. Dental
rehabilitation should follow the medical treatment and elimination of the acid reflux. After medical control of
GERD, the patient’s dentition was restored to correct form, function, and esthetics with metal-ceramic fixed partials
dentures with a long-term prognosis.
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