%0 Journal Article
%T Prosthetic Rehabilitation of a Patient with Gastroesophageal Reflux Disease: 4-Year Followup
%A Ricardo Coelho Okida
%A Daniela Micheline dos Santos
%A Aljomar Jos¨¦ Vechiato Filho
%A Agda Marobo Andreotti
%A Rodrigo Antonio de Medeiros
%A Marcelo Coelho Goiato
%J Case Reports in Dentistry
%D 2014
%I Hindawi Publishing Corporation
%R 10.1155/2014/270365
%X The gastroesophageal reflux disease (GERD) is one of the main causes of dental erosion. The aim of this case presented is to describe the prosthetic rehabilitation of a patient with GERD after 4 years of followup. A 33-year-old male patient complained about tooth sensitivity. The lingual surface of the maxillary anterior teeth and the cusps of the upper and lower posterior teeth presented wear. It was suspected that the feeling of heartburn reported by the patient associated with the intake of sports supplements (isotonics) was causing gastroesophageal changes. The patient was referred to a gastroenterologist and was diagnosed with GERD. Dental treatment was performed with metal-free crowns and porcelain veneers after medical treatment of the disease. With the change in eating habits, the treatment of GERD and lithium disilicate ceramics provided excellent cosmetic results after 4 years and the patient reported satisfaction with the treatment. 1. Introduction Nowadays, the incidence of dental erosion has become a clinical reality [1, 2] with high prevalence in adult patients [3]. This alteration is defined as the constant loss of the teeth hard tissues caused by chemical agents without the influence of a carious process [2, 4]. The wear may cause the flattening of the occlusal surface and loss of occlusion vertical dimension of the patient. Additionally, there may be shortening of anterior teeth, bringing serious consequences to quality of life of the patient and preventing him from talking or smiling [5]. Among the causes of dental erosion, the gastroesophageal reflux disease (GERD) can be highlighted [4], which basically consists of an involuntary relaxation of the esophageal sphincter, allowing the return of the stomach acid to the oral cavity [6]. It is very important that the dentists recognize the signs of tooth erosion because this oral manifestation is one of the signs for diagnosing GERD [4, 7]. The modalities of rehabilitator treatment vary according to the degree of tooth wear [8, 9]. It is important to remove or treat the possible risk factors such that the properties of the restorative material are maintained [9¨C12] and rehabilitation does not become more complex [2]. The aim of this case presented is to describe the clinical manifestations of GERD, its diagnosis, and the medical and dental treatment of a patient with GERD after 4 years of followup. 2. Case Report A 33-year-old male patient was admitted to Aracatuba Dental School-UNESP, complaining about tooth sensitivity to temperature variations caused by the ingestion of different foods
%U http://www.hindawi.com/journals/crid/2014/270365/