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 [9–12] 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
References
[1]
A. Lussi and T. Jaeggi, “Erosion—diagnosis and risk factors,” Clinical Oral Investigations, vol. 12, supplement 1, pp. S5–S13, 2008.
[2]
A.-K. Johansson, R. Omar, G. E. Carlsson, and A. Johansson, “Dental erosion and its growing importance in clinical practice: from past to present,” International Journal of Dentistry, vol. 2012, Article ID 632907, 17 pages, 2012.
[3]
S. Cengiz, M. I. Cengiz, and Y. ？. Sara？, “Dental erosion caused by gastroesophageal reflux disease: a case report,” Cases Journal, vol. 2, article 8018, 2009.
[4]
R. P. Barron, R. P. Carmichael, M. A. Marcon, and G. K. B. Sàndor, “Dental erosion in gastroesophageal reflux disease,” Journal of the Canadian Dental Association, vol. 69, no. 2, pp. 84–89, 2003.
[5]
N. Schlueter, T. Jaeggi, and A. Lussi, “Is dental erosion really a problem?” Advances in Dental Research, vol. 24, no. 2, pp. 68–71, 2012.
[6]
G. A. Broliato, D. B. Volcato, E. G. Reston et al., “Esthetic and functional dental rehabilitation in a patient with gastroesophageal reflux,” Quintessence International, vol. 39, no. 2, pp. 131–137, 2008.
[7]
D. A. Ali, R. S. Brown, L. O. Rodriguez, E. L. Moody, and M. F. Nasr, “Dental erosion caused by silent gastroesophageal reflux disease,” Journal of the American Dental Association, vol. 133, no. 6, pp. 734–737, 2002.
[8]
M. Hayashi, K. Shimizu, F. Takeshige, and S. Ebisu, “Restoration of erosion associated with gastroesophageal reflux caused by anorexia nervosa using ceramic laminate veneers: a case report,” Operative Dentistry, vol. 32, no. 3, pp. 306–310, 2007.
[9]
T. E. Dudney, “Treating erosive tooth wear with all-ceramic restorations,” Dentistry Today, vol. 28, no. 3, pp. 100–105, 2009.
[10]
B. Kukiattrakoon, C. Hengtrakool, and U. Kedjarune-Leggat, “The effect of acidic agents on surface ion leaching and surface characteristics of dental porcelains,” Journal of Prosthetic Dentistry, vol. 103, no. 3, pp. 148–162, 2010.
[11]
P. Junpoom, B. Kukiattrakoon, and C. Hengtrakool, “Flexural strength of fluorapatite-leucite and fuorapatite porcelains exposed to erosive agents in cyclic immersion,” Journal of Applied Oral Science, vol. 19, no. 2, pp. 95–99, 2011.
[12]
K. J. Anusavice, K. Kakar, and N. Ferree, “Which mechanical and physical testing methods are relevant for predicting the clinical performance of ceramic-based dental prostheses?” Clinical Oral Implants Research, vol. 18, supplement 3, pp. 218–231, 2007.
[13]
N. B. van Roekel, “Gastroesophageal reflux disease, tooth erosion, and prosthodontic rehabilitation: a clinical report,” Journal of Prosthodontics, vol. 12, no. 4, pp. 255–259, 2003.
[14]
M. Agrawal, B. Sankeshwari, and C. V. Pattanshetti, “Use of zirconia to restore severely worn dentition: a case report,” Case Reports in Dentistry, vol. 2012, Article ID 324597, 4 pages, 2012.
[15]
L. Culp and E. A. McLarean, “Lithium disilicate: the restorative material of multiple options,” The Compendium of Continuing Education in Dentistry, vol. 31, no. 9, pp. 716–725, 2010.
