A cost-effective treatment for severe generalized erosion and loss of vertical dimension of occlusion: laboratory-fabricated composite resin restorations.
This case report describes preventive and restorative treatment planning for a 56-year-old female patient with severe, chronic, poorly controlled gastroesophageal reflux disease and resulting loss of vertical dimension of occlusion. First, the demineralization process was controlled through collaboration with the patient's physician, and measures were taken to restore adequate stimulated salivary flow. Then, for financial reasons, indirect laboratory-fabricated composite resin restorations were adhesively bonded to replace lost tooth structure and reestablish the patient's collapsed vertical dimension. Indirect-laboratory fabricated restorations can be a cost-effective alternative to direct composite resin or all-ceramic restorations for the treatment of chronic severe erosion, but there are no long-term clinical reports in the current literature to support or contraindicate the use of indirect composites for this type of clinical application. Therefore, careful, long-term follow-up evaluations are planned for this patient.
Michael J
MJ
Metz
Brandon M
BM
Stapleton
Bryan T
BT
Harris
Wei-Shao
WS
Lin
D000180:Acrylic Resins / Q000191:economics / Q000627:therapeutic use*; D003188:Composite Resins / Q000191:economics / Q000627:therapeutic use*; D003362:Cost-Benefit Analysis; D003793:Dental Restoration, Permanent / Q000191:economics / Q000379:methods*; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications; D006801:Humans; D008310:Malocclusion / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D011140:Polyurethanes / Q000191:economics / Q000627:therapeutic use*; D014077:Tooth Erosion / Q000209:etiology / Q000628:therapy*; D014716:Vertical Dimension
D000180:Acrylic Resins; C029012:Composite Dental Resin; D003188:Composite Resins; D011140:Polyurethanes
erosion; gastroesophageal reflux disease; indirect composite resin restorations; salivary flow