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Case Reports
. 2018 Feb 6;43(1):e13.
doi: 10.5395/rde.2018.43.e13. eCollection 2018 Feb.

Management of dental erosion induced by gastro-esophageal reflux disorder with direct composite veneering aided by a flexible splint matrix

Sherin Jose Chockattu  1 , Byathnal Suryakant Deepak  2 , Anubhav Sood  1 , Nandini T Niranjan  1 , Arun Jayasheel  1 , Mallikarjun K Goud  1
Affiliations
Case Reports

Management of dental erosion induced by gastro-esophageal reflux disorder with direct composite veneering aided by a flexible splint matrix

Sherin Jose Chockattu et al. Restor Dent Endod. .

Abstract

Dental erosion is frequently overlooked in clinical practice. The management of erosion-induced damage to the dentition is often delayed, such that extensive occlusal rehabilitation is required. These cases can be diagnosed by a careful clinical examination and a thorough review of the patient's medical history and/or lifestyle habits. This case report presents the diagnosis, categorization, and management of a case of gastro-esophageal reflux disease-induced palatal erosion of the maxillary teeth. The early management of such cases is of utmost importance to delay or prevent the progression of damage both to the dentition and to occlusal stability. Non-invasive adhesively bonded restorations aid in achieving this goal.

Keywords: Composite resins; Conservative treatment; Dental bonding; Dental wear; Minimally invasive dentistry; Tooth erosion.

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Conflict of interest statement

Conflict of Interest: No potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1
Pre-operative. (A and B) The pre-operative status of the dentition reveals erosion of the palatal surfaces of the maxillary teeth and the occlusal surfaces of the mandibular teeth.
Figure 2
Figure 2
Wax-up. (A and B) Wax-up was done to build up the cingulum and functional cusps.
Figure 3
Figure 3
Fabrication of splint. (A and B) A vacuum-forming splint matrix was adapted and trimmed.
Figure 4
Figure 4
Restorative protocol. (A) Oral try-in of the splint matrix. (B) Acid etching of the teeth in segments. (C) After the bonding protocol, flowable composite was injected. (D) Composite restorations were finished and polished.
Figure 5
Figure 5
Follow-up at 13 months. (A) An occlusal view reveals satisfactory restorations. (B) Discolored margins were evident.
See this image and copyright information in PMC

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