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J Clin Exp Dent. 2015 Feb 1;7(1):e170-4. doi: 10.4317/jced.51732. eCollection 2015 Feb.

Minimally invasive prosthetic procedures in the rehabilitation of a bulimic patient affected by dental erosion.

Author information

1
DDS, MSc, PhD, Clinical and research fellow, Tuscan Stomatologic Institute, Lido di Camaiore, Italy ; DDS, MSc, PhD, Assistant Professor, Department of Surgical Pathology, Medicine, Molecular and Critical Area, University of Pisa, Italy.
2
DDS, MSc, PhD, Assistant Professor, Department of Surgical Pathology, Medicine, Molecular and Critical Area, University of Pisa, Italy.
3
DDS,MSc,PhD, Junior Researcher, Oral Surgery Division Dental Clinic, Faculty of Medicine and Dentistry, University of Valencia, Spain.

Abstract

The population affected by dental erosion due to bulimia is generally very young. This population group has a high aesthetic requirement; the dentition in these patients is severely damaged, especially in the anterior maxillary quadrant. In terms of treatment, it is still controversial whether an adhesive rehabilitation is preferable to a longer-lasting but more aggressive conventional treatment, such as full-crown coverage of the majority of teeth. This case report describes the prosthetic rehabilitation of a young female patient previously affected by bulimia nervosa and presenting erosion of the maxillary teeth. The prosthetic rehabilitation was performed through indirect adhesive restorations of the anterior teeth and direct restorations of the posterior teeth. A clinical follow-up after 4 years showed that the occlusion remained satisfactorily restored. Posterior direct composite resin restorations and anterior indirect adhesive composite restorations proved to be an effective time and money-saving procedure to rehabilitate patients affected by dental erosion. Adhesive rehabilitation provides a functional and good aesthetic result while preserving tooth structure. Key words:Bulimia, dental erosion, composite resin, veneers.

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