Restoration of profound tooth damage caused by acidic erosion due to intrinsic factors

A case report

Abstract

In the presented case extensive tooth damage has been caused by an eating disorder (bulimia nervosa coupled with frequent vomiting). Although the patient’s premised disorder has been treated successfully, palatal and occlusal surfaces of the upper teeth were profoundly damaged due to previous acidic erosion. There was also a significant hypersensitivity of upper teeth, and the patient was dissatisfied with the aesthetics of the upper teeth as well. In order to treat pain symptom, replace lost hard dental tissues, and restore aesthetics, porcelain covered zirconium dioxide crowns of upper teeth were prepared. Tooth hypersensitivity disappeared as a result of the insertion of crowns following a careful minimal-invasive preparation. Patient’s high aesthetic needs were also fulfilled by using high quality materials. At the 6-months-follow-up examination disappearance of tooth sensitivity and satisfaction with the aesthetics were reported by the patient. Long run gingival and mucosal health as well as proper condition of dental hard tissues and dentures were determined by the intraoral control examination. The patient also presented high level of oral hygiene.