Benk Irén, Némethy Miklós, Fábián Tibor Károly
Semmelweis Egyetem, Fogpótlástani Klinika, Budapest.
Fogorv Sz. 2011 Sep;104(3):81-5.
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.
在本病例中,饮食失调(神经性贪食症伴频繁呕吐)导致了广泛的牙齿损伤。尽管患者的原发性疾病已成功治愈,但由于先前的酸性侵蚀,上颌牙齿的腭面和咬合面受到了严重损伤。上颌牙齿还存在明显的过敏症状,并且患者对上颌牙齿的美观也不满意。为了治疗疼痛症状、替换缺失的硬牙组织并恢复美观,制作了上颌牙齿的二氧化锆烤瓷冠。经过精心的微创预备后戴上牙冠,牙齿过敏症状消失。使用高质量材料也满足了患者较高的美观需求。在6个月的随访检查中,患者报告牙齿敏感症状消失且对美观满意。通过口腔内对照检查确定了牙龈和黏膜的长期健康状况以及牙齿硬组织和义齿的正常状态。患者的口腔卫生状况也良好。