Okida Ricardo Coelho, Dos Santos Daniela Micheline, Vechiato Filho Aljomar José, Andreotti Agda Marobo, de Medeiros Rodrigo Antonio, Goiato Marcelo Coelho
Department of Restorative Dentistry, Aracatuba Dental School, Sao Paulo State University-UNESP, José Bonifácio, 1193 Vila Mendonça, 16015-050 Araçatuba, SP, Brazil.
Department of Dental Materials and Prosthodontics, Aracatuba Dental School, Sao Paulo State University-UNESP, José Bonifácio, 1193 Vila Mendonça, 16015-050 Araçatuba, SP, Brazil.
Case Rep Dent. 2014;2014:270365. doi: 10.1155/2014/270365. Epub 2014 Mar 9.
The gastroesophageal reflux disease (GERD) is one of the main causes of dental erosion. The aim of this case presented is to describe the prosthetic rehabilitation of a patient with GERD after 4 years of followup. A 33-year-old male patient complained about tooth sensitivity. The lingual surface of the maxillary anterior teeth and the cusps of the upper and lower posterior teeth presented wear. It was suspected that the feeling of heartburn reported by the patient associated with the intake of sports supplements (isotonics) was causing gastroesophageal changes. The patient was referred to a gastroenterologist and was diagnosed with GERD. Dental treatment was performed with metal-free crowns and porcelain veneers after medical treatment of the disease. With the change in eating habits, the treatment of GERD and lithium disilicate ceramics provided excellent cosmetic results after 4 years and the patient reported satisfaction with the treatment.
胃食管反流病（GERD）是牙侵蚀的主要原因之一。本病例报告的目的是描述一名胃食管反流病患者在随访4年后的修复治疗情况。一名33岁男性患者主诉牙齿敏感。上颌前牙舌面以及上下后牙牙尖出现磨损。怀疑患者报告的与摄入运动补充剂（等渗饮料）相关的烧心感导致了胃食管变化。该患者被转诊至胃肠病学家处，被诊断为胃食管反流病。在对该疾病进行药物治疗后，采用无金属冠和瓷贴面进行了牙科治疗。随着饮食习惯的改变、胃食管反流病的治疗以及二硅酸锂陶瓷的应用，4年后获得了极佳的美容效果，患者对治疗表示满意。
