Vailati Francesca, Carciofo Sylvain
Int J Esthet Dent. 2016 Spring;11(1):36-56.
Due to an increasing awareness about dental erosion, many clinicians would like to propose treatments even at the initial stages of the disease. However, when the loss of tooth structure is visible only to the professional eye, and it has not affected the esthetics of the smile, affected patients do not usually accept a full-mouth rehabilitation. Reducing the cost of the therapy, simplifying the clinical steps, and proposing noninvasive adhesive techniques may promote patient acceptance. In this article, the treatment of an ex-bulimic patient is illustrated. A modified approach of the three-step technique was followed. The patient completed the therapy in five short visits, including the initial one. No tooth preparation was required, no anesthesia was delivered, and the overall (clinical and laboratory) costs were kept low. At the end of the treatment, the patient was very satisfied from a biologic and functional point of view.
由于对牙齿侵蚀的认识不断提高，许多临床医生甚至希望在疾病的初始阶段就提出治疗方案。然而，当牙齿结构的丧失仅在专业人员眼中可见，且尚未影响微笑的美观时，受影响的患者通常不会接受全口修复治疗。降低治疗成本、简化临床步骤并提出非侵入性粘结技术可能会提高患者的接受度。本文展示了一位曾经患有贪食症患者的治疗过程。采用了三步技术的改良方法。患者在包括首次就诊在内的五次短时间就诊中完成了治疗。无需进行牙齿预备，无需注射麻醉剂，并且总体（临床和实验室）成本保持在较低水平。治疗结束时，从生物学和功能角度来看，患者非常满意。
