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一名牙侵蚀患者的修复性康复治疗

Restorative Rehabilitation of a Patient with Dental Erosion.

作者信息

AlShahrani Mohammed Thamer, Haralur Satheesh B, Alqarni Mohammed

机构信息

Saudi Board of Restorative Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia.

Department of Prosthodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia.

出版信息

Case Rep Dent. 2017;2017:9517486. doi: 10.1155/2017/9517486. Epub 2017 Jul 30.

DOI:10.1155/2017/9517486
PMID:28828189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5554566/
Abstract

Dental erosion is the chemical dissolution of the tooth structure. Factors like eating disorders and gastrointestinal diseases are recognized as intrinsic factors for dental erosion. Advanced stages of dental erosion extensively damage the tooth morphology, consequently affecting both esthetics and functions. Reports indicate the growing prevalence of erosion, and hence knowledge of restorative rehabilitation of tooth erosion is an integral part of the contemporary dental practice. This clinical report describes an adult patient with gastroesophageal reflux induced dental erosion involving the palatal surface of the maxillary anterior teeth. The extensive involvement of the palatal surfaces compromised the esthetics, incisal guidance, and functional occlusal efficiency. Indirect all-ceramic restorations were utilized to restore the esthetics and occlusal reconstruction. In conclusion, patients affected by severe dental erosion require prosthetic rehabilitation besides the management of the associated medical condition.

摘要

牙齿侵蚀是牙体结构的化学溶解。饮食失调和胃肠道疾病等因素被认为是牙齿侵蚀的内在因素。牙齿侵蚀的晚期会广泛破坏牙齿形态，从而影响美观和功能。报告显示侵蚀的患病率在不断上升，因此了解牙齿侵蚀的修复性康复是当代牙科实践不可或缺的一部分。本临床报告描述了一名成年患者，其因胃食管反流导致上颌前牙腭面出现牙齿侵蚀。腭面的广泛受累损害了美观、切导和功能性咬合效率。采用间接全瓷修复体来恢复美观和进行咬合重建。总之，除了治疗相关的医疗状况外，受严重牙齿侵蚀影响的患者还需要进行修复性康复治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/1b689077cc7a/CRID2017-9517486.010.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/3f5a0a49ba49/CRID2017-9517486.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/e7d84fb869a0/CRID2017-9517486.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/1b689077cc7a/CRID2017-9517486.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/6bd6b9e8607a/CRID2017-9517486.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/9fef3a946709/CRID2017-9517486.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/937393c138f9/CRID2017-9517486.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/8e45c6876aeb/CRID2017-9517486.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/34751c586c6b/CRID2017-9517486.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/d92b33d50b37/CRID2017-9517486.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/e215670e2b05/CRID2017-9517486.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/3f5a0a49ba49/CRID2017-9517486.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/e7d84fb869a0/CRID2017-9517486.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e891/5554566/1b689077cc7a/CRID2017-9517486.010.jpg

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本文引用的文献

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Tooth erosion and eating disorders: a systematic review and meta-analysis.牙齿侵蚀与饮食失调：一项系统综述和荟萃分析。
PLoS One. 2014 Nov 7;9(11):e111123. doi: 10.1371/journal.pone.0111123. eCollection 2014.
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Intrinsic causes of erosion.糜烂的内在原因。
Monogr Oral Sci. 2014;25:180-96. doi: 10.1159/000360369. Epub 2014 Jun 26.
3
Tooth wear with an erosive component in a Mediaeval Iceland population.中世纪冰岛人群中具有侵蚀性成分的牙齿磨损。
Arch Oral Biol. 2013 Oct;58(10):1450-6. doi: 10.1016/j.archoralbio.2013.06.019. Epub 2013 Jul 31.
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Risk indicators associated with dental erosion among Jordanian school children aged 12-14 years of age.12至14岁约旦学童中与牙侵蚀相关的风险指标。
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Effect of Long-term Smoking on Whole-mouth Salivary Flow Rate and Oral Health.长期吸烟对全口唾液流速和口腔健康的影响。
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Relationship between food habits and tooth erosion occurrence in Malaysian University students.马来西亚大学生饮食习惯与牙齿侵蚀发生之间的关系。
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Current concepts on the management of tooth wear: part 1. Assessment, treatment planning and strategies for the prevention and the passive management of tooth wear.当前关于牙齿磨损管理的概念：第 1 部分。评估、治疗计划以及预防和被动管理牙齿磨损的策略。
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Dental erosion: understanding this pervasive condition.牙齿侵蚀：了解这一普遍存在的状况。
J Esthet Restor Dent. 2011 Aug;23(4):205-16. doi: 10.1111/j.1708-8240.2011.00451.x. Epub 2011 Jun 22.
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Patterns and forces of occlusal contacts during lateral excursions recorded by the T-Scan II system in young Chinese adults with normal occlusions.T-Scan II 系统记录的中国年轻正常合人群侧向运动中咬合接触的特征和力量。
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Erosive tooth wear among children in the United States: relationship to race/ethnicity and obesity.美国儿童的侵蚀性牙齿磨损：与种族/民族及肥胖的关系。
Int J Paediatr Dent. 2009 Mar;19(2):91-8. doi: 10.1111/j.1365-263X.2008.00952.x.