Oral Health and Dental Management

A conservative direct approach for management of a generalized tooth wear patient

26^th Euro Congress and Expo on Dental & Oral Health

December 10-11, 2018 | Rome, Italy

Jeong Min Lee

Queen Mary University of London, UK

Posters & Accepted Abstracts: Oral Health Dent Manag

Abstract:

Case Description: A 60-year-old partially dentate man presented with generalized moderate tooth wear affecting both arches due to a combination of chronic alcohol intake, diet related factors and parafunctional habit. The patient reported a history of increasing sensitivity to cold and wanted to improve overall dental appearance as they appeared clinically short. He had a shortened dental arch (SDA) in the upper arch with a minimally restored lower dentition, both exhibiting signs of interproximal and occlusal enamel wear with cervical abrasion. He had edge-to-edge class III occlusion with loss of occlusal vertical dimension (OVD) but there was sufficient freeway space and no dento-alveolar compensation due to relatively rapid rate of tooth wear. He had adequate inter-arch space for restoration replacement and a new OVD of 3mm was decided after articulation in retruded contact position. Treatment outcome: Direct composite build ups were carried out on upper and lower 4-4s and a hard-occlusal splint was made post-operatively. He was very satisfied with the overall aesthetics and immediate reduction in sensitivity. 3 weeks later, he had adjusted well to the new occlusion. Discussion: The main aim of the treatment was to identify risk factors and introduce preventative regime tailored to patient???s need in order to prevent future caries and minimize further tooth wear. It is therefore important to review the patient every 6 months to monitor wear facets and review alcohol intake in order to increase the longevity of the restorations. Survival rate of these composites can be predicted as moderate to long term as 8 occluding unit allows a stable occlusion and sufficient enamel and clinical height gave maximum surface area for bonding which increases overall durability. Minimally invasive technique was the preferred choice over indirect restorations due to the patient having moderate wear only.

Biography :

Jeong Min Lee qualified with an Integrated Masters and bachelor’s in dental surgery from Leeds Dental Institute in 2016. She completed Foundation Training and wanted to continue her training in a hospital setting and underwent an Oral & Maxillofacial surgery post as a Dental Core Trainee 1. This year she is currently a Restorative Dental Core Trainee 2 at Bart’s Hospital, London. During this first three years of her career she has completed her MFDS diploma with the Royal College of Physicians and Surgeons Glasgow and completed some surgical and restorative courses.

E-mail: jmlee010@googlemail.com