Aesthetic Management of Erosive Tooth Wear in a Young Egyptian Swimmer: A Case Report

Abstract

Background: Tooth wear can have a multifactorial aetiology which requires thorough patient assessment and aesthetic management. Purpose: This case report discusses the management of a young, Egyptian swimmer complaining of tooth sensitivity associated with erosive tooth wear. Anterior teeth were restored using the injection molding technique, also known as the injectable composite resin technique, to overcome the patient's complaint and enhance the aesthetics of compromised anterior teeth. Patients and Methods: Thorough patient assessment was followed by impression taking, a diagnostic wax-up and intraoral mock-up fabrication for aesthetic, functional and biological verification. Upon the patient's agreement on the proposed treatment, an injection molding technique was carried out. Conclusion:The tooth loss pattern associated with erosive tooth wear in competitive swimmers showed a very characteristic presentation. Detailed patient history is imperative for successful assessment of the risk factors contributing to the condition and treatment planning in such cases. The use of injection molding technique for restoration of anterior teeth is a simple, straightforward and aesthetically pleasing alternative for patients with erosive tooth wear requiring direct composite veneers.

Accuracy of Direct Composite Veneers via Injectable Resin Composite and Silicone Matrices in Comparison to Diagnostic Wax-Up

“…This restorative concept, which is described above, has quickly become very popular among operative dentists all over the world. Some have published cases treated using this technique [ 17 , 18 , 19 , 20 ], and others applied the technique and suggested some modifications.…”

12 Month's Assessment of Clinical Efficacy of Resin Modified Glass Ionomer Cement and Flowable Composites in Restoration of Non-Carious Cervical Lesions, a Randomized Clinical Trial

“…2,3 Modification of diet and lifestyle has led to an increase in cervical lesions in young people with a wide variety of presentations like hypersensitivity or compromised aesthetics, leading to reactionary/ reparative dentin formation which causes dentinal tubules obstruction. [3][4][5] This mineral deposition can affect bond between tooth structure and restorative materials as shown in dental literature. 6 Cofactors which affect the prognosis of non-carious cervical lesions include quantity/ quality of saliva, depth of cavity, effect of occlusal scheme, shape of restoration, volume of the initial lesion.…”

“…6 Cofactors which affect the prognosis of non-carious cervical lesions include quantity/ quality of saliva, depth of cavity, effect of occlusal scheme, shape of restoration, volume of the initial lesion. [3][4][5][6] Bond to Dentin is comparatively weak as compared to enamel. Choice of the restorative material dictates its success.…”

Conservative Treatment of Dental Non-Carious Cervical Lesions: A Scoping Review

“…The loss of mineralized tissue resulting from the formation of NCCLs causes the formation of tertiary or reparative dentin, which obstructs the dentinal tubules [ 18 , 42 , 43 ].…”

“…There are many other factors that can compromise the durability of the restoration, including the depth of the lesion, the shape of the cavity, and the restoration performed. Added to this is the position of the NCCL, and, if it turns out to be too cervical, there may be a risk of having an overly moist environment that is difficult to isolate [ 18 , 23 , 42 , 43 ].…”