Interdisciplinary Cooperation Exemplified by Two Complex Cases of Enamel Erosion

Abstract

Students of the Frankfurt am Main University Hospital participate in an interdisciplinary instructional unit in which they are presented with complex interdisciplinary findings and previous diagnostic records that are discussed in the patient's presence. We have recently observed a growing number of patients presenting defects of dental hard tissue in the form of erosions, defined as a loss of dental hard tissue due to the frequent and direct effect of acids not involving micro-organisms. These patients also presented marked malocclusions. For the most part, the diagnoses involve operative dentistry, dental prosthetics, orthodontics, oral, maxillofacial and plastic surgery. The clinicians discuss causes and therapeutic alternatives, at which point the therapeutic course is determined in consultation with the patient. We present herein two exemplary cases complex in etiology, as well as in treatment planning and realization. The case descriptions illustrate the importance of interdisciplinary agreement and cooperation in difficult courses of therapy, illustrating that, in the interest of the patient, it makes sense to establish interdisciplinary networks.