Abstract
The population affected by dental erosion due to bulimia is generally very young. This population group has a high aesthetic requirement; the dentition in these patients is severely damaged, especially in the anterior maxillary quadrant. In terms of treatment, it is still controversial whether an adhesive rehabilitation is preferable to a longer-lasting but more aggressive conventional treatment, such as full-crown coverage of the majority of teeth. This case report describes the prosthetic rehabilitation of a young female patient previously affected by bulimia nervosa and presenting erosion of the maxillary teeth. The prosthetic rehabilitation was performed through indirect adhesive restorations of the anterior teeth and direct restorations of the posterior teeth. A clinical follow-up after 4 years showed that the occlusion remained satisfactorily restored. Posterior direct composite resin restorations and anterior indirect adhesive composite restorations proved to be an effective time and money-saving procedure to rehabilitate patients affected by dental erosion. Adhesive rehabilitation provides a functional and good aesthetic result while preserving tooth structure. Key words:Bulimia, dental erosion, composite resin, veneers.
Highlights
Bulimia nervosa is an eating disorder characterised by a disturbed eating behavioural pattern, a pathological control of body weight and a distorted perception of body shape [1]
The population affected by dental erosion due to bulimia is generally very young [4]
An alternative approach was presented for the prosthetic rehabilitation of a young female patient previously affected by bulimia nervosa, who presented erosion of maxillary teeth
Summary
Giacomo Derchi 1,2, Michele Vano 2, David Peñarrocha 3, Antonio Barone 1,2, Ugo Covani 1,4. Derchi G, Vano M, Peñarrocha D, Barone A, Covani U. M in i m a ll y i n vasive prosthetic procedures in the rehabilitation of a bulimic patient affected by dental erosion.
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