Your Opinion: what is the etiology behind the erosion on the 7-4 and how would you treat it?
This case is presented by Dr. Matt Gilchrist
I am completely stumped as to the etiology behind the extreme wear/erosion on this child’s 7-4. The child is 9 years old and has generalized wear and early erosive-looking lesions on his occlusal/incisal surfaces. His mom admits to him having a grinding problem, which would account for the look of most of his teeth, but as for this 7-4, there has to be something more. We’ve been monitoring this tooth for the past 2 years and at every recall, it’s getting worse.
I’ve questioned the patient about any reflux or dietary habits that may be causing this, but to his knowledge, there is nothing significant. I was thinking at first a reflux issue and the possibility of patient sleeping on his left side with that tooth bathing in acid all night, but then I am not sure why the 7-5 is not damaged nearly as much.
His mom is concerned about this tooth. I on the other hand am not overly concerned, as it is asymptomatic and we will just wait for exfoliation (unless, of course, it does start to bother the child). There is no space present for any type of restoration.
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