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Worn Out Teeth

This patient had suffered from GERD (Gastroesophageal Reflux Disease), and all of his teeth were substantially eroded.

This young male patient in his early 30's has suffered from GERD (gastroesophageal reflux disease). GERD is characterized by having symptoms of persistent heart burn, acid regurgitation, pain in the chest, burning mouth sensation and more. In some rare occasions, a patient may have a GERD without any of the above mentioned symptoms. However if a patient has acid regurgitation problem as a result of GERD, the patient's teeth will show erosive wear. In fact GERD is often diagnosed as a result of dentists' discovery of eroded teeth and the subsequent referral to the medical specialist as was the case for this patient.

Major prosthodontic rehabilitation for GERD patients should not commence until the patient has the GERD under control. For this patient, he was first advised to go see a GI specialist to have his GERD treated. This picture shows patient with full mouth provisional crowns in place.

Lab work at full contour wax up stage. Each crown starts out as a wax pattern. Each wax pattern is then cut back to form a coping which will allow proper thickness of porcelain. The missing molar on lower left side will be restored with an implant.

Final crowns cemented in place. Unfortunately these pictures were taken immediately following excess cement removal and there is little bit of blood showing between teeth.

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