외인성 및 내인성 요인에 의한 치아부식에 대한 치료 증례
Treatment of dental erosion caused by intrinsic and extrinsic etiology: a case report
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부식이란 산성의 화학적 물질에 의한 치아 경조직의 손상으로 정의된다. 이에 대한 원인인 산성 음식, 약물, 작업환경 등의 외부적 원인과 위장관 장애에 의한 위산의 역류나 거식증에 의한 의도적 구토의 내부적 원인에 의해 발생된다. 이는 임상적 증상의 심각도에 따라 레진 충전, 라미네이트 수복 또는 전장관 수복으로 치료한다. 본 증례는 잦은 산성 과일의 섭취로 인한 전치부 순측 부식 및 거식증으로 인한 의도적 구토로 전치부 구개측 부식이 일어난 드문 상황에 대한 치료이다.
Abstract
Dental erosion is defined as tooth structure loss by acidic chemical substance. It is caused by extrinsic factors such as acidic foods, drugs, and working environments, and also intrinsic factors such as gastric acid regurgitation in gastro-esophageal disorder or intensive vomiting in bulimia nervosa. These lesions can be treated with direct resin filling, laminate or full contour crown depending on the intensity of clinical problem. This is a case report about treatment of rare clinical case: labial erosion of anterior tooth caused by frequent intake of acidic fruit and palatal erosion of anterior tooth caused by intensive vomiting in bulimia nervosa.
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