TEETH RUINED BY IMPROPER     SLEEPING PATTERN    Introduction: Erosion cavities on teeth are due    to Gastro-Esophageal r...
Pre-Operative clinical                  presentation Anterior Open Bite Left anterior teeth are more Proclined Left can...
Pre operative condition Open bite: Tongue thrust as tongue has scalloping on left side. Erosion of facial surface: GERD as...
Diagnosis and Treatment plan  Diagnosis: Erosion of facial surface of 22, 23, 33,  34; accentuated proclination of left fr...
Case DiscussionHistory of drooling in childhood is generallyassociated nasal obstruction and mouth breathingcausing open b...
ConclusionDental disease is multi- factorial and treating theclinical lesions alone lead to failures and is an underservic...
ConclusionDental disease is multi- factorial and treating theclinical lesions alone lead to failures and is an underservic...
Upcoming SlideShare
Loading in …5
×

Dr. Lavkesh Bansal

410 views

Published on

Poster no. 4 Dr. Lavkesh Bansal

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
410
On SlideShare
0
From Embeds
0
Number of Embeds
98
Actions
Shares
0
Downloads
2
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Dr. Lavkesh Bansal

  1. 1. TEETH RUINED BY IMPROPER SLEEPING PATTERN Introduction: Erosion cavities on teeth are due to Gastro-Esophageal reflex disease (GERD), patient habitual to sucking on citrus fruits or to carbonated drinks. Erosion of facial surface of only left front teeth with anterior open bite and patient’s history made us to include sleep pattern in the etiology of erosion lesions. Dentist need to be more innovative and intrusive in cross questioning, to ascertain the reason for any dental lesion. It will help to serve the patient better and to curtail the failures of treatment.Slide No. 1 Dr. Lavkesh Bansal. Poster No. 4
  2. 2. Pre-Operative clinical presentation Anterior Open Bite Left anterior teeth are more Proclined Left canine is not in occlusion Left teeth has severe erosion of facial surface Left upper premolars are missingSlide No. 2 Dr. Lavkesh Bansal. Poster No. 4
  3. 3. Pre operative condition Open bite: Tongue thrust as tongue has scalloping on left side. Erosion of facial surface: GERD as patient has history of gastric acidity. No relevant history of addiction to citrus fruits or carbonated drinks. History: 49 yr. old male patient sleeps on his stomach with his left face on pillow since childhood. Saliva drools from left corner of mouth on to the pillow.Slide No. 3 Dr. Lavkesh Bansal. Poster No. 4
  4. 4. Diagnosis and Treatment plan Diagnosis: Erosion of facial surface of 22, 23, 33, 34; accentuated proclination of left front teeth due to the GERD and improper sleeping pattern. Treatment plan: Restoring the facial surface of 22, 23, 33, 34 with composite. Educating the patient about adverse effects of improper sleeping pattern and GERD.Slide No. 4 Dr. Lavkesh Bansal. Poster No. 4
  5. 5. Case DiscussionHistory of drooling in childhood is generallyassociated nasal obstruction and mouth breathingcausing open bite. Sleeping with left face on pillowand lateral spread of tongue in missing premolarsspace, increase the pressure of tongue on frontteeth than the counteracting lip pressure. Sleepingon stomach after dinner would have caused gastricreflux, causing erosive lesion on teeth in the path ofsaliva flow.Slide No. 5 Dr. Lavkesh Bansal. Poster No. 4
  6. 6. ConclusionDental disease is multi- factorial and treating theclinical lesions alone lead to failures and is an underservice to the patient. Erosion, abrasion and attritionof teeth is very common due to increased incidenceof bruxism and GERD. Restoration of these lesionswith composite is an established most conservativeline of treatment, but recurring erosion cavitiesbesides restorations is also common. Recognizingand treating the root cause of disease is as importantas preventing the deleterious effects of habits bynight guard and establishing the occlusal guidance.Slide No. 6 Dr. Lavkesh Bansal. Poster No. 4
  7. 7. ConclusionDental disease is multi- factorial and treating theclinical lesions alone lead to failures and is an underservice to the patient. Erosion, abrasion and attritionof teeth is very common due to increased incidenceof bruxism and GERD. Restoration of these lesionswith composite is an established most conservativeline of treatment, but recurring erosion cavitiesbesides restorations is also common. Recognizingand treating the root cause of disease is as importantas preventing the deleterious effects of habits bynight guard and establishing the occlusal guidance.Slide No. 6 Dr. Lavkesh Bansal. Poster No. 4

×