Diagnóstico e planejamento integral de pacientes com sinais de erosão ácida: relato de caso

Abstract

Dental erosion has become an increasingly prevalent condition in dental practice, particularly when associated with Gastroesophageal Reflux Disease (GERD). This study aimed to report a clinical case of dental erosion with suspected intrinsic origin due to GERD, highlighting the importance of early diagnosis and a multidisciplinary approach. The patient presented generalized dental wear without evident gastrointestinal symptoms, underscoring the dentist's role in the early identification of oral manifestations of silent systemic diseases. Treatment was carried out in two phases: control of systemic etiology through medical management and dental rehabilitation using direct composite resin, chosen for being a minimally invasive and conservative technique. The discussion addressed the effects of gastric acid on different restorative materials and the importance of careful selection of the restorative approach. It is concluded that treatment success relies on the integrated action of dentistry and medicine, with continuous follow-up to ensure functional, aesthetic, and oral health stability.