Limits...
A Case Report of Tooth Wear Associated with a Patient's Inappropriate Efforts to Reduce Oral Malodor Caused by Endodontic Lesion.

Yoneda M, Uchida H, Suzuki N, Mine M, Iwamoto T, Masuo Y, Naito T, Hatano Y, Hirofuji T - Int J Dent (2010)

Bottom Line: Former dentists had performed periodontal treatments including scaling and root planing, but his oral malodor did not decrease.Radiographic examination of the tooth did not reveal endodontic lesion, but when the metal crown was removed, severe pus discharge and strong malodor were observed.When this was treated, his breath odor was improved.

View Article: PubMed Central - PubMed

Affiliation: Section of General Dentistry, Department of General Dentistry, Fukuoka Dental College, 2-15-1 Tamura, Sawara-ku, Fukuoka 814-0193, Japan.

ABSTRACT
Here, we report a case of severe tooth wear associated with a patient's inappropriate efforts to reduce oral malodor. A 72-year-old male patient visited our breath clinic complaining of strong breath odor. Former dentists had performed periodontal treatments including scaling and root planing, but his oral malodor did not decrease. His own subsequent breath odor-reducing efforts included daily use of lemons and vinegar to reduce or mask the odor, eating and chewing hard foods to clean his teeth, and extensive tooth brushing with a hard-bristled toothbrush. Oral malodor was detected in our breath clinic by several tests, including an organoleptic test, portable sulphide monitor, and gas chromatography. Although patient's oral hygiene and periodontal condition were not poor on presentation, his teeth showed heavy wear and hypersensitiving with an unfitted restoration on tooth 16. Radiographic examination of the tooth did not reveal endodontic lesion, but when the metal crown was removed, severe pus discharge and strong malodor were observed. When this was treated, his breath odor was improved. After dental treatment and oral hygiene instruction, no further tooth wear was observed; he was not concerned about breath odor thereafter.

No MeSH data available.


Related in: MedlinePlus

Oral view after treatment.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC2836914&req=5

fig3: Oral view after treatment.

Mentions: We explained to the patient the possible causes of oral malodor, such as the unfitted restoration and severe endodontic lesion. We also explained that his tooth wear seemed to be caused by his inappropriate odor-reducing methods such as excessive acid intake and too much brushing. Moreover, he was found to be clenching or grinding his teeth, which may have worsened his tooth wear. We showed him how to brush his teeth without damaging the tooth surfaces and recommended a special toothpaste that prevents tooth wear and aids remineralization of tooth surfaces. We advised him not to clench or grind his teeth and made a night guard to prevent bruxism at night. We then filled or coated the already lost enamel of the teeth (Figure 3).


A Case Report of Tooth Wear Associated with a Patient's Inappropriate Efforts to Reduce Oral Malodor Caused by Endodontic Lesion.

Yoneda M, Uchida H, Suzuki N, Mine M, Iwamoto T, Masuo Y, Naito T, Hatano Y, Hirofuji T - Int J Dent (2010)

Oral view after treatment.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2836914&req=5

fig3: Oral view after treatment.
Mentions: We explained to the patient the possible causes of oral malodor, such as the unfitted restoration and severe endodontic lesion. We also explained that his tooth wear seemed to be caused by his inappropriate odor-reducing methods such as excessive acid intake and too much brushing. Moreover, he was found to be clenching or grinding his teeth, which may have worsened his tooth wear. We showed him how to brush his teeth without damaging the tooth surfaces and recommended a special toothpaste that prevents tooth wear and aids remineralization of tooth surfaces. We advised him not to clench or grind his teeth and made a night guard to prevent bruxism at night. We then filled or coated the already lost enamel of the teeth (Figure 3).

Bottom Line: Former dentists had performed periodontal treatments including scaling and root planing, but his oral malodor did not decrease.Radiographic examination of the tooth did not reveal endodontic lesion, but when the metal crown was removed, severe pus discharge and strong malodor were observed.When this was treated, his breath odor was improved.

View Article: PubMed Central - PubMed

Affiliation: Section of General Dentistry, Department of General Dentistry, Fukuoka Dental College, 2-15-1 Tamura, Sawara-ku, Fukuoka 814-0193, Japan.

ABSTRACT
Here, we report a case of severe tooth wear associated with a patient's inappropriate efforts to reduce oral malodor. A 72-year-old male patient visited our breath clinic complaining of strong breath odor. Former dentists had performed periodontal treatments including scaling and root planing, but his oral malodor did not decrease. His own subsequent breath odor-reducing efforts included daily use of lemons and vinegar to reduce or mask the odor, eating and chewing hard foods to clean his teeth, and extensive tooth brushing with a hard-bristled toothbrush. Oral malodor was detected in our breath clinic by several tests, including an organoleptic test, portable sulphide monitor, and gas chromatography. Although patient's oral hygiene and periodontal condition were not poor on presentation, his teeth showed heavy wear and hypersensitiving with an unfitted restoration on tooth 16. Radiographic examination of the tooth did not reveal endodontic lesion, but when the metal crown was removed, severe pus discharge and strong malodor were observed. When this was treated, his breath odor was improved. After dental treatment and oral hygiene instruction, no further tooth wear was observed; he was not concerned about breath odor thereafter.

No MeSH data available.


Related in: MedlinePlus