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Generalised attrition

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  • 08/10/2012 at 3:45 pm #10980
    Ritika Bhat
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    How is a case of generalised moderate attrition with pulpal involvment in lower anteriors mananged?

            

    08/10/2012 at 4:48 pm #16002
    DrHarilal
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    Pulpal involvement needs rct as definitive treatment and adv.measures to prevent attrition.
    Check habitual,skeletal,traumatic ,gastric,factors for attrition and treat accordingly.
    When you provide the details,easy to advice.
    Regards

            

    08/10/2012 at 5:15 pm #16003
    Anonymous

     Ritika,

    In case you have come across such a patient, please post the details. Because there is no generalised treatment for any condition; every case has to be administered different treatments.

            

    09/10/2012 at 6:31 am #16004
    Ritika Bhat
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    I came across this case in the college during my internship. The patient was a middle aged lady who’s chief complaint was of pain in the lower anteriors and generalized sensitivity
    I would like to know that how would the lower anteriors be prosthetically rehablitated once the rct was completed. Would it be by means of a crown? How is the dentinal hypersensitivity arising due to attrition in the posterior teeth managed? How is the occlusal anatomy restored in the posterior teeth? If the patient gives a history of bruxism , how long
    is the interocclusal appliance used ?

            

    09/10/2012 at 5:38 pm #16008
    drmithila
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     After doing the RCT s of the lower anterior teeth, crowns on them are mandatory….and severe attrition of posteriors,the best way would be to crown them 

    Also do not forget that raising the bite also would be a very very important step in generalised attrition

    Also in long history of bruxism, night guards are a good option if there is no skeletal or joint abnormality implication

            

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