Conservative restoration of function and aesthetics in a bulimic patient: a case report

Traditionally, the treatment of acid erosion lesions of the maxillary and mandibular dentition has been invasive, often utilizing full-coverage crown restorations. Intentional endodontic and post-and-core treatments have been used in the past to gain crown length for retention of cemented cast restorations. The learning objective of this article is to discuss the primary cause of acid erosion-bulimia nervosa-and present an alternative dental treatment modality. The alternative treatment uses conservative tooth preparation, dentin bonding technology, and pressed ceramic restorations, achieving aesthetic results. The indications and advantages are discussed, and a case report illustrates the clinical procedure. The importance of achieving the cessation of the purging habit as a prerequisite to dental treatment is emphasized.