Fw: Erosion treatment questions plz

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----- Forwarded Message ----From: Hebatallah Sherif <hebatallah.sherif@...>dentaljournalclub ; ; walkingthroughore@...Sent: Tue, 16 August, 2011 10:50:36 AMSubject: Erosion treatment questions plz

1. Woman with hiatus hernia with tooth surface loss. Best treatment option( surgery wasn't an option)

A. Medicine

B. Dietary advice

c. Occlusal splint

well in patient with hiatus hernia it depends how sever is the condition. if mild can be controlled by medicine and dietary advice and if sever may require surgery. usually In most cases, sufferers experience no discomfort and no treatment is required. However, when the hiatal hernia is large, or is of the paraesophageal type, it is likely to cause esophageal stricture and discomfort. Symptomatic patients should elevate the head of their beds and avoid lying down directly after meals until treatment is rendered. If the condition has been brought on by stress, stress reduction techniques may be prescribed, or if overweight, weight loss may be indicated. Medications that reduce the lower esophageal sphincter (or LES) pressure should be avoided. Antisecretory drugs like proton pump inhibitors and H2 receptor blockers can be used to reduce acid secretion.Where hernia symptoms are severe and chronic acid reflux is involved, surgery is sometimes recommended, as chronic reflux can severely injure the esophagus and even lead to esophageal cancer.

2.young adult with tooth surface loss. Best treatment optionremoval of iatrogenic cause. and taking photographs and study models and comparing. usually its known as smith index.

3. Patient with bulemia. Best treatment optionreferring to gp and gp will decide to have a psychiatric concealing or not

4.patient with anorexia nervosa, high caries rate, high sugar intakecontrol of sugar intake, dietary advice. ohi which include toothbrushing and use of mouth wash, and regular appointment with dentist. and referring to gp for anorexia nervosa.