Perimolysis: case report

Abstract

Perimolysis is a form of dental erosion, characterized by dental tissue demineralization without bacterial involvement. It can be of intrinsic or extrinsic origin. Extrinsic origin is considered when it is caused by excessive consumption of acid drinks and foods such as soft drinks, alcoholic beverages, acid fruit and prescription drugs for daily use. When caused by gastrointestinal disorders, such as those resulting from bulimia, anorexia nervosa and gastroesophageal reflux, it is considered of intrinsic origin. The acid action can cause erosion on palatal/lingual incisor surfaces, and occlusal and palatal/lingual posterior tooth surfaces causing pain (dental hyperesthesia). Treatment is often multidisciplinary, and the causes should be identified, eliminated or controlled. In dentistry, the approach must include preventive measures to reduce future risks, and restorative intervention using materials such as glass ionomer cement, resin composite, or endodontic and prosthetic rehabilitation in more complex cases. The aim of this study was to describe the restorative treatment in the case of a patient with this condition.