# A Full Mouth Rehabilitation of an Asthma-Associated Patient With Tooth Surface Loss: A Case Report

## TL;DR

This case report describes a full mouth rehabilitation for a 35-year-old man with severe tooth surface loss caused by asthma-related habits and soft drink consumption.

## Contribution

The paper presents a minimally invasive eight-step approach for full mouth rehabilitation in a complex TSL case.

## Key findings

- Heavy soft drink consumption combined with asthma and parafunctional habits caused severe TSL.
- The eight-step approach provided a more durable solution than previous resin-based restorations.
- Integration of removable and fixed restorations was effective for complex TSL rehabilitation.

## Abstract

Tooth surface loss (TSL) is multifactorial and, when severe, it can severely impact the quality of life. Although carbonated soft drinks, with their high sugar and acid content, are a common cause of TSL, the effects do not usually mandate full-mouth rehabilitation. Nevertheless, when combined with other factors such as parafunctional habits or other drivers of high consumption, TSL can be severe. Here we present the case of a 35-year-old man who presented with mild to severe TSL throughout the oral cavity caused by erosion and attrition. Causative factors were heavy consumption of soft drinks for years to quench thirst caused by asthma, side effects of asthma-related medications, and other parafunctional habits. The eight-step approach was as minimally invasive as possible, considering the severe presentation of TSL, and offered the patient a more durable treatment option than previously provided resin-based composite restorations. Presenting this case allows us to discuss the causes of TSL and also describe full mouth rehabilitation of TSL at increased occlusal vertical dimension with indirect restorations. We also demonstrate the integration of removable and fixed options, when progressing complex restorative cases.