Management of Dental Demineralization in a Patient with Complex Medical Conditions: A Case Report and Clinical Outcomes
Abstract
:1. Introduction and Clinical Significance
2. Case Presentation
2.1. Phase 1: Patient Education and Introduction of Remineralizing Agents
2.2. Phase 2: Follow-Up and Clinical Outcomes
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- Day 14: The restoration of carious lesions in the first quadrant. Cavitated lesions were restored using Enamel plus HRi biofunction composite (Micerium S.p.A, Avegno, Italy). The adhesive technique involved 37% phosphoric acid etching, followed by the application of the Ena Bond Seal adhesive system (Micerium S.p.A, Avegno, Italy) and incremental layering of the composite resin.
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- Day 35: The restoration of the second quadrant. The patient’s adherence to oral hygiene recommendations was assessed. Professional supragingival and subgingival debridement was performed. The reinforcement of oral hygiene instructions was provided, with additional guidance on optimizing brushing technique.
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- Day 40: The restoration of the third and fourth quadrants. The patient’s adherence to oral hygiene recommendations was assessed. The reinforcement of oral hygiene instructions was provided.
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- Day 90: The reinforcement of oral hygiene instructions. A clinical examination was performed to assess the integrity and adaptation of the previously placed restorations, ensuring their proper function and stability.
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- Day 120: A comprehensive clinical examination was conducted to assess the patient’s progress. A significant remineralization of lesions was observed on the upper anterior teeth, indicating the effectiveness of the remineralization protocol. Gingival health showed marked improvement, with a complete resolution of inflammation. Objective periodontal assessments confirmed a reduction in Bleeding on Probing (BOP) from 38% to 12%, a Gingivitis Index improvement from 2.1 to 1.3, and a Plaque Index (PI) decrease from 50% to 25% (Table 1). The patient was scheduled for regular maintenance visits every six months to ensure long-term stability and prevent the recurrence of oral disease.
2.3. Photographic and Photometric Analysis
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Clinical Parameter | Baseline Value | 120-Day Follow-Up |
---|---|---|
Bleeding on Probing (BOP) (%) | 38% | 12% |
Mean Gingivitis Index (Löe and Silness) | 2.1 (Moderate to severe gingivitis) | 1.3 (Improved gingival health) |
Mean Plaque Index (Silness and Löe) | 50% | 25% |
DMFT (Decayed/Missing/Filled Teeth) | 15 (D = 10, M = 0, F = 5) | No new lesions |
Event | Details | Date |
---|---|---|
Visit 1 | Education on oral hygiene and dietary counselling. Initiated remineralizing mousse and toothpaste. Supragingival debridement performed. | Day 0 |
Visit 2 | Restoration of carious lesions in the first quadrant using enamel plus HRi biofunction composite. Adhesive technique with 37% phosphoric acid etching and Ena Bond Seal adhesive system. | Day 14 |
Visit 3 | Restoration of second quadrant. Patient’s adherence to oral hygiene recommendations assessed. Professional supragingival and subgingival debridement performed. | Day 35 |
Visit 4 | Restoration of third and fourth quadrants. Patient’s adherence to oral hygiene recommendations assessed. Reinforcement of oral hygiene instructions. | Day 40 |
Visit 5 | Reinforcement of oral hygiene instructions, along with an assessment of the integrity and adaptation of the previously placed restorations. | Day 90 |
Visit 6 | Comprehensive clinical examination. | Day 120 |
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Sardellitti, L.; Filigheddu, E.; Milia, E. Management of Dental Demineralization in a Patient with Complex Medical Conditions: A Case Report and Clinical Outcomes. Reports 2025, 8, 39. https://doi.org/10.3390/reports8020039
Sardellitti L, Filigheddu E, Milia E. Management of Dental Demineralization in a Patient with Complex Medical Conditions: A Case Report and Clinical Outcomes. Reports. 2025; 8(2):39. https://doi.org/10.3390/reports8020039
Chicago/Turabian StyleSardellitti, Luigi, Enrica Filigheddu, and Egle Milia. 2025. "Management of Dental Demineralization in a Patient with Complex Medical Conditions: A Case Report and Clinical Outcomes" Reports 8, no. 2: 39. https://doi.org/10.3390/reports8020039
APA StyleSardellitti, L., Filigheddu, E., & Milia, E. (2025). Management of Dental Demineralization in a Patient with Complex Medical Conditions: A Case Report and Clinical Outcomes. Reports, 8(2), 39. https://doi.org/10.3390/reports8020039