Incisal Tooth Wear Associated with Prolonged Sunflower Seed Chewing: A Case Report

Abstract

Non-carious tooth surface loss (TSL) is a multifactorial condition which may arise from mechanical, chemical and/or biological factors. Parafunctional habits such as the habit of sunflower seed chewing, which can be considered among the mechanical causes, can result in localized wear of the incisors. A 38-year-old male patient presented with gingival bleeding. Clinical and radiographic findings revealed localized abrasion in the form of V-shaped notches on the incisal edges of teeth #11 and #41 and mild gingival recession, likely due to repetitive mechanical trauma. The patient reported a habit of cracking sunflower seeds between his anterior teeth since childhood. Minimally invasive direct composite restorations using supra-nanohybrid resin composites were performed to repair the worn incisal edges and restore esthetics and function. Postoperative and follow-up evaluations demonstrated satisfactory marginal adaptation, surface smoothness, and color harmony, without sensitivity or discoloration. Long-term sunflower seed chewing can cause irreversible incisor wear and changes in the associated periodontal tissues. Early diagnosis and habit cessation, combined with minimally invasive restorative approaches, can restore esthetics and prevent further TSL.

Keywords

• tooth surface loss
• abrasion
• sunflower seed chewing
• direct composite restoration

Uzun Süreli Ayçiçeği Çekirdeği Yeme Alışkanlığına Bağlı Kesici Diş Aşınması: Bir Olgu Sunumu

Abstract

Çürük dışı diş yüzeyi kaybı (DYK), mekanik, kimyasal ve/veya biyolojik etkenlerden kaynaklanabilen multifaktöriyel bir durumdur. Mekanik nedenler arasında değerlendirilebilen ayçiçeği çekirdeği yeme gibi parafonksiyonel alışkanlıklar, kesici dişlerde lokalize aşınmaya yol açabilir. 38 yaşındaki erkek hasta, diş eti kanaması şikayetiyle başvurmuştur. Klinik ve radyolojik değerlendirmede, 11 ve 41 no’lu dişlerin insizal kenarlarında, tekrarlayan mekanik travmaya bağlı olması muhtemel V şeklinde çentik biçiminde lokalize abrazyon ve hafif gingival resesyon gözlenmiştir. Hasta, çocukluk döneminden beri ön dişleri arasında ayçiçeği çekirdeği kırma alışkanlığı olduğunu belirtmiştir. Aşınmış insizal kenarların onarımı ve estetik ile fonksiyonun yeniden sağlanması amacıyla, supra-nanohibrit kompozit rezin kullanılarak minimal invaziv direkt kompozit restorasyonlar uygulanmıştır. Postoperatif ve takip değerlendirmelerinde, hassasiyet veya renklenme olmaksızın tatmin edici marjinal adaptasyon, yüzey pürüzsüzlüğü ve renk uyumu gözlenmiştir. Uzun süreli ayçiçeği çekirdeği yeme alışkanlığı, kesici dişlerde geri dönüşümsüz aşınmaya ve ilişkili periodontal dokularda değişikliklere neden olabilir. Erken tanı ve alışkanlığın bırakılması, minimal invaziv restoratif yaklaşımlarla birlikte estetiğin yeniden sağlanmasına ve daha ileri DYK gelişiminin önlenmesine katkı sağlayabilir.

Keywords

• diş yüzeyi kaybı
• abrazyon
• ayçiçeği çekirdeği çiğneme alışkanlığı
• direkt kompozit restorasyon

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