Restorative & Materials · single question

For a patient with dental erosion, the single most important first step in management is to:

  1. Identify and eliminate the underlying cause (e.g., acidic diet, GERD, vomiting)
  2. Immediately place full-coverage restorations
  3. Prescribe lifelong antibiotics
  4. Whiten the eroded teeth
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Correct answer: A. Identify and eliminate the underlying cause (e.g., acidic diet, GERD, vomiting)

  • A. Correct. Erosion management begins with diagnosing and removing the acid source; supportive measures include fluoride/remineralization and (for intrinsic acid) bicarbonate rinses, with restorations only once the cause is controlled.
  • B. Restoring before controlling the cause leads to continued erosion and restoration failure.
  • C. Antibiotics have no role in erosion.
  • D. Whitening does not treat erosion and may aggravate sensitivity.

Note: Among the source's options (restoration, bicarbonate rinse, fluoride), fluoride/remineralization is the key conservative measure—but addressing the etiology comes first.

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