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* email: andrei.picos@umfcluj.ro; Phone: 0754925804 Dentistry publications demonstrates the direct link between GERD and dental erosion DE [1,2]. During a high reflux episode, the salivary pH decreases considerably to values below 5.5, a threshold considered to be critical to enamel resistance to acid attack [3-5]. The body has the ability to neutralize acid salivary pH through saliva and salivary flow. These mechanisms can be influenced by various conditions such as xerostomia or drugs (antiparkinsonian, antiemetic, vitamin C, antidepressants, antihistamines) and vary from individual to individual. Intrinsic an etiology may also include bulimia, anorexia nervosa and regurgitation. Extrinsic factors are represented by a work environment that contains acid vapors, swimming and a diet, rich in acidic food and beverages [69]. Patients diagnosed with GERD show loss of dental tissue in the enamel and dentine, leading to the opening of the pulp chamber eventually. The difficulty of diagnosing DE lies in differentiating from the rest of the mechanisms leading to the loss of dental structures, the appearance being similar [10-13]. We aim to experiment certain minimally invasive modern treatment methods for dental erosions that allow dental reconstruction without the removal of healthy tissues, using the latest ceramic, composite and cement materials [14-16]. The objective is to observe their behavior for 3 years, and to make a comparison with classic, timeresistant methods but with significant tooth material sacrifices, which result in teeth devitalization for prosthetic purposes, as well as inferior aesthetics due to metal structures used as support for the ceramic layer.

Minimally Invasive Dental Treatment Using Composites and Ceramics in GERD Diagnoses Patients