A Case Report of a Patient with Sjogren's Syndrome Presenting with Widespread Cervical Caries Affecting all Teeth

In this case presentation, a 23-year-old systemically healthy female patient presented to the Department of Restorative Dentistry at the Faculty of Dentistry, Tokat Gaziosmanpaa University, with aesthetic concerns caused by generalized carious lesions affecting all teeth.Clinical and radiographic evaluations revealed the presence of cervical caries lesions in all permanent teeth.After discussing various treatment options with the patient and obtaining informed consent, it was decided to proceed with direct composite resin restorations.Prior to treatment, the affected tooth surfaces were cleaned, appropriate shade selection was made, and the operative field was isolated using a rubber dam.Carious tissues were then removed using diamond and tungsten carbide round burs.Following caries removal, 37% phosphoric acid gel was applied for etching, and a universal adhesive system (Clearfil S3 Bond Universal) was applied to the prepared surfaces.A nanohybrid aesthetic composite resin (Estelite Sigma, Tokuyama Dental, Japan) was incrementally placed using the layering technique and each layer was light-cured.After polymerization, the rubber dam was removed, occlusion was checked, and necessary adjustments were made.Finishing procedures were performed using yellow-banded diamond flame-shaped and bullet-shaped burs.Polishing was completed using polishing discs and silicone rubber polishers.Postoperative clinical evaluation revealed that the restorations were successful in terms of both aesthetics and function.The patient was given oral hygiene instructions and was advised to attend regular follow-up appointments.In conclusion, in patients presenting with generalized cervical caries, direct composite resin restorations can provide satisfactory functional and aesthetic outcomes in a single session.