62 year old, Female

Patient:	62 year old, Female
Concerns:	Heavily worn down front teeth resulting in short teeth appearance. Seeking improvement in function (eating and chewing) and aesthetic / cosmetic smile improvement.
Diagnosis:	Localised severe tooth wear in upper front teeth and heavily restored / repaired back teeth. Suspected dentoalveolar compensatory eruption – impacting on interarch prosthetic space and gum architecture (gum height and symmetry).
Management:	Upper jaw prosthodontic rehabilitation in reorganised approach at existing occlusal vertical dimension (bite height). Aesthetic crown lengthening procedure to optimise gum height and symmetry by a specialist periodontist. Occlusal (bite) adjustments and equilibration, composite fillings, strategic ceramic / porcelain restorations (veneers and full coverage crowns) in teeth with extensive tooth wear and/or those with large fillings at risk of fracture. Construction of upper full arch splint to protect remaining teeth and restorations from further wear and fracture (night use only).

Specialists in Dentistry and Prosthodontics