60 year old, Male

   
Patient:60 year old, Male
Concerns:
  • Not happy with aesthetics / cosmetic appearance of teeth due to worn down (short) front teeth and heavily filled and broken back teeth.
Diagnosis:
  • Multiple missing teeth.
  • Severe generalised tooth wear from functional and parafunctional (bruxism) habits (clenching and grinding, mouthpiece from musical instrument) and acid erosion.
Management:
  • Prosthodontic rehabilitation at increased occlusal vertical dimension (bite height).
  • Root canal treatment by endodontist.
  • Strategic placement of full coverage tooth supported crowns to provide support to occlusion (bite).
  • Construction of upper full arch splint to protect remaining teeth and restorations from further wear and fracture (night use only).