68 year old, Female

   

Diagnostic Wax Up Proposed by Dentist

  • Issue being substantial tooth structural removal proposed – posing extreme high risks on teeth such as pulpal nerve death and compromised longevity.
Realistic Diagnostic Wax Outlined by Dr Janice Kan

  • Highlights the extent of tooth malalignment and allows for conservative removal of tooth structure for a safe and aesthetically / cosmetically pleasing result.
Patient:68 year old, Female
Concerns:
  • Wants improved smile
  • Crooked and discoloured teeth.
  • Wants whiter and straighter teeth.
  • Seeking second opinion on previous clinical advice to have orthognathic (jaw) surgery and orthodontic (braces) treatment – declined by patient due to risk, time and costs.
Diagnosis:
  • Teeth malalignment and discolouration.
  • Moderate shortened dental arch – reduced number of teeth for satisfactory masticatory function (eating and chewing) due to multiple fractured and upper and lower missing back teeth.
Management:
  • Tooth whitening.
  • Smile makeover design with diagnostic mock up.
  • Conservative composite veneers / fillings, ceramic veneers, ceramic onlays and dental crown work.
  • Dental implant crown replacement of upper and lower missing back teeth.