68 year old, Male

   
Patient:68 year old, Male
Concerns:
  • Worn and sensitive teeth.
  • Difficulty in chewing food.
  • Traumatic bite – pain on alveolar ridge.
Diagnosis:
  • Multiple missing teeth.
  • Severe generalised tooth wear from functional and parafunctional (bruxism) habits (clenching and grinding) and acid erosion.
  • Suspected dentoalveolar compensatory eruption – impacting on interarch prosthetic space with traumatic biting into lower gum.
Management:
  • Full mouth prosthodontic rehabilitation at increased occlusal vertical dimension (bite height).
  • Elective root canal treatment by specialist endodontist.
  • Tooth extraction of unrestorable teeth and implant placement by a specialist periodontist.
  • Strategic placement of reverse metal veneers on upper front teeth, full coverage tooth supported crowns and implant 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).