65 year old, Male

   
Patient:65 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.
  • Severe Class II div 2 – Deep bite – traumatic bite to palatal gum tissues of upper front teeth and facial gum tissues of lower front teeth.
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 composite fillings and 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).