A Complex Full Mouth Rehabilitation At US Dental Clinic
A male Patient presented at US Dental with the chief complaint of wear on his teeth, missing teeth and inability to chew food since long time. He desired to restore his missing molar teeth to improve his chewing function.
Diagnosis and clinical examination
- Generalized attrition and abrasion on teeth
- Loss of vertical dimension (no space to restore back teeth)
- No visibility of teeth during speaking and smiling
- Multiple missing teeth
Treatment goals
Full mouth rehabilitation of worn teeth presents the dentist with many challenges. Staged approach and treatment planning offers to restore stable occlusion and esthetic.
- Increased vertical dimension to get space for posterior molar teeth
- Restore all worn teeth
- Replace missing teeth with dental implant
- Enhance natural smile with chewing efficiency
Treatment phase
Transitional restoration
- Root canal treatment for remaining teeth as attrition and abrasion was deep
- Face bow transfer to set new vertical dimension
- Temporary teeth set to establish to occlusion with normal TM Joint function
- Placement of dental implants for missing teeth
After 3 months of transitional period patient reported at clinic, he was comfortable with new bite, no fracture of temporary restoration seen so definitive restorations were made.
Definitive restoration: Since occlusal reference was set earlier, stable bite was recorded to proceed for the final work. Severely worn teeth were restored, a stable and comfortable occlusion was achieved.
- All temporary crowns were removed, implant site exposed, and measurement taken
- Front teeth were restored with full ceramic zirconia crown
- Posterior molars restored with PFM (Porcelain fused metal) crown
- Night guard given to wear at night for added protection
Before
After
Final result
Definitive restoration: Since occlusal reference was set earlier, stable bite was recorded to proceed for the final work. Severely worn teeth were restored, a stable and comfortable occlusion was achieved.
