C is a working professional in his early 40s. He grinds his teeth unconsciously. This has resulted in wearing and shortening of all his teeth. One of his molar teeth was so worn that nerve was exposed. He needed root canal treatment to relieve pain.
As he travels frequently for work, all treatment had to be well coordinated.
The goal of his treatment is to restore his teeth to normal length and to protect worn teeth and to design a bite that is not damaging.
Crown all upper teeth and selected lower teeth
Treatment duration: 1 month
Patient smile line showed short lower face and strong cheek muscle indicative of overactive chewing or bruxing.
Upper front teeth are much shorter than lower front teeth. They are in
Bruxism is a term used to describe hyperactivity of the jaw muscles which bring teeth together at times other than eating and chewing.
During normal function, upper and lower teeth only come into contact for 15 minutes in 24 hours.
The upper front teeth are so worn that dentine was exposed. During bruxing, teeth come together for hours. In
The lower front teeth were mildly affected. However, the molars had repeated history of lost fillings---another signs of bruxism.
Patient facial proportion was restored.
The upper front teeth now overlap the lower front teeth so that they are protected from the bruxing forces.
Natural appearance of crowns
Side view of bite
The molar teeth were replaced with gold crowns because gold being a soft metal, can adapt to changes in bite. It can be worked to very fine thickness.
Lower molars were restored with gold onlays.
Upper front teeth were replaced with porcelain fused to high-precious metal crowns for cosmetic results