46 year old, Male

46 year old, Male

• Worn and sensitive teeth to food and drinks
• Seeking improvement in function (eating and chewing)
• History of teeth clenching and grinding habits and soft drink consumption
• “I want to save my teeth. I don’t want removable false teeth”

• Missing teeth
• Severe – moderate tooth wear generalised from functional and parafunctional (bruxism) habits (clenching and grinding).
• Localised loosening of teeth from heavy biting (occlusal trauma / overload)
• Tooth Decay
• Pulpal (nerve tissue death) from decay and tooth wear
• Mild-moderate gum and bone loss (periodontal disease)

• Root canal treatment – upper right 2^nd molar and upper right central incisor
• Crown lengthening – gum and bone trimming procedure on upper front teeth
• Full upper arch prosthodontic rehabilitation at increased occlusal vertical dimension (bite height).
• Composite filling, strategic ceramic / porcelain (3/4 crowns, crowns, onlays, bridgework) in teeth providing support to occlusion (bite).
• Construction of upper full arch splint to protect remaining teeth and restorations from further wear and fracture (night use only).
• Monitor lower teeth – future treatment as required.