65 year old, Male

65 year old, Male

• Worn and sensitive teeth.
• Difficulty in chewing food.
• Traumatic bite – pain on alveolar ridge.

• 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.

• 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).