68 year old, Female

68 year old, Female

• Seeking cosmetic dental treatment for heavily filled upper teeth with failing pre-existing composite veneers
• Restoration of recently root canal treated upper right back teeth

• All upper teeth demonstrate multiple fillings (amalgam / composite) with deteriorating margin breakdown, colour (shade) and shape (contour) degradation resulting in poor functional (eating and chewing) and aesthetic / cosmetic appearance
• Heavy clenching / grinding (parafunctional) habit suspected with back teeth demonstrating signs of cracks (fractures)

• Dismantle and investigation of all pre-existing composite veneers / fillings to confirm restorability of remaining teeth
• Conventional tooth supported dental ceramic veneers or 3/4 crowns and ceramic onlays on upper central and lateral incisor, canine and premolar teeth
• Adjustment and stabilisation of occlusion (bite) via the nightly use of upper full arch splint