68 year old, Male

68 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.
• Suspected dentoalveolar compensatory eruption – impacting on interarch prosthetic space with traumatic biting into lower gum.

• 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 reverse metal veneers on upper front teeth, 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).