Full mouth rehabilitation

Full mouth rehabilitation from Dr. Elston Wong Dentistry

By: Dr. Elston Wong Dentistry  24-09-2012
Keywords: Dental care, Teeth Whitening

This patient had been functioning for years with multiple missing teeth, and the remaining teeth were heavily filled or broken and worn. There was also a significant amount of drifting of teeth over the years, as extracted teeth were not replaced. The technical challenge was to provide this patient with a new biting position that could be tolerated, and then to restore the bite to that position. To that end, an acrylic orthotic was fabricated and worn for six months before any permanent work on the teeth was performed. This allowed us to be certain that the new jaw position would be comfortable. The final result required a combination of crowns on all teeth, three dental implants, and a bridge where implants were not feasible. In cases like this, there needs to be thorough consultation to ensure that expectations are met; before any of this work was done, a wax simulation was generated to provide a preview of the final result. By doing things in this manner, surprises at the end are minimized. (17 PFM crowns, 4 full gold crowns for backmost molars, three Nobel Biocare Replace Select RP implants with PFM crowns, and one PFM 3-unit bridge. All were cemented with 3M RelyX luting cement).

Keywords: Dental care, Teeth Whitening

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