Restoring severely worn dentition with direct restorations and removable prosthodontics to a desirable esthetic outcome

Lead Author Affiliation

Dentistry

Lead Author Program & Year

DDS Year 3

Presentation Category

Restorative (Direct/Indirect), Removable

Introduction/Context/Diagnosis

Middle-aged aesthetically-focused new patient presents with severely worn teeth and root tips due to caries and erosion. Patient has collapsed vertical dimension and lack of upper lip support. Patient wants to restore molars and smile. Patient has limited financial resources.

Methods/Treatment Plan

Prophy

Phased extractions

Composite incisal build ups on mandibular teeth #22-28

Mandibular removable partial denture

Maxillary immediate upper denture

Results/Outcome

Able to reestablish function, facial support, and esthetics through combination of direct restorative and removable prosthodontics.

Significance/Conclusions

In the appropriate patient situation, dental practitioners can use minimal direct restorations and removable prosthodontics to achieve results that satisfy patients' functional, esthetic and financial needs. This treatment demonstrates the difference appropriate dental intervention can make in our patient’s lies. It’s an example of the University of the Pacific dental school’s head, heart, and hands philosophy.

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Restoring severely worn dentition with direct restorations and removable prosthodontics to a desirable esthetic outcome

Middle-aged aesthetically-focused new patient presents with severely worn teeth and root tips due to caries and erosion. Patient has collapsed vertical dimension and lack of upper lip support. Patient wants to restore molars and smile. Patient has limited financial resources.