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5 Vale Parade, Kingston Vale, London SW15 3PS
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Tooth Wear Gallery

 

 

 

This gentleman presented to our clinic, with very worn down teeth as a result of grinding. His lower 1/3 facial height was reduced giving the facial profile of a much older gentleman.

To regain the lost vertical height his bite was jacked open by addition of filling material to his lower front teeth first. Once it was established there has been no developed complications with his facial muscles and joints, his top front teeth were built up to further regain the lost vertical height.

 

 

Tooth Wear
     
     
tooth wear case at the start  

This patient presented with worn down upper and lower front teeth as well as a discoloured upper central.

 

     
composite buildup of lower teeth  

The six lower front teeth were first built up with white filling material to regain the lost vertical height caused by tooth wear.

     
bite changed by builtup front teeth   You can see that the back teeth are no longer coming together hence the bite has been jacked open.
     
all teeth now bitting together  

Six weeks later you can see the back teeth have now come together by over-eruption.

We then built up the six upper front teeth with white filling material.

   

 

side view of the back teeth  

Again, the back teeth are no longer in contact on the right side.

     
left back teeth  

The teeth at the back on the left side are also again not in contact.

     
final crowns fitted on upper teeth  

Once it was established that no complication had developed with the facial muscles and the jaw joints, the front four teeth were crowned eight weeks later.

This is the image of the crowns, immediately after cementation.

 

     
Ten Days Later ...
     
upper dental crowns ten days later  

This is the same site, ten days after cementation of the crowns. Clearly it can be seen that the gums are in healthy and well contoured shape and the teeth are in full bite.

 

     
     
     
     
     
Before   After
tooth wear case at the start   tooth wear case at the end
 
 
 
 

 

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