Dr Neil Wilson | Tooth Wear Case

ToothWearCaseDrNeilWilsonSpecialistinProsthodonticsCentralEnglandSpecialistReferralCentre

©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk

Referred to Ne i l Wi l son

Background:Ladyinhermid-thirtiesreferredbyhergeneraldentalpractitioner.Lossoftoothstructuretoherupperanteriorteeth,especiallythecentralincisor.

©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk

PRE-TR

EATM

ENT

©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk

Thisladyhadpreviouslysufferedfrombulimiaandasthecentralincisorsgotthinnershestartedtolosesomeoftheincisaledge.Hergeneralpractitionerhadreducedthelengthofthecentralstomakethemlookneater.Hewasthinkingofplanningall

ceramicrestorationsandthenhadsecondthoughtsandreferredhertoNeilWilsonforhisspecialistopinion.

DIA

GNOST

ICW

AX-U

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©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk

Itwasevidenttherewassignificanttoothsurfacelostsoadiagnosticwax-upwasmadewiththeupper3to3withtheaimofcreatingaDahlrestoration,butalsotoinvestigatewhetherwecouldbuildthecentralincisorsincomposite.

MOCK-U

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©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk

Amockupwasdone,togivethepatientanideatohowitwouldallfeel.Shewasadvisedthatthebackteethwouldbeoutofocclusionandwouldtakesomemonthstocomebackintoocclusion.

BUILD-U

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©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk

The6anteriorteethwerebuiltupwithFilteksupreme,3MandshadeA1,thenpolished.Thepatientwasmonitoredoversixmonthstoseethebackteethcomeintoocclusion-whichtheydid.

RES

ULT

©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk

Thepatientwasadvisedthatinthefuturetheteethwouldstainandthere’sapossibilitythatifthecentralincisorsstaintoomuch,wemayhavetoconsiderplacingcrowns.However,atthatstagebecausewehavecreatedspaceanteriorlytheywillbe

muchmoreconservative.Todateshehasbeenhappywiththeresult,whichhasnowbeenreviewedoverthe2years.

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Advancedrestorative

Complexdentalimplantwork

Prosthodontics

Referra ls to Ne i l Wi l son

©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk