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ToothWearCaseDrNeilWilsonSpecialistinProsthodonticsCentralEnglandSpecialistReferralCentre
©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk
Referred to Ne i l Wi l son
Background:Ladyinhermid-thirtiesreferredbyhergeneraldentalpractitioner.Lossoftoothstructuretoherupperanteriorteeth,especiallythecentralincisor.
©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk
PRE-TR
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©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk
Thisladyhadpreviouslysufferedfrombulimiaandasthecentralincisorsgotthinnershestartedtolosesomeoftheincisaledge.Hergeneralpractitionerhadreducedthelengthofthecentralstomakethemlookneater.Hewasthinkingofplanningall
ceramicrestorationsandthenhadsecondthoughtsandreferredhertoNeilWilsonforhisspecialistopinion.
DIA
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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
