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This patient had years of uncomfortable bite. Her chief complaint was that she didn't know which position to close her lower jaw against the upper jaw. She also had bruxism (night time teeth grinding). Bruxers can exert abnormal amount of biting force when they grind their teeth during sleep. This can result in a host of problems such as rapid teeth wear, headache, muscleache, TMJ disorders, esthetic problems, etc. Just simply restoring patient's worn out teeth will not help this type of patients. A dentist who's treating this type of patients should address all of patient's bruxism related problems.
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Treatment plan for this patient included bite splint therapy initially to gain further diagnostic information about the patient's bruxism habit and to alleviate muscle ache. Above pictures show the bite splint in place and the wax up in preparation for full arch provisional crown fabrication. |
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The treatment plan was to protect all of patient's teeth from further destruction and restore patient's natural beauty by placing crowns on all of her teeth. Here, you see provisional crowns in place. |
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Lab. Here you see crowns ready to be delivered. The patient will receive 25 individual crowns and 1 three unit fixed partial denture (bridge).
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Final crowns cemented in place. These are porcelain fused to metal crowns. There are lot of hypes about all porcelain crowns, but dentists need to understand that high esthetic result can be achieved using conventional PFMs if they are fabricated by competent dental technicians.
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Simply restoring bruxers' teeth with crowns doesn't stop them from grinding their teeth at night. Unless they continue to wear night guards, they will most likely destroy the crowns as well. |
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