Before
After
Case Details
The Case
- 36 years old
The Problems
- Advanced erosion of the teeth
- Pain eating and drinking due to pulp exposures from the erosion
The Solution
- Upper replacement of all teeth with dental implants supporting bridges in segments
- Lower replacement for the front teeth only and conservative restoration of the back teeth
- Treatment in 2007
Doctors Comments
This young lady suffered from advanced erosion of most of her teeth related to Bulimia and experienced severe sensitivity and pain because the pulps of the teeth were exposed. There was no adequate tooth structure left to do any sort of conservative repair. One option considered for the upper was full set teeth replacement with All On 4 with aesthetic gum replacement. However, the gum health and choreography were ideal and we decided to pursue a course of treatment involving segmental bridges nestled within the natural gums and supported by dental implants.
The Process
1. The presence of the four front teeth in this picture does not represent sound tooth structure. These are veneers that were bonded to the underlying teeth some time ago","but the underlying natural tooth structure has completely eroded away.
2. The end result with porcelain bridges fitted to dental implants.
3. The extent of erosion of the teeth is clearly visible here.
4. Five dental implants were placed to support two segments of implant bridges.
5. The bridges in place.
6. Front smile view BEFORE treatment.
7. Front smile view AFTER treatment.
8. Side smile view AFTER treatment.
