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.