Rehabilitation
of worn dentition

Rehabilitation of a severely worn dentition is highly complex. Excessive wear can be the result of parafunctional habits such as severe tooth grinding or acid erosion due to dietary factors, gastric reflux, a history of bulimia or history of drug or alcohol abuse.

Severe wear results in a collapsed dentition and usually involves most of the teeth, consequently affecting function as well as aesthetics, therefore the treatment is complex and multidisciplinary. Firstly the cause of the wear needs to be identified and addressed prior to commencing reconstructive treatment.

Crowns for severely worn teeth
crown-before crown-after
Before After
crown-lower-arch crown-upper-arch
Lower Arch Upper Arch
Veneers for worn teeth
veneers-before-1 veneers-before-2
Before 1 Before 2
veneers-after-1 veneers-after-2
After 1 After 2

Treatment can involve the restoration of the teeth with tooth coloured fillings, porcelain veneers or crowns and the replacement of unrestorable teeth with dental implants.

To protect the teeth and restorations, construction of an occlusal splint is often required. The occlusal splint, usually worn at night while you sleep, is a specifically designed thin acrylic guard which fits onto the upper teeth and is constructed in a way that enables the lower teeth to move freely without putting excessive force onto one or more teeth and reducing the stress clenching or grinding can put on the jaw joints. Although it takes some getting used to, the occlusal splint provides protection for the teeth and restorations, relief from resulting headaches and most patients report they cant sleep without it.

Splint
splint-in-situ splint
Splint 1 Splint 2