Presenting Concerns
A patient in their mid-twenties presented with dental concerns related to long-term teeth grinding (bruxism), requiring a treatment plan to restore tooth structure and protect against further damage.
- Tooth Wear: Grinding from bruxism had caused the front teeth to become noticeably shorter and thinner over time
- Tooth Sensitivity: Worn enamel had left the teeth sensitive, affecting day-to-day comfort
- Structural Risk: Without intervention, continued grinding posed a risk of further tooth loss and damage
The primary clinical objective was to restore appropriate tooth length and protect the remaining tooth structure from ongoing wear.
Treatment Plan and Process
A two-part approach was developed to address both the appearance of the teeth and the underlying grinding concern.
Phase 1 — Restoration: Porcelain veneers were selected to rebuild the length and shape of the front teeth. The veneers were designed to restore appropriate proportions while blending naturally with the surrounding teeth.
Phase 2 — Protection: An occlusal splint (nightguard) was custom-fitted to be worn during sleep. This helps to cushion the teeth and reduce the impact of grinding, protecting both the natural teeth and the new restorations over the long term.
Clinical Outcome
Treatment addressed the patient’s presenting concerns across two phases. Porcelain veneers restored the length and appearance of the worn front teeth, whilst the custom nightguard provided ongoing protection against further grinding damage.
Individual healing responses vary, and treatment outcomes depend on factors including compliance with nightguard wear, oral hygiene, and regular professional maintenance. Results experienced by one patient do not necessarily reflect outcomes others may experience.
Frequently Asked Questions for Sydney Patients
Can porcelain veneers be placed on teeth that have been worn down by grinding?
Veneers can be a good option for teeth worn down by grinding, though it does depend on how much tooth structure is still intact. A proper assessment will help determine whether veneers are the right fit and what else might be needed alongside them.
Do I need a nightguard after getting veneers?
For anyone with a grinding habit, a nightguard is usually recommended alongside restorations. It simply helps protect the investment over time. Your dentist will talk through whether this is the right step for you based on your specific situation.
How long do porcelain veneers last for patients who grind their teeth?
It genuinely varies from person to person. How consistently you wear your nightguard, your general oral hygiene habits, and how often you come in for check-ups all play a role. Your dentist can keep an eye on things at your regular appointments and let you know how they are holding up.
