Presenting Concerns
The patient presented with the following dental concerns requiring a structured treatment plan.
- Tooth Erosion and Sensitivity: Erosion from grinding had worn down tooth surfaces, causing sensitivity and affecting overall tooth structure
- Uneven Dentition: Wear across multiple teeth had created an uneven appearance and inconsistent tooth heights
- Bite Concerns: Ongoing grinding had contributed to changes in the bite relationship that needed to be addressed as part of the reconstruction
The primary clinical objective was to restore tooth structure, address the bite concerns, and protect the dentition from further deterioration through a comprehensive restorative approach.
Treatment Plan and Process
A treatment approach was developed to address the patient’s presenting concerns across the following phases.
Phase 1 — Assessment and Planning: A thorough examination was completed including occlusal analysis and 3D Digital Smile Design to assess the full extent of the wear and plan a restorative approach that addressed both the structural and occlusal concerns.
Phase 2 — Restorative Treatment: Full mouth reconstruction was carried out using a combination of porcelain veneers, crowns and dental implants. Treatment was sequenced carefully to re-establish appropriate bite relationships alongside the restorative work.
Phase 3 — Ongoing Protection: Post-treatment recommendations were provided to support the long-term stability of the restorations, including guidance on protective measures relevant to the patient’s grinding history.
Clinical Outcome
Full mouth reconstruction addressed the erosion, sensitivity and bite concerns through a combination of porcelain veneers, crowns and implants. The treatment re-established appropriate tooth structure and occlusal relationships across both arches.
Individual healing responses vary, and treatment outcomes depend on factors including oral hygiene, compliance with post-treatment care recommendations, and regular professional maintenance. Results experienced by one patient do not necessarily reflect outcomes others may experience.
Frequently Asked Questions for Sydney Patients
Can full mouth reconstruction fix teeth that have been worn down by grinding?
Full mouth reconstruction can be an appropriate approach for patients with significant wear caused by grinding, though the specific treatment plan will depend on the extent of the deterioration and any ongoing occlusal concerns. A thorough assessment is needed to map out what is involved in your particular situation.
Will my teeth be sensitive during and after full mouth reconstruction?
Some sensitivity during treatment is not uncommon, particularly when teeth have already been worn or when preparation work is required. Your dental team will take steps to manage sensitivity throughout the process and will advise you on what to expect at each stage.
How do I prevent further damage after reconstruction?
Your dentist will discuss protective measures appropriate to your situation, which may include a nightguard if grinding is a contributing factor. Regular monitoring appointments are also important to keep an eye on how the restorations are holding up over time.
