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Mouth Rehabilitaion

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Full-mouth rehabilitation of the worn dentition presents the clinician with many challenges and potential pitfalls. A systematic approach to diagnosis, treatment planning, and risk management is crucial for a predictable outcome. A staged approach to restoring the worn dentition provides the clinician opportunity to evaluate how a patient will respond to occlusal and esthetic changes. In this case, a 61-year-old retired engineer presented with concerns about the wear on his teeth (Figure 1). The case demonstrates the benefits of a staged approach and describes the successful alteration of the initial treatment plan when changes were necessary to better manage risk.

Who Requires a Full Mouth Reconstruction?

There are a number of people who have dental problems throughout their mouths that must be treated comprehensively with a vision of a final result that improves both function and esthetics. These patients may exhibit multiple missing teeth, numerous teeth with large fillings that are failing or exhibiting decay, cracked or broken teeth, or badly worn teeth due to bruxism (teeth grinding) or other habits.

There is also a group of patients who were born with conditions such as Ectodermal Dysplasia, Ameliogenesis, or Dentinogenisis Imperfecta that will need extensive restoration of their teeth. These patients may be candidates for a full mouth reconstruction.