By Dr. John Nosti
As clinicians we are obligated to diagnose and present clinical findings to our patients that address decay, disease, degeneration; pathology of all kinds. It’s our job to present a path of treatment and therapy to prevent, cure or treat the issues that we encounter. However, oftentimes the options we give our patients don’t meet their current life circumstances, budget or timing.
The following case is an example of a patient who was treatment planned for a Full Mouth Rehabilitation to address her pathology. Her life circumstances prevented her from pursuing all of her treatment to completion. So we modified her plan to not only address her most immediate concerns, but to present a long term that fit with her goals. Tears of joy from a patients, are always a welcome response at a final result as beautiful as this!
Clinical Conditions and Treatment Plan:
The patient wanted to address the poor aesthetics of her case while preventing further wear. I treatment planned to stage her rehabilitation to initially increase vertical dimension slightly off of the maxillary 10 units. I prepped #25 for a facial composite to immediately remove the interference with its position. I reshaped tooth #20 and #30 to take it out of occlusion and remove that posterior interferences, as well. We will complete the molars over the next few years to maximize insurance and establish function by finalizing the occlusal scheme.
Teeth were prepared to fabrication of veneers and crowns on teeth #4-13. Material chosen was I.P.S. Empress by Gold Dust Dental Lab. Composite veneer on tooth #25 was fabricated utilizing Empress Direct composite.