By Dr. John Nosti - #smilestories
23 year old female presented with erosion on the maxillary anteriors. This led to loss of anterior guidance, centric occlusion not coinciding with maximum intercuspation, resultant wear on the posterior segments, and over eruption of the anterior segment to keep pace with the erosion present.
A functional and cosmetic treatment plan was generated to restore the missing enamel on the anteriors, restore the anterior guidance, remove any interferences into centric occlusion, stabilize the occlusion, and laser osseous recontouring to raise the gingival levels.
A diagnostic waxup was completed to generate the desired cosmetic goals and communicate these goals with the patient.
Osseous recontouring was complete. Mock up was placed, and depth guides placed to ensure conservation of tooth structure where possible. Contacts were broken where interproximal decay was present.
8 Empress Esthethic restorations were completed at shade 020/030. The patient is extremely happy with her results!
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