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Serious Tooth Grinding Problem: Veneers Case Study

Harry had a major problem with tooth grinding and despite being only in his late 20s was in danger of losing several teeth.
There were infections, decay and fractures under a crown, old fillings and root treatments.

Serious teeth grinding damage

His regular NHS dentist referred him for a last ditch attempt to save front teeth and follow up Harry’s interest in cosmetic dentistry.
Ultimately, there was no need for extractions or implants in this case.

Dr Murphy felt that this case presented a rather unusual dynamic.
“The main challenge here was to deal with the bite in such a way that we were able to lengthen the porcelain crowns and veneers slightly – without bite interference. This made them far more natural and was achieved by simultaneously replacing two old molar fillings at a key stage of treatment: fitting of all porcelain.

I’d say that this technique is fairly unheralded but it can dig us out of a ‘hole’ at times. As long as I pick a filling on either side, not too deep, I can build them to required vertical height for the porcelain.

I need a very long appointment, usually open ended, to ensure that all porcelain has been lengthened to the exact prescription.

Only then will I commit to replacing the fillings. The patient has been ‘tested’ initially with a lower mouthguard to stop tooth grinding at night.”

After porcelain veneers

Harry had three root treatments, three gold posts, three porcelain veneers, four porcelain crowns and a mouthguard fitted.
He paid £3617, including X-rays. All individual prices are displayed clearly on our price list.

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