dr neil wilson | tooth wear case
TRANSCRIPT
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ToothWearCaseDrNeilWilsonSpecialistinProsthodonticsCentralEnglandSpecialistReferralCentre
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Referred to Ne i l Wi l son
Background:Ladyinhermid-thirtiesreferredbyhergeneraldentalpractitioner.Lossoftoothstructuretoherupperanteriorteeth,especiallythecentralincisor.
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PRE-TR
EATM
ENT
©2015ToothWearcaseOctober2015www.centralenglandreferrals.co.uk
Thisladyhadpreviouslysufferedfrombulimiaandasthecentralincisorsgotthinnershestartedtolosesomeoftheincisaledge.Hergeneralpractitionerhadreducedthelengthofthecentralstomakethemlookneater.Hewasthinkingofplanningall
ceramicrestorationsandthenhadsecondthoughtsandreferredhertoNeilWilsonforhisspecialistopinion.
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DIA
GNOST
ICW
AX-U
P
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Itwasevidenttherewassignificanttoothsurfacelostsoadiagnosticwax-upwasmadewiththeupper3to3withtheaimofcreatingaDahlrestoration,butalsotoinvestigatewhetherwecouldbuildthecentralincisorsincomposite.
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MOCK-U
P
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Amockupwasdone,togivethepatientanideatohowitwouldallfeel.Shewasadvisedthatthebackteethwouldbeoutofocclusionandwouldtakesomemonthstocomebackintoocclusion.
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BUILD-U
P
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The6anteriorteethwerebuiltupwithFilteksupreme,3MandshadeA1,thenpolished.Thepatientwasmonitoredoversixmonthstoseethebackteethcomeintoocclusion-whichtheydid.
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RES
ULT
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Thepatientwasadvisedthatinthefuturetheteethwouldstainandthere’sapossibilitythatifthecentralincisorsstaintoomuch,wemayhavetoconsiderplacingcrowns.However,atthatstagebecausewehavecreatedspaceanteriorlytheywillbe
muchmoreconservative.Todateshehasbeenhappywiththeresult,whichhasnowbeenreviewedoverthe2years.
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Click here to refer or: Call 0121 478 3770 Email [email protected]
Advancedrestorative
Complexdentalimplantwork
Prosthodontics
Referra ls to Ne i l Wi l son
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