07/18/2021
Full mouth rehabilitation for a patient with medication related xerostomia (dry mouth), a suspected history of erosion, and bruxism.
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The patient wanted to protect his teeth from further wear and lengthen his front teeth so you could see them when he smiled.
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I started with a deprogrammer to find CR. Had the lab wax to the platform that we dropped approximately 4mm to add length to the incisors. Then waxed up the posteriors to take him from edge to edge to an ideal OJ.
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We then added composite onlays to the posterior teeth to open his bite. Normally we would the prepare the anterior teeth for crowns at this point but due to the bruxism and dry mouth we decided to crown the posterior teeth with zirconia to lock in his occlusion. We built the anterior teeth in composite using the injection moulding technique. We will later complete the anterior teeth and remaining posterior teeth with crowns. The last step to any case like this is a nightguard to help protect his teeth from his bruxism habit, and erosion management.
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First attempt at the injection moulding technique. Not as easy as some of the pros make it look. The hardest part is trying to get the Teflon placed on the adjacent teeth in a thin layer with no bunching. If you have any tips let me know below.
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Great lab work by Rick at . Rick is fully Kois trained so if your looking for someone that knows his stuff on any of Kois’ principles he’s your guy👍
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