These two patients today had badly broken down teeth. One option would have been to extract the teeth and place implants. I wanted to try to save the teeth by building them up and placing crowns. Here are the before and after photos.
This patient’s lower teeth were worn down from years of grinding and clenching. We discussed crowning all the lower teeth, but I wanted to try bonding composite to the tops of the teeth to build them back up. He will eventually wear this away, but it’s easy for me to add to and re-bond the teeth as he wears them down over the years. I also made him a nightguard to wear when he sleeps to protect the teeth.
The first two patients I saw today chipped the same front right central incisor biting into a chicken bone. The third one chipped her lower right incisor biting into a sandwich. The last patient grinds his teeth and fractured the edge off his upper left central incisor. I restored each these teeth in about a half hour, for each one, with bonded ceramic composite restorations. Here are the before and after photos taken 30 minutes apart.