Monthly Archives: January 2017

Bonding for worn down teeth

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.

worndown-teeth
worn down lower teeth
afterbonding
after bonding
nightguard
nightguard

Chipped teeth of the day

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.

chipbefore2    chipafter2

chipbefore1chipafter1

chipped-tooth  after-composite  fractured-incisor  after-composite-restoration