Preserving Tooth Structure In The Long-Run

     This patient came into our office with a common dental problem – a composite resin on a front tooth has chipped numerous times. This happens for many reasons, but most often because the patient’s type of bite was not considered when the restoration was placed. This particular patient has few posterior teeth, so the vast majority of masticatory forces (biting pressures) are placed on the front teeth. This means that any restorative material utilized in this area of the mouth has to be extremely durable or these intense forces can cause the restoration to break down, as in this instance.

     Dr. Saylor evaluated the case and offered the patient 3 viable solutions to her problem:
1. Simply replace with another composite resin, which would be immediate and least expensive, but the risk is great of this chipping again and taking with it a lot of the natural tooth structure.
2. Place full crowns on the 2 front teeth. The crown material would be able to withstand the biting forces, but wouldn’t look the most natural and the teeth would have to be prepared more aggressively.
3. Place veneers on the central incisors. A veneer would be able to withstand the masticatory pressure, look the most natural, and allow us to minimally prepare these teeth, conserving the most natural tooth structure.   
Dr. Saylor and the patient decided that Option 3 – Veneers, would be the best way to restore her front teeth. The patient felt strongly this was the best treatment plan for her smile in the long-run.
Click on thumbnails  below to see full photos and descriptions!

This last photo was added after the patient’s cementation appointment. This patient was ecstatic to have her front teeth back and better than ever!

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