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The Dental Face Lift - California Reconstructive Dentistry
Premature Teeth Wear - Nocturnal Bruxism
Aging is inevitable ... and a fact of life. A popular goal for many people is to control or at least minimize the impact that aging can have on us. It would be fair to say too, that men are probably not as focused on the aging process as women are.
Aging also affects our teeth. Under normal circumstances (where no significant treatment occurs), both male and female patients can expect to have "old teeth" problems by the time they reach their 40's or 50's ... the Baby Boomer group.
The popular isssues involving aging teeth are discussed in detail on several of our content pages. They can involve worn down teeth, worn down restorations, worn veneers, missing teeth (due to different causes), failed dental treatments, deteriorating fillings and other forms of broken down dentistry.
Abnormal Wear: Male versus Female
Premature wear of tooth structures can occur however, for a certain population of patients. One special group of patients are those who have had significant "untreated" occlusal problems that accompany teeth clenching, teeth grinding or bruxism.
Although bruxism that occurs at night, during our sleep, is fairly common... some people do experience it during the daytime hours... especially under stressful conditions involving school or conditions in the workplace.
Accelerated Aging of Dentition
Men being the obstinate creatures they are... tend to be more prone to avoid treatment more so than women. As a result, they are also prone to experience more wear and tear on critical tooth structures and overall bite dynamics.
Our patient, as shown in the adjacent photos... has a premature condition of excessively worn down teeth. He was aware that his bite had begun to collapse. In addition, the occlusal problems responsible for the years and years of chronic bruxism still existed... since they were not treated.
Mathew had a deep overbite and, coupled with the worn down teeth, was losing lip support. Our 2nd pretreatment picture shows how, with his jaws in normal resting position, the patient's lips are pressed together and have lost definition. This situation is commonly seen with older adults... not younger.
Notice the uneven wear on the maxillary and mandibular (upper and lower) tooth structures. The lower teeth, in particular, indicate extremely uneven wear which is a common even where bruxism and clenching causes extreme physical forces which can even cause teeth to break, in extreme cases.
The patient's goal was to treat the bruxism and to reconstruct the physical elements and properties that are responsible for a normal, healthy bite. Fixing, or normalizing, those elements would recreate a vertical dimension and occlusal plane that "fits" the patient's facial structure and jawbone relationships.
Opting for the best choice of treatment plans, the patient selected minimally invasive feldspathic porcelain veneers, gold crowns, porcelain fused to metal (PFM) crowns, sculpture figorcore and a host of bonding materials to rebuild the occlusal plane.
Due to the uneven and unusual wear on his teeth, Dr. Muslin used a variety of porcelain products with different physical properties, depending on the location in the jaw. There is no single porcelain product that can be effective in all areas of the mouth.
Overlooking or disregarding the differences in physical forces upon different tooth structures (e.g., front teeth versus molars) will result in dental treatment that is doomed to fail in a short time.
The patient felt his results were better than he expected. Based on self report, he feels like a new
man, with a new look, better health and great appearance.
Have questions about how complex reconstructive or restorative dentistry can create facial characteristics that have been lost due to maturing dentition? Call us at (310) 829-6796 to arrange a consult or use our online Consultation form.
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