This 58 Year Old Farmer had lost numerous teeth over the years and had severe wear. The wear got worse the more teeth he lost because the pressure became more concentrated on whatever teeth he had left.
When he came to see us in 2008 his teeth had worn down almost to the pulps of the teeth. We removed his teeth ad rehabilitated him with upper and lower All-On-4 dental implants.
Wearing of teeth is also a sign that a patient may be grinding during sleep or excessive natural muscle tone in normal function. In such cases, it is important for the patient to wear an occlusal splint at night to protect the teeth from continued wear or breakages, even with implant treatment. In some cases, it may be necessary to upgrade to materials such as Zirconia, which is much stronger and more durable.
The patient presented with numerous missing teeth and dysfunction due to wear. He could not tolerate partial dentures. The remaining teeth were decayed and had gum disease.
This x-ray taken after surgery shows angulated implants in the back and straight implants in the front, placed using a conventional all-on-4 dental implants technique. Note that this technique allows bypassing of nerve bundle in the lower jaw, and bypassing of deficient bone and sinuses in the upper jaw.