You will notice the poor adaptation of upper and lower removable dentures, fractured teeth and failing restorations that were all present in this patient’s mouth. The sharp teeth were most uncomfortable for her. She had uneven tooth wear on both arches. The excessive teeth wear and loss of lower facial height (we refer to this as reduced occlusal vertical dimension) that must be restored to allow correct tooth anatomy, arch level and position development and restore normal speech as this lovely patient’s speech was also affected by having short and sharp teeth.

The treatment I administered was the reconstruction of maxilla (upper arch) and mandible using tooth supported direct composite veneers restorations bonded to existing teeth. The patient’s own removable partial dentures were modified and refitted.