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History
The 73-year old male patient received direct composite veneers on his lower incisors (41, 31 and 32) in order to repair his worn and fractured teeth. The direct composite veneers lasted only a very short time before they also fractured. According to the patient, he had to return to the surgery to have them repaired/replaced numerous times. The clinician who did the direct composite veneers then relocated to another country. When the irate patient was told that 'nothing could be done' by the new owner of the practice, he sought treatment elsewhere.
On examination it was found that the patient lost a number of posterior upper teeth, resulting in a traumatic occlusion.
After full-mouth X-rays, study models were prepared and different treatment options and cost implications were discussed with the patient. The importance of stabilizing the posterior segment of his bite was emphasized and different approaches to correct his problem were discussed. The patient opted for a chrome-cobalt partial upper denture and full-cover crowns on his lower anterior incisors. The monetary situation as well as the age and general health of the patient was taken into consideration when the final treatment was decided upon.
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