This patient came to see me after spending a fortune at another office. He was not happy with the final result.
Disclaimer: This is NOT my dentistry
The sad part is that yes, the aesthetics are not good, but there are many more problems than just the aesthetics…Now I need to meet with the patient and try to explain all the underlying issues that may not have been discussed before. Not my favorite type of discussion.
- The back teeth show severe wear and cannot support the bite as it functions right now
- The front teeth, supported by implants, are possibly failing due to the distribution of load on them
- The final aesthetics did not meet the patients expectations
- The soft tissue/gums were not managed ideally which will/has resulted in poor aesthetics
This case is very complex, no matter how much experience you have. The expectations of the patient need to be realistic as well. In my opinion we need to focus on the reason behind the wear of the teeth so that we can make this patients dentistry last! It makes no sense to only focus on the front teeth when the back teeth won’t work correctly!