Case Study – Resin Veneers to correct wear from Bruxism

Initial Situation

When this patient initially visited our practice, she was diagnosed with Bruxism, which is a condition where the patient grinds their teeth at night and during the day. This patient only had her front teeth remaining as she lost her back teeth for various reasons over the years.

The loss of her back teeth resulted in the increased level of force applied to the front teeth that accelerated the wearing process of the front teeth.

The patient was unhappy with the appearance of her front teeth and the functionality of her removable dentures.

The Treatment Plan

The patient was provided with a treatment plan and all the necessary information to assist her in making a decision on the course of treatment.

Dr Barry Phelan placed resin veneers to improve the size, shape and colour of the patients teeth.

Resin veneers are direct restorations meaning they are built up using a composite filling applied directly to the tooth.

Natural teeth change colour as they transition from the neck of the tooth to the incisal edge. With modern composite resins we are able to recreate this variance in shade with differents tints and colours allowing us to recreate a more natural appearance.

The advantages of placing resin veneers include:

  • The conservation of the tooth structure. Generally we do not remove tooth to make space for the restorative material apart from minor bevelling so that we can blend the material into the underlying tooth
  • More cost effective
  • Completed in one session.

Some of the issues that arise when using resin veneers are:

  • Direct resin veneers tend to require more maintenance. For example, the high lustre that we have achieved in this case can fade with time causing the veneers to become dull
  • They can stain more readily than ceramic veneers or natural tooth. Excellent oral hygiene is required and heavy coffee, tea and red wine drinkers tend to have more issues with this form of treatment
  • Long term durability.

The Outcome

In this case the treatment plan included resin veneers as it was a more cost effective option. Once the treatment was completed we referred this patient to our local prosthetist, Mark Aitken, who is the owner and principal prosthetist at the Illarwarra Denture Clinic  for denture fabrication to re- establish a functional back bite.

We also made this patient a night time splint to protect her veneers. Without this the chance of stable long-term outcome is low.