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Relating aesthetics to clinical need: improved aesthetics of an ill-fitting crown and anterior toothwear

From Volume 43, Issue 9, November 2016 | Pages 867-872

Authors

Ditesh Panchal

BDS

General Dental Practitioner, Coventry (diteshpanchal@yahoo.co.uk)

Articles by Ditesh Panchal

FJ Trevor Burke

DDS, MSc, MDS, MGDS, FDS (RCS Edin), FDS RCS (Eng), FCG Dent, FADM,

Articles by FJ Trevor Burke

Abstract

This case report presents a case in which a patient attended because of the poor appearance of an anterior crown, but she was unaware that she had a number of teeth affected by toothwear.

CPD/Clinical Relevance: The quest for aesthetic improvement may be a reason for a patient presenting for dental treatment.

Article

Patients may attend a dentist for a variety of reasons, some as a routine, and others because of pain, obvious disease or because of anxieties regarding their dental appearance. On occasion, attendance because of a presenting complaint may result in the patient being advised that there are other problems about which the patient is unaware. It is therefore the aim of this report to present a case in which a patient attended because of poor appearance of an anterior crown, but was unaware that she had a number of teeth affected by toothwear.

A 42-year-old female patient was referred, complaining that she was unhappy about the appearance of her anterior teeth, notably an unsightly crown on her upper left central incisor tooth.

Regarding the patient's medical history, she reported that she was a non-smoker and did not drink alcohol, but admitted to a high consumption of ‘fizzy’ drinks, namely, two litres of cola drinks daily. The patient's history also indicated a high consumption of sweets. Regarding the patient's dental history, she stated that she attended the dentist regularly, every 6 months. Her oral hygiene included brushing twice daily with a powered toothbrush.

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