Form and function

This lovely man came to see me with a view to wanting to improve his entire smile. He was aware that he had neglected his teeth over the years, and wanted me to treat his entire mouth. He had previously been a smoker but had given up three years previously and medically he was fit and well.

Extra-oral findings were normal, with adequate oral hygiene in all quadrants. The patients BPE scores were 112/211. The patient admitted to not always brushing before he went to bed. He doesn’t floss and occasionally use mouthwash.

Intra-orally he had large edentulous area in the lower right and upper left areas of his mouth. This has made eating difficult as he has very few posterior contacts to masticate with. He has a crown with poor margins on the UL2 and various amalgam fillings which require replacing. The UR2 was heavily compromised, with little actual tooth tissue remaining.