Board Certified Prosthodontist and Board-Certified implant Dentist, Dr. David McFadden, step-by-step, shares a case of restoring a full mouth with implants and screwed-on prostheses for a patient with extreme, SEVERE grinding habits. This excessive, severe grinding of teeth makes restoration much more complicated than on the average person without this habit. The excessive forces that clenching and grinding puts on natural teeth, causing them to wear down, chip and break, take the same toll on any tooth replacement prosthetic option. It presents challenges in the surgical process, prosthetic design, and long-term success.
He discusses the pros and cons of various designs, materials, and combinations of them, in detail.