FULL MOUTH REHABILITATION IN DELHI FOR A 75-YEAR-OLD MALE PATIENT

CASE STUDY VII– FULL MOUTH REHABILITATION IN DELHI FOR A 75-YEAR-OLD MALE PATIENT

 

INTRODUCTION : A 75-year-old male patient visited our clinic seeking a comprehensive solution for long-standing dental problems that had significantly affected his quality of life. He was presented with a severely collapsed bite, extensive enamel loss, and multiple worn and attrited teeth, making it difficult for him to eat comfortably or smile with confidence. After consulting several dentists over a span of many years , he ultimately chose Smile Delhi – The Dental Clinic for a complete full mouth rehabilitation in Delhi.

Following a detailed assessment, a phased treatment plan involving root canal therapy, temporary bite-raising crowns, final zirconia crowns, and a removable partial denture was planned. The treatment successfully restored function, facial balance, and aesthetics, allowing the patient to return with a confident, healthy, and functional smile.

PATIENT BACKGROUND : The patient, a 75-year-old male, had previously undergone dental treatments at multiple clinics but remained dissatisfied due to ongoing discomfort and functional limitations. Over time, severe enamel breakdown and tooth wear led to a collapsed bite, causing difficulty in chewing and reduced confidence in social situations. He was particularly concerned about preserving his remaining natural teeth and preferred a non-surgical approach, choosing to avoid dental implants at this stage. His primary goal was to regain comfortable chewing ability and improve the appearance of his smile through a predictable and well-planned full mouth rehabilitation.

INITIAL ASSESSMENT & DIAGNOSIS : Clinical examination revealed generalized tooth wear, fractured enamel, and multiple attrited teeth across both arches. The patient had a significantly reduced vertical dimension due to long-term wear, leading to a collapsed bite. Several teeth showed compromised vitality, requiring endodontic intervention to preserve them for long-term restoration. The lower central incisors were deemed non-restorable and indicated for extraction.
Radiographic evaluation supported the need for extensive root canal therapy in multiple teeth and full-coverage restorations with all ceramic metal free zirconia crowns . Given the patient’s preference to avoid implants, a removable partial denture was planned to replace missing posterior teeth in the lower arch. A comprehensive full mouth rehabilitation was recommended to restore proper occlusion, aesthetics, and oral function.

TREATMENT PLAN :

A customised full mouth rehabilitation treatment plan in Delhi was formulated with the following objectives: restoring the vertical dimension, preserving natural teeth, improving aesthetics, and achieving long-term functional stability. The plan included:

• Single-sitting root canal treatments to save teeth with compromised enamel and pulp involvement
  
• Temporary crowns to gradually raise and stabilise the patient’s bite
  
• All-ceramic zirconia crowns in Delhi for full-mouth restoration to enhance strength and aesthetics
  
• Extraction of non-restorable teeth
  
• Removable partial denture for the lower posterior teeth as a non-implant solution
• Night guard to protect restorations from parafunctional forces

This phased approach allowed careful evaluation of bite comfort before final restorations, ensuring predictable and long-lasting results.

TREATMENT PROCESS :

• 19 May 2025: Root canal treatments were carried out on the lower right lateral incisor, canine, first premolar, and second premolar, as well as the lower left lateral incisor, canine, first premolar, and second premolar. Crown preparation was completed from the upper left second molar to the upper right second molar and from the lower right second premolar to the lower left second premolar. The lower central incisors were extracted.
• 20 May 2025: Root canal therapy was completed for the upper right first and second molars, both upper central incisors, and the upper left first and second molars.
• 22 May 2025: Temporary crowns were cemented on all prepared teeth to raise the bite and evaluate patient comfort.
• 24 May 2025: A specialist follow-up confirmed proper adaptation and comfort with the temporary restorations.
• 27 May 2025: Adjustments were made to the length of the upper central and lateral incisors based on the patient’s aesthetic preferences.
• 30 May 2025: Final impressions were taken for the fabrication of permanent zirconia crowns.
• 6 June 2025: Permanent zirconia crowns were cemented, and jaw relations were recorded for the removable partial denture.
• 10–14 June 2025: The removable partial denture and night guard were delivered, followed by multiple follow-ups and adjustments to ensure optimal comfort and function.

RESULTS & OUTCOME :

The full mouth rehabilitation resulted in a dramatic functional and aesthetic transformation. The patient’s vertical dimension was successfully restored, improving facial harmony and bite stability. The zirconia crowns provided strength, durability, and a natural appearance, while the removable partial denture effectively restored chewing efficiency in the lower posterior region.

The patient reported improved comfort while eating, clearer speech, and renewed confidence in smiling. Thorough follow-ups ensured optimal fit and long-term comfort. The treatment helped the patient achieve a complete smile that was both aesthetically pleasing and fully functional, significantly enhancing his overall quality of life.

 

Before

After

DENTIST’S INSIGHT : This case highlights the importance of a staged approach in complex full mouth rehabilitation cases, especially in elderly patients with severe tooth wear. Temporarily raising the bite allowed us to assess comfort and function before finalising the restorations. Preserving natural teeth through timely root canal treatment and using zirconia crowns ensured long-term durability. The removable partial denture provided a non-surgical solution aligned with the patient’s preferences. Meticulous planning and follow-ups were key to achieving a stable and predictable outcome.

CONCLUSION : Full mouth rehabilitation can significantly improve comfort, function, and confidence for patients suffering from worn, damaged, or missing teeth. This case demonstrates how a customised, well-phased treatment plan with personalized care can deliver long-lasting results without surgical intervention.
If you are considering full mouth rehabilitation, zirconia crowns, or cosmetic dentistry in Delhi, the team at Smile Delhi – The Dental Clinic offers advanced, patient-focused solutions.
📞 Book your consultation today to restore your smile with confidence.