Rebuilding the Bite — Full Mouth Rehabilitation for Tooth Wear & Bite Instability

Years of bite problems and jaw discomfort had left this patient with no real stability in her mouth, several previous attempts to fix it that hadn't worked, and — hardest of all — having been told at points that her problems were psychological rather than dental. By the time she came in, all she wanted was a bite that felt comfortable. Alongside the instability, there was real physical loss too: worn tooth structure, colour changes, and erosion from both the unstable bite and dietary factors over the years.

This wasn't a textbook case, and it wasn't treated like one. Rather than fitting her to a theoretically ideal jaw position, the bite was rebuilt slowly, adjusting and listening to her feedback at each stage until she actually felt comfortable and stable — because sometimes the right bite position isn't the textbook one, it's the one a particular patient's jaw and muscles settle into, and the only way to find that is to take the time to look for it.

Once stability was achieved, her original hope — for a smile that was bright and beautiful, not just comfortable — became the priority too. Treatment involved opening and adjusting the bite, a series of provisional restorations to test and refine the new position, a gum lift to level the margins, and finally porcelain crowns and veneers — zirconia on some teeth, lithium disilicate (e.max) on others, chosen individually for what each tooth actually needed. Different materials, different methods, all working toward the same result: a bite that's functional and stable, and a smile that's genuinely harmonious.