Successful Restoration of a Worn Smile and Cracked Tooth for Patient Experiencing Dental Anxiety

Patient Examination and Diagnosis:

This Berkshire dental patient case study involved a woman in her early 50s who had a worn-down smile and was in pain due to a cracked tooth. A work colleague from the Department of Homeland Security recommended our dental practice. The patient suffered from dental anxiety being worried about both the pain and the cost of restorative dental work.  


Cracked teeth present with a variety of symptoms, the most common being pain when chewing or when exposed to hot or cold temperatures. Since the pain tends to come and go rather than be constant, patients may delay seeking a dental examination, especially if they suffer from dental anxiety. In the US, it is estimated that between 9 and 15% of people avoid the dentist due to fear.

Worn teeth may eventually occur due to normal wear and tear, but are more commonly a sign of bruxism (grinding of the teeth). Restoration includes returning teeth to a natural shape and length so as to create an even smile. This is generally accomplished by the addition of veneers or crowns.

Treatment and Results:

First the patient worked with Lisa, who takes care of the financial side of matters, to set up reasonable payments and get that concern out of the way. Using sedation dentistry to address the patient’s dental anxiety, Dr. Grewal then painlessly treated the cracked tooth by means of a root canal. The worn smile was restored using veneers/crowns to create a beautiful and natural looking smile. The patient looked 20 years younger with her new smile, and was very happy with the results.