Restorative Management of Constriction and Spacing Following Arch Expansion

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A 63-year-old female patient presented with anterior spacing, worn teeth, and jaw discomfort despite previous orthodontic treatment.
2

A comprehensive evaluation revealed a constricted chewing pattern contributing to ongoing symptoms and elevated periodontal risks.
3

The treatment plan focused on addressing functional limitations, managing risks, and achieving esthetic goals through conservative restorative care.
4

The patient's medical history included controlled hypothyroidism, osteoporosis, and severe obstructive sleep apnea, previously resolved with maxillary expansion.
5

Periodontal evaluations indicated progressive breakdown, leading to a recommendation for a 3-month maintenance interval before restorative care.

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