Patient Snapshot
Patient: Male, 30
Primary concerns: Daily headaches, chewing difficulty
History: All four upper molars extracted in youth; progressive bite collapse
Background & Symptoms
Without upper molars, the patient’s bite migrated forward and sideways. He reported jaw fatigue by midday, avoidance of chewy foods, and near-daily temple headaches.
Exam & Diagnosis
Records (photos, scans, bite analysis) showed posterior support loss and a collapsed vertical dimension. Muscles were overworking to compensate, producing pain.
Treatment Objectives
Re-establish posterior support with implants
Correct tooth positions with orthodontics
Restore a stable bite with crowns that preserve vertical dimension
Phased Treatment Plan
Phase 1: Orthodontics (Months 0–14)
Braces to derotate, align, and create ideal implant spaces
Careful control of vertical dimension to prepare for final occlusion
Phase 2: Implants (Months 15–18)
Guided implant placement in molar sites
Provisionalization to test function and comfort
Phase 3: Definitive Restorations (Months 19–30)
Custom crowns on implants and select natural teeth
Anterior guidance refined; nightguard provided
Results & Longevity
Headaches resolved; muscle tenderness eliminated
Chewing efficiently across all foods
26-year follow-up (ongoing): stable occlusion, minimal maintenance beyond routine hygiene
Why It Worked
Replacing the “missing back teeth puzzle pieces” stopped the jaw from overworking. Orthodontics positioned teeth where the bite could be balanced and durable.
Key Takeaways
Missing molars can trigger bite collapse and headaches.
Ortho + implants + crowns restore both form and function for decades.
Related Services
Orthodontics for Adults • Dental Implants • Crown & Bridge • Nightguards
Call to Action
Jaw pain or headaches since losing teeth? Schedule a bite consultation in Deerfield to explore comprehensive correction.
