Martin's Dental Makeover

Martin underwent dental treatment to achieve his new smile, which included orthodontics, 6 anterior crowns and bonding of his lower anterior teeth.

What were Martin's initial concerns, and what was your plan for addressing them?

Martin's teeth were badly broken down.  Through many years of wear and tear from grinding, Martin's teeth were now wider than they were long.

Martin hated his smile or the lack of it.  He had to really try hard to show any teeth at all and what he could show were not aesthetically pleasing.

Since Martin's teeth were edge to edge with no overlap, just placing new crowns or veneers were impossible.  Something had to be done to get some space between his incisors.

What procedures did you perform and why?

In order to get some space we had to use orthodontics to move teeth.

Instead of standard braces we used invisalign to open the bite to accommodate the crowns he would need from canine to canine.  This took about two years to accomplish.

We used bonding along the way to mock up his teeth to a comfortable bite and aesthetically pleasing position.  Once Martin was comfortable, his final crowns were placed.

The results are spectacular!!

  Dr. Mark Librach - Dentist

Dentistry on Dundas

Eleanor's Dental Makeover!

 Eleanor underwent a few procedures to achieve his new smile. This included dental implant on extruded anterior tooth with new implant crown and veneer on adjacent front tooth.

Why was this patient a good candidate for this procedure?

Eleanor's chief complaint was the "drop" of her tooth below the line of the adjacent teeth, which created a very unfavorable aesthetic situation. Also, the tooth already had a very old crown on it which had a poor match of color to her front teeth. Upon clinical and x-ray examination, it was evident that the tooth wasn't healthy and also had a very short root, most probably as a cause of the roots being resorbed.



How did you develop a plan to treat her concerns?

We decided after completing a through clinical, radiographic and aesthetic examination, that Eleanor would benefit from having the tooth removed, a dental implant to be placed to replace the missing tooth and a veneer to cover the adjacent tooth for perfect color match.

Was her treatment out of the ordinary?

Although treatment was not out of the ordinary, it is a very challenging and complicated treatment. Every effort needs to be made during the surgical and dental procedures to obtain perfect position of the implant with the final objective of achieving the most aesthetic outcome (and of course functional as well).

How long did this transformation take?

Eleanor's treatment took just under one year to complete to achieve optimal healing. During the

healing phase she had a transitional crown positioned for immediate aesthetic improvement.

What Steps do these procedures involve?

First, the tooth had to be removed and a bone replacement graft was placed in order to preserve the bone and maintain a proper future " housing" for the root implant. During this time, a temporary and provisional denture (or bonded bridge) is done, which is quite esthetic. It's main goal is to allow for the bone underneath to heal and have a nice temporary replacement while healing occurs. Once this healing period is done (usually anywhere between 4-6 months), a titanium dental implant is placed with a surgical procedure. This implant is allowed to heal for 4 months, during which time it "integrates" or becomes part of your jaw. Once this is completed, a minor procedure to uncover the implant is done and the crown or "cap" is done, at the same time as the veneer on the adjacent tooth, maximizing a " color match" for the two porcelain teeth.

    Dr. Michelle Lanys                                                   Dr. Dana Levy

                                    Dentist                                            Periodontology & Implant Dentistry

Jonathan Mursic                                                        Connie
 5 Axis Lab                                                                Treatment Coordinator

Harry's Dental Makeover

Harry underwent a few procedures to achieve his new smile. This included crown lengthening of upper anteriors, new fillings and crowns on upper teeth.

Why was the patient a good candidate for the procedure?

This patient was a good candidate for the procedure because the anterior teeth that were involved, were constantly chipping and cracking for many years.

It was a long time goal to prevent and protect these teeth from further damage.

The restoration of crowns or caps were indicated.

The patint also followed a good oral hygiene regiment and was eager and compliant with respect to treatment.

 

 

Was his treatment ordinary?

Crowning vulnerable teeth is a typical practice in dentistry.

How long did the patient's transformation take?

There were a few preliminary procedures that were necessary prior to the actual placement of the crowns that involved a few extra appointments. The actually crowns took two appointments, two weeks apart, to complete.

What steps do these procedures involve?

Good oral hygiene must be a priority before any major restorations are placed. Tooth decay must also be eliminated with no symptoms present. One of the involved teeth required some gum reshaping and and root canal therapy in order to accept a crown.Subsequently, the crowns were prepared at one visit, and the crowns were permanently placed two weeks later.

Are there any homesteps patients should follow after procedures like this?

Continuous good oral hygiene is essential to maintain teeth and especially crowns

This includes regular checkups to the dentist.

A night guard is also recommended for certain procedures such as Harry's.

This is a guard that is worn during the night to protect the new crowns and prevent wear on the opposing teeth.

Dr. Michelle Lanys

Dentist

Dr. Dana Levy                                                             Connie

Periodontist                                                                  Treatment Coordinator

Jonathan Mursic RDT

5 Axis Lab



Dentistry on Dundas 

Barbara's Dental Makeover!

 

Barbara underwent several procedures to achieve her new smile. This included root canal therapy, surgical crown lengthening of upper anteriors and full crown and bridgework on upper teeth.

 



 

After

Before

 

 

What was her chief concern about her teeth?

Barbara's previous bridgework was failing. One of the teeth that supported her bridge were breaking down and needed adjunctive gum surgery to make them candidates for support for the new prosthesis. Her case presented some challenges as she had also lost some posterior support. She would require restoration of her bite to complete her treatment. Ideally implants would be the best option but she opted at this time for partial dentures until implants could be considered.

Why are implants the better option in many cases?

implants are now the treatment of choice in most cases when it comes to the replacement of lost teeth. Although they are biologically different from teeth, they act like teeth in many ways. Aesthetically they are usually the best way to mimic what nature originally gave us. They can stand alone as individual teeth, something a bridge or partial denture can't.  Implants do not affect the adjacent teeth, unlike other alternatives that rely on adjacent teeth for fixation or support. However, implants do come at a higher cost but that is only in the short term. Over the long haul, properly integrated and maintained implants can be a bargain when you consider the costs associated with maintaining and replacing the other alternatives. 

 

 

Before

 

 

After

 

What further treatment will Barbara need as she moves forward?

Post treatment care is always the key to a successful restoration. maintenance at home as well as frequent visits to the dentist for examination and cleaning of the restoration and all of her teeth will help ensure many years of smiles.  in addition, the sooner implants are placed in the posterior dentition the better.  for it's the posterior teeth that protect the anterior teeth and the smile.

Treatment was possible through a team effort!

 

Dr. Mark Librach

Dentist



Dr. Jon Rapp                                                           Dr. Dana Levy

Endodontist                                                               Periodontist



Jonathan Mursic                                                        Connie

5 Axis Lab                                                                 Treatment
                                                                                  Coordinator                                                  

To view other dental makeover click on the following:
Laurie's Dental Makeover
Carol's Dental Makeover
Martine's Dental Makeover
To learn more about implant click the following:
Dental Implants
 

Laurie's Dental Makeover!

Laurie underwent a few small dental treatments to achieve her new smile. This included teeth bleaching, surgical crown lengthening of upper anteriors and two crowns on her centrals.

 

Before                                                           After

 



 

Here what she had to say about her experience at

Dentistry on Dundas!

 

What made you decide to undergo these procedures?

 

I was embarrassed to smile. This was primarily due to the crown on my right front tooth; it was beginning to show some of its metal near the gum line. When I smiled too big, it would show.

 

Why did you choose Dentistry on Dundas/ Dr. Lanys?

 

I have been coming to Dentistry on Dundas and seeing Dr. Lanys for over 10 years. She is always very professional, understanding and I felt confident in her work.

 

What were your procedures like?

 

The first step was to whitening my teeth. Due to genetics, my family's teeth yellow with age. I felt like they were aging me and if I didn't get the whitening done before the front teeth were crowned it would no longer be an option in the future as they would continue to darken. Next we removed the old crown and Dr. Levy skillfully contoured my gum above my right crown to match the contours of the left front tooth. It had not developed in the same way as the other tooth, possible as a result of having a crown for so many years (I was 8 when I first chipped my front right tooth). I was stressed about the procedure going in, but Dr. Levy was so friendly and so reassuring throughout the procedure; I couldn't believe how easy it was. The aftermath was surprising too. I expected to be sore for a long time, but I really had minimal pain for only about a week. The last step was to crown my two front teeth to match. To get the colour perfect, Dr. Lanys sent me to her nearby lab (5 Axis) to have the colour matched to my newly whitened natural teeth. After that I returned to the office to have them permanently placed. Dr. Lanys takes great care to get good results. I really respect and appreciate that.

 

How do you feel about your results?

 

I am very happy with my results. I no longer hesitate to smile!

 

Treatment provided by Dr. Michelle Lanys Dentist

 

 

and Dr. Dana Levy Periodontist

 

at Dentistry on Dundas