Showing posts with label crowns. Show all posts
Showing posts with label crowns. Show all posts

Thursday, July 4, 2013

Small treatment creates BIG results!

Penny underwent a few small dental treatments to achieve her new smile. This included teeth bleaching, two new anterior crowns and cosmetic bonding.
 


Why was Penny a good candidate for these procedures?
Penny was a great candidate for her transformation. She was actually an extremely apprehensive patient that was nervous about most routine dental visits. Once she understood how standard the procedures were and how relatively quick they would be completed, she became more relaxed with each visit. She realized that a drastic result could be attained with ease, thus, a great case!
   

Before
 
After
 
How did you develop a plan for treating Penny's concerns?
In this particular case, during the initial examination, it was determined that a cleaning, some fillings and whitening were required before the front crowns were done.The first four appointments addressed the fillings and cleaning. These "easy" appointments were important to gradually help the patient relax with each session, and to create a healthy oral  environment. The whitening was done at home at  by the patient at their convienience. All it took to change the front teeth were the last two appointments. 
 
 
                       Before                                                                             After
Is there an ideal candidate for these procedures?
The ideal candidate for these procedures, or any for that matter, is a motivated individual who is committed to improving their oral care and esthetics. Everyone and every case is different. It may be few or many appoinments, however, there are always options where most issues can be addressed and improved upon. No matter how busy, the treatment can always be accomodated  to any schedule.
 
Are there any at-home steps patients should follow after procedures like these?
It is extremely important to maintain the health of any new restorations such as these crowns that were done on this patient. Home care and follow up cleanings are essential. Oral hygene instruction are reviewed and often, the patient is sent home with some special cleaning tools. Occasionally, a patient is asked to return one week later after a "large" case with many crowns, for example. This is to ensure the patient is satisfied, comfortable, and the tissues are forming to the new restorations appropriately.

Treatment provided by Dr. Michele Lanys at Dentistry on Dundas




 
 
 
 
 
 
 
 
 
 
Jonathan Mursic RDT, President of 5 Axis Dental     
 
 
 
 
 




 

Tuesday, June 25, 2013

Full Mouth Reconstruction

Patient had full mouth reconstruction which included periodontal therapy, 21 crowns and 2 bridges.

 
 


1. How did you develop a plan for treating this patient's concerns? 
 
In all cases like this it is important to listen to the patient's concerns.  Our goal is always to try to create a beautiful smile that functions well for the patient.  So listen, listen, listen, plan, plan, plan and execute.
 

 

 



2. Was his treatment out of the ordinary?  
 
Our Patient had extensive wear through many years of grinding which led to a collapsed bite.  If we did not address this problem before our final restorations were inserted, our restorations would be doomed to fail.  So we placed the patient in provisional crowns and bridges for many months.  Once we had determined the bruxism was not destroying our temporary work and the patient was comfortable, we could proceed to the final restorations. In addition, we made the patient a protective appliance called a nightguard to keep any grinding habits at bay should they return.

 

 
 
 


3. How long did his transformation take?  

The patient was able to see results immediately as the provisionals created an instantly pleasing smile.  The final restorations were delayed for almost a year to allow for the patient to feel comfortable and to allow for his schedule.













4. Are there any at-home steps patients should follow after procedures like these?

There is a lot of effort by the patient and the dental team in these cases.  In addition there is sometimes considerable expense to the patient.  It is therefore imperative that the patient protects his investment.  We always stress meticulous home care including a good quality electric toothbrush, flossing, special toothpastes and oral care products.  





 
In addition, the frequency of oral examinations and cleanings is tailored to the patients needs. Finally, a nightguard is fabricated to protect the dental work while the patient sleeps.

 
 
 
 





 
 
 Treatment provided by:
 
 
 
 

 
Jonathan Mursic RDT,                                                 Connie
President of 5 Axis Dental                                  Treatment Coordinator


 

Thursday, May 30, 2013

Martine's smile makeover!

Martine underwent several months of dental treatment to achieve her new smile. This included several root canals, surgical crown lengthening of upper anteriors, full crowns on all upper teeth and 5 dental implants to replace missing teeth in her lower jaw.


Why was Martine a good candidate for these procedures?

Martine was a good candidate because she was motivated. She understood that she would get immediate temporary results but the final permanent restorations were highly technique sensitive and would require several months to achieve.

 

                      Before                                                                         After

How did you develop a plan for treating Martine's concerns?

Although Martine’s initial concern was the overall appearance of her smile, we had to make sure that a beautiful smile starts with function. After all, she needs to be comfortable eating. Treatment plans always start with the evaluation of the supporting structures, the bone and the gums. These form the foundation of a long lasting result. Once the gums, bone and the bite have past the test, a smile can be constructed that is natural and beautiful. In the mean time we were able to get Martine back her smile immediately with a temporary restoration that we could use to develop her long lasting smile.

Was her treatment out of the ordinary?

Absolutely! Although we are not strangers to complex cases such as Martine’s, each case of this magnitude has it’s own challenges. Any treatment that takes several months requires several disciplines in dentistry. In this case, the expertise of several specialists was called into play so the coordination of Martine’s primary care dentist was very important. This is made easier when all of the specialists are housed under one roof as they are at Dentistry on Dundas.

How long did Martine's transformation take?

The initial transformation was almost immediate but several treatments were required over a year period till we could reach our final goals.

What steps do these procedures involve?

Treatment planning, Treatment planning, Treatment planning! …..followed by a series of logical treatment steps keeping in mind that twists and turns may arise that require adaption and flexibility.
 

                 Before                                                                               After

Is there an ideal candidate for these procedures?

Martine and patients like her that are motivated are ideal for this type of treatment. They understand the insurance plans do not dictate what treatment is required, the patient and their dental health does.

Are there any at-home steps patients should follow after procedures like these?
As with anything manmade, how you take care of it plays a huge factor on any restorations longevity. After all, Gods work didn’t last forever either. So home care, regular visits to the dental office, paying attention to small problems quickly as they arise and protecting the restorations at night through use of a nightguard will go along way to extending the life and beauty of the smile we have created.
Treatment provided by Dr. Mark Librach and Specialists at Dentistry on Dundas
Dr. Jon Rapp                                        Dr. Chris Chen                                  Dr. Dana Levy  Endodontist                                          Oral Surgeon                                     Periodontist
Jonathan Mursic RDT,                                                      Connie
President of 5 Axis Dental                                         Treatment Coordinator