Diane's Dental Makeover

Diane underwent several months of dental treatment to achieve her new smile. This included periodontal therapy, dental implants to support an anterior implant bridge and additional crowns on her upper teeth.

before

after

1. Why was Diane a good candidate for these procedures?

This patient presented with an advanced chronic Periodontal infection which required many steps in order to achieve healthy tissues and improve her overall health.

The fundamental basis of implant treatment is to make sure that the overall condition of the patients mouth is absolutely healthy. Otherwise, we can compromise the health and longevity of implant and prosthetic treatment. After treating the Periodontal disease and achieving a stable and healthy condition of the patients gums,then we proceeded with planning for the replacement and rehabilitation of the missing teeth.

2. How did you develop a plan for treating Diane's concerns?

The front teeth required removal as they were too compromised to keep them and treat them periodontally. The patient knew this from the outset and she also knew that the ultimate replacement will be done with an implant supported fixed prosthesis.

Once her teeth were extracted in the upper front, a bone graft was placed in order to maintain and regenerate her jaw bone which would provide an adequate anatomical area to place two implants. We allowed a period of 6 months of healing from the time of tooth extraction, bone grafting and implant placement.

A cone beam CT scan was done at the 6 month period and a virtual implant surgery was done in order to make a custom surgical guide. This guide was used during surgery I. Order to place the implants in he exact position required for this particular case.

 

3. Was her treatment out of the ordinary?

Her treatment consisted of first bringing back health to her gums and teeth, making sure that a stable periodontal condition was present in order to continue with her implant treatment plan. It's a very detailed plank which requires many steps in order to prepare the mouth for dental implant surgery.

4. How long did Diane's transformation take?

The treatment time was 16 months (?) I don't have marks notes so not sure when re placed the final bridge.

5. Is there an ideal candidate for these procedures?

The ideal candidate is always one which is healthy, complies with all appointments and instructions, and of course protects the final prosthesis with wearing a night guard and keeping all maintenance dental visits.

 Dr. Mark Librach Dentist

 

         

 Dr. Dana Levy - Periodontist & Implant Dentistry

 



Jonathan Mursic                                                        Connie

 5 Axis Lab                                                                Treatment Coordinator

 

 

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

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:

Dr. Mark Librach and Dr. Dana Levy at Dentistry on Dundas

 

 

 

 



 

Jonathan Mursic RDT,                                                 Connie

President of 5 Axis Dental                                  Treatment Coordinator



 

Oral health and heart health, the mouth-body connection

The connection between periodontal disease and cardiovascular disease encourages cardiologists and periodontists to work together to ensure your health.

Gum disease and cardiovascular disease are two major public health issues that impact a large number of Americans and Canadians every day. Cardiovascular or heart disease contributes to 2,400 deaths per day, while gum or periodontal disease affects nearly 75 percent of Americans. Despite impacting separate areas of the body, research has indicated that periodontal disease and cardiovascular disease may be connected. In fact, according to Dr. Dana Levy, Periodontist, having one of these diseases may actually increase your risk of developing the other.

“Both periodontal disease and cardiovascular disease are considered inflammatory diseases, and inflammation is the common mechanism that connects them,” says Dr. Dana Levy. “Inflammation is the body’s instinctive reaction to fight off infection. Although it is initially good for you because it helps in the healing process, exposure to chronic and prolonged inflammation can lead to severe health complications. Periodontal disease and cardiovascular disease are both examples of ensuing complications from inflammation.”

Periodontal disease is caused by a chronic inflammatory response to bacteria under the gums and around the teeth. The bacteria irritate the gums and generate this inflammatory response which over time can break down and destroy the gums and bone that support the teeth. Researchers have found that people with periodontal disease are almost twice as likely to suffer from heart disease as those without periodontal disease.

Because of this connection, it is imperative that periodontists, dentists with advanced training in the treatment and prevention of periodontal disease, and cardiologists, doctors who specialize in treating diseases of the heart, work together to provide the best care to patients. A recent consensus paper developed in concert by periodontists and cardiologists summarizes the evidence that links periodontal disease and cardiovascular disease, and provides clinical recommendations for both specialties to use in managing their patients living with, or at risk for, either disease.

Because of these clinical recommendations, your next visit to your periodontist or cardiologist may change slightly. You might be surprised when your periodontist now asks even more questions about your medical history, especially about your family history of heart disease and any behaviors that may affect your heart health such as smoking. Your cardiologist may start to ask you about your dental history and might even look in your mouth to evaluate your teeth and gums! Asking these new questions is an important step that health professionals can take to work together to ensure their patients’ health. “Periodontists and cardiologists are starting to work together to better manage their patients’ risk factors for future disease progression,” says Dr. Dana Levy. “It is important that periodontists and cardiologists collaborate to control the inflammatory burden in the body as a result of gum disease or heart disease, thereby helping to reduce further disease progression, and ultimately improve patients’ overall health.”

For more information on the relationship between periodontal disease and cardiovascular disease, the consensus paper, or tips on how to prevent or treat gum disease, visit www.perio.org., http://www.dentistryondundas.com/Home.htm, email: perio@dentistryondundas.com or Heart and Stroke Foundation