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



 

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

Going High Definition and 3D in Dentistry…

Cone Beam Technology has come to Durham!

 

Radiology in dentistry is changing. First there was digital radiographs and now Cone Beam technology.  Cone Beam allows us to take CT scan like images with a fraction of the exposure of conventional CT scans. The images are clear and three-dimensional.  Routinely, they allow us to map out bone for the exact placement of implants.  

 

In addition, they are useful for temporomandibular joint (TMJ) evaluation, preoperatively in the extraction of wisdom teeth, the detection of infections, tumors and cysts, and there are some applications in orthodontics, sleep apnea and root canal therapy.  

 

These machines have vastly improved treatment planning and diagnosis.  Previously, these scans could only be performed at the universities, hospitals or special clinics.  Now Cone Beam Computerized Tomography (CBCT) is available at Dentistry on Dundas in Whitby.  

 

No more commuting to downtown Toronto to get started with treatment planning. All-in-all a great advancement in Patient care.

 

Mark Librach D.D.S.  

Dentistry on Dundas Supports Local Events!

This past Saturday evening truly was "Spectacular, Spectacular", as our guests and sponsors, including RBC, Veridian, OPG, Flaherty Dow Elliot and McCarthy, dined and danced the nite away at the 8th Annual Hearts of Durham Fundraising Gala. Deer Creek radiated the sophistication of the late 1800's in Paris - Moulin Rouge - with stunning decor donated by Annie Lane & Around the Table. Guests shared laughs in the photo booth, compliments of Inside the Booth, while Deer Creek served up a delicious French inspired 3 course dinner as the wine donated by Lifford, The Vine and Colio flowed.

The professional staging and audio visual set up by CCR Solutions was the perfect setting for the festivities and live performances by Ryan Deadman, BMH Reality Entertainment and the duo of Kennedy Wilson and Michael Taggart, and we really could have danced all night to the tunes of DJ Matthew Beauchamp from Mobile Productions. Beautiful corset and top hat motif cookies by Frostings by Judy, cupcakes created by Cupcakes Creatives and another ever-so-popular candy buffet compliments of My Sweet Table, as well as coffee from Starbucks, were the perfect conclusion to another memorable year as we celebrated our 8th anniversary event.

Auction & raffle items included everything from Pink concert tickets to a stunning MAC cosmetic box, a full spa package from Hummingbird MediSpa, a day on the links including dinner at Royal Ashburn, amazing home decor packages, custom graphics in the room of your choice, dining packages and an opportunity to spend the the weekend taking in the sites and sounds of the French Quarter in New Orleans. Mind you this only scratches at the surface of all of the wonderful items donated to the event.

Our wonderful and enthusiastic volunteers added a certain "je ne sais quoi" and helped to keep the daytime set-up and the evening flowing smoothly.

Our Wishmakers including Jeff Coles of Schindler Canada, Durham Regional Police Association, Rocky Varcoe, Ian McCutcheon, Dr.'s Sean Perry & Andrew Brubacher and Ted Manikas touched and inspired us with their stories of what it meant to take on the task of raising funds to grant a wish for a child and just how they did it.

Thanks for your support Dentistry on Dundas! Hearts of Durham was able to present the Ontario Chapter of The Children's Wish Foundation of Canada with a cheque for over $112,000! That brings our 8 year total for local charities to almost $600,000! 
 
Thank you for joining us, supporting us and celebrating with us. We are so very fortunate to have friends, partners and sponsors like you and can't wait to set the wheels in motion for next year - when we partner with the the Durham Children's Aid Foundation.

Sincerely,

Hearts of Durham

www.heartsofdurham.com

 

Whitening/Bonding Dental Makeover! Letter from our patient

Since going through many dental procedures in my youth and needing to continue with good oral care, I couldn't be happier to have found Dr. Mark Librach. I have total trust in him. He shows the time and patience to help me fix my teeth; in a kind gentle way that works for me. I have been going to Dentistry on Dundas since 1999 and have never looked back. It took Dr. Mark Librach months to get my teeth in good shape; he slowly started to rebuild my teeth and my happiness. My teeth are at the point where they are naturally pain free and now shaped well.

Before

 

I have never been happy with the colour of my teeth; they were mostly yellow to dark yellow. Although I have always tried to take care of my teeth, I could not make them any whiter on my own. I have dreamed of natural white teeth, to me teeth are the first thing I everyone notices. For years I have look at people with a great smile and wished my teeth were that nice. Then I finally decided to see what professional dental bleaching would do to give me my dream smile.

I decided used Night White; it takes a little bit longer since you leave the bleaching trays in for at least seven to eight hours, while you are sleeping. The trays feel very comfortable, since they are custom fitted to my mouth. You only need a few drops of solution in each tray each night and in about four to five days you will start to see the difference. The tips start to whiten and slowly move up to the gum line.

I have whitened about 4 shades and I am so happy with my new white teeth. It really is the focal point of a great smile! After achieving the results of my teeth whitening, it was time to address the gap in my front teeth. Dr. Librach closed this space perfectly with bonding and matched the whiter colour of my teeth.

After

I've had great experiences with Dr. Librach and the Dentistry on Dundas staff. When you walk in the front door you are greeted by an amazing front desk staff, they makes you feel special. Everyone there has a friendly outgoing personality and provide a professional experience. Dentistry on Dundas plays a huge roll in my daily life, since they have taught me how to care for my teeth and have guided me through many dental treatments to achieve my final goal. Dr. Librach is a great Dentist; his skills in dentistry are first rate in my opinion. I can say I made the right decision in 1999 and found my dental office for life.

Not everyone enjoys going to the Dentist, but you do need to maintain good oral health for a lifetime and Dentistry on Dundas sure make it the best it can be!

Sincerely Stephanie
  

Dental Implant Marketing: Truth vs Fallacy

We are all inundated every day with advertising and product placements for virtually everything that surrounds us. This includes as well marketing in the dental field which is directed to the public.
One of the treatment option we suggest, as Periodontists, are dental implants for replacing missing teeth. Today they are the best treatment option for single or multiple missing teeth.

From the moment that my patient is contemplating the possibility of replacing his/her missing tooth or teeth with implants, it is a very complex and well thought out process which includes: a thorough oral examination, digital X-rays, providing a comprehensive oral and periodontal exam, discussion of function (chewing and speech), discussion of aesthetics, and of course discussion of alternate treatment options. Within this framework I have to listen to the patient's desires and what are the long term goals and objectives when it comes to oral rehabilitation. Implant treatment carries as well a significant commitment on behalf of the patient, as long term maintenance is imperative for success.

Having said all of this, patients can be very confused by the myriad of treatment plans they receive when they are " shopping" for a general dentist, periodontist or surgeon that will deliver the implants and the prosthetic treatment that they are ultimately looking for. As part of our patient's education, I always stress the importance of comparing apples to apples, making sure that they are given the absolute best treatment care as well as making sure that all the preliminary steps have been taken in order to achieve maximum success and beautiful results.

I would like to direct you to this excellent blog post (see below) which shows how implant treatment plans can vary and how deceiving it can be if we don't really know what is being offered. Cost variation is extreme and can be misleading and it reinforces the fact that not every treatment plan is equal and / or as comprehensive as the next one.

As long as our patients understand how dedicated we are and the time commitment which we invest is crucial in obtaining optimal results, then I feel that we have given the best service to our patients.

Please take a moment to read an excellent blog from an Oral Surgeon in the US click here for link.

Dr. Dana Levy

Periodontics & Implant Dentistry

A Valentine's Day Gift!

Today is a special day, very special for some more than others. For my teenage daughter, it will be one to remember forever: finally her braces are coming off!

After 2 long years of brushing vigorously with an electric toothbrush, going through floss and picks like there's no tomorrow, having her teeth cleaned professionally every 4 months, she feels vindicated, ecstatic and thrilled to say the least! As a proud mom, who happens to be a Periodontist, she's been a trooper of a patient.

 

For her, it means getting back to gum chewing (sugar free of course), having hard candy from time to time, and not having to think twice about what goes in her mouth just in case she can't get it out. And yes, her photos will be now be with a huge grin on her face.

For all of you, who have teenagers with braces or are simply adults who finally had the chance to have your own teeth straightened and achieve that beautiful smile you've always wanted, your Dentist or Orthodontist should always be encouraging of having healthy gums. A solid foundation for a all that tooth movement and perfect bite. This can only be achieved by the combination of proper home care, frequent visits for professional cleanings (as its impossible to do it exclusively at home with all that hardware in your mouth) and of course, following instructions to the "t" from your dentist/orthodontist.

It's a milestone, for her and for all of us who know it takes a lot of effort and commitment to achieve beautiful results.
So, for all of you out there, I wish a plaque-free, braces free, chocolaty, sweet Valentines Day!!! To read more Click Here 

Dr. Dana Levy

Periodontics & Implant Dentistry