Wednesday, July 29, 2015

Dental Makeover for Michael Penney!

Michael underwent dental treatment at Dentistry on Dundas to achieve his new smile, which included teeth bleaching and four anterior veneers.
 

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

Michael had discolouration of his anterior teeth along with misalignment. This cosmetically bothered him for some time so he decided to pursue treatment. After consultation with Dr. Millman and treatment coordinator, Connie, they decided on a plan.

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

After evaluating the various options he decided on initial teeth bleaching followed by veneers, as this was the most conservative treatment to achieve the maximum results in the shorted time. Michael had a goal of a short time frame for an important event. Based upon Michael's expectations, we determined that all four anterior teeth must be treated in order to achieve the best cosmetic and alignment results.

 
 

3.     Was his treatment out of the ordinary?

This is a very common treatment recommendation to achieve an outstanding result in a very short period of time. He could have opted for orthodontic treatment to correct the misalignment, however this would not correct the discolouration and would have required a longer commentment from Michael. Four simple veneers solved both issues in a short period of time.

4.     How long did Michael's transformation take?

Two weeks bleaching his teeth and two consecutive appointments, two weeks apart, for the veneers to be placed.

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 in keeping all dental maintenance appointments.

6.     Are there any at-home steps patients should follow after procedures like these?
 
It's essential to maintain the margins of the new restorations, therefore, good oral hygiene is vital, at home and in keeping all regular dental cleanings and check-ups.

Treatment completed by Dr. Steven Millman
 

 
Jonathan Mursic                                                        Connie
 5 Axis Lab                                                                Treatment Coordinator

 
 

Wednesday, November 26, 2014

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

Thursday, November 13, 2014

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.
 
         

 

Jonathan Mursic                                                        Connie
 5 Axis Lab                                                                Treatment Coordinator
 


 

Wednesday, September 10, 2014

Ice Bucket Challenge raises $2026.00!!

In the spirit of education, awareness and donations for ALS, Dr. Steven Millman nominated Dr. Mark Librach to an ice bucket fundraising duel. In an effort to raise more donations we switched it up a little and collected donations over the past three weeks and the challenge was for one doctor to raise more than the other to be spared the ice bucket dumping.
We are pleased to announce we raised in total $2026.00 for ALS research and our fundraising duel was very close. Dr. Millman did raise $23.00 more in donations and therefore Dr. Librach accepted the ice bucket challenge.


To our video Click Here
As it turned out, Dr. Millman not only dumped the icy water on Dr. Librach, but accepted a splash himself too. We would like to thank all of our friends, families and patients for supporting our fundraising contest for ALS, often referred to as "Lou Gehrig's Disease", a progressive neurodegenerative disease that affects so many.

Dentistry on Dundas #icebucketchallenge

Tuesday, August 19, 2014

Thursday, June 12, 2014

Thomas's Dental Makeover!

Thomas underwent a few procedures to achieve his new smile. This included two Dental Implants and an Implant retained bridge to replace his 4 anterior missing teeth.

Why was Thomas a good candidate for these procedures? 

Thomas was the ideal candidate for this procedure as he was missing multiple front teeth, was in good general and oral health, and had been wearing a removable prosthesis for years. 

How did you develop a plan for treating Thomas's concerns? 
 
The chief complaint was his desire to have his teeth look and feel just like his own. His current removable denture relied on support from his adjacent natural teeth, and did not preserve the underlying jawbone. Dental Implants are able to preserve the underlying bone and improve comfort, aesthetics, and function without compromising the adjacent teeth. 

Was his treatment out of the ordinary? 

The treatment is ordinary, but requires a multidisciplinary approach. Since dental implants are closely connected with gum tissues and the underlying bone in the mouth, Dr. Levy, our periodontist was an expert in this area. It was important that we worked together to ensure the best results. 

How long did Thomas transformation take?  

The total transformation took one year.  

What steps do these procedures involve? 

1) Examination and evaluation of patients X-rays, oral health and overall health.
2) First stage surgery with Dr. Levy to place two dental implants into the jawbone beneath the gum tissue allowing the implant to bond with the bone and attach to the gums. 
3) Second stage surgery with Dr. Levy to expose the implants once the gum tissues had healed
4) Dr. Lindsay attached an abutments (post) to the implants and took a digital impression (itero scan)
5) A fixed bridge with artificial teeth was made by our lab 5-axis to fit the implant posts
6) Dr. Lindsay restored the missing teeth by cementing the fixed bridge to the implant posts. 

 

Is there an ideal candidate for these procedures? 

The ideal candidate for a dental implant is someone in good overall health, with healthy gum tissues and with adequate bone in their jaw to support an implant. 

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

It is important to care for your dental implants like you would your natural teeth. Regular home care with toothbrush and floss is advised as well as regular dental checkups to ensure the bite is correct and that the implants are not loose. A nightguard may be recommended for patients who clench or grind their teeth.

 Dentist
Periodontist & Implantology

Connie
Treatment Coordinator at Dentistry on Dundas

Wednesday, May 7, 2014

Dentistry on Dundas Celebrates 25 years in the Durham Region!

Dentistry on Dundas Celebrates 25 years in the Durham Region

 
Dentistry on Dundas: A Pictures Chronicle of the Past 25 Years! As a way to celebrate our anniversary we've compiled some of our favourite photos throughout the years to share with all of you. Want to see more photos? Head to our website!
 
 
Please note that our office will be closed from May 15th at 1:30pm to May 20th, 2014.
Regular hours will resume 7:30am Wednesday May 21st. 

Dentistry on Dundas is Celebrating our 25th Anniversary. We have always been proud to serve the Durham Region and pride ourselves in being able to offer high quality services to all of our patients. 

Even after 25 years we continue to grow. This is mostly due to the trust and confidence our patients have placed in us. As we move forward we have decided to revitalize and energize our team to serve you even better. As a result, we are closing our doors for 5 days in May. In celebration of this milestone and to further foster strong teamwork, we are all heading to Paris, France. We will be posting our progress on Facebook, so please follow us. 

Our celebration will not stop there. Stay tuned for further announcements as the year progresses. Thank you to all of our wonderful patients! We look forward to serving you everyday. 

Wishing you and your family countless reasons to smile, 

Dr. Millman and Dr. Librach