Dentistry on Dundas: June 2013

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.