Dentistry on Dundas: November 2014

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

Dentistry on Dundas

Thursday, November 13, 2014

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.