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

 

 

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.