Meagan's Myofunctional Orthodontic Transformation

Meagan is an excellent example of how myofunctional orthodontics can transform a patients bite and profile. Meagan's bite is what we consider a class III malocclusion. In simple terms a class III malocclusion is an underbite where the bottom teeth overlap the top teeth. Megan had seen several dentists who had recommended to her that this problem could only be corrected through orthognathic surgery. This type of surgery is very invasive and requires a hospital stay of two days followed by a recovery time of several weeks where her mouth would need to be wired shut. Megan‘s parents were hesitant to go forward with the surgery. I offered them a treatment plan that would require her to wear and appliance every evening while she slept plus 2 hours per day. 






This type of treatment known as myofunctional orthodontics and works by retraining muscles of the face and jaws to reposition her maxilla and mandible to the correct relationship. Megan’s transformation was completed in one year of treatment. As you can see in the photos her teeth are now in a very good class one relationship and her profile has improved dramatically. 
Megan will need to continue to wear her appliance for two years while sleeping. This will prevent her teeth and jaw from relaxing to the original position.







We asked Meagan's Mom how she felt the treatment went....

1.     What made you decide to undergo orthodontic treatment for Maegan?

Maegan had a class 3 malocclusion. Which is a pronounced overbite. Before coming to Dr. Millman, we were told the only way to correct this overbite was surgery.

2.     Why did you choose Dentistry on Dundas, Dr. Millman, for this treatment plan for Meagan?

Dr. Millman was the only dentist we met that offered us a non surgical procedure for her overbite.  The Myobrace Dr Millman fitted Maegan has successfully corrected her overbite without surgery 

3.     How did Meagan tolerate her orthodontic treatment?

The myobrace treatment was painless and easy for a young girl to manage on her own. What was really important to my teenage daughter is this treatment was done at home. She didn't have to wear it in public.

4.     How do you and her feel about the results?

We are extremely pleased with the results. Maegan's overbite has been corrected without painful surgery or the use of braces. The Myobrace was the perfect treatment for my daughter.                            

Dr. Steven Millman

New Patients Welcome

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

A Career in Dentistry?....

One of our patients is a grade 12 student at Donald A. Wilson Secondary School.  As part of a French project she is required to research a profession in which she is interested in, as you might have guessed the profession she chose is dentistry.  She presented us with few questions regarding our profession for her dentist, Dr. Librach, to answer. Here is what he said...

1.      What is the most difficult part of your career? Explain.

The most difficult part of dentistry is keeping up with technology.  The practice of dentistry has changed so much since I graduated in 1987.  Although the principles of good dentistry have not changed, the methodology advances have changed dramatically and will do so exponentially in the coming years.  At Dentistry on Dundas we continue to invest in the latest technology that gives our patients the highest quality dentistry.  With that commitment comes a responsibility to stay on top of the latest developments and to chose for our patients those technologies that will offer them the greatest benefit.   It can be a daunting task but, on the other hand, it continues to make dentistry an exciting profession.

2.      What is the best part of your career? Explain.

Working with great people. Firstly, our staff at Dentistry on Dundas are some of the best people I have ever met.  They are compassionate, competent and fun to work with.  They are as important to my practice as having the best equipment and knowledge.  They are an integral part of what attracts patients to our practice.  Secondly, our patients, many who have been with us since our start in 1989, make this career second to none.  There isn’t a day that goes by that I do not feel blessed that these people have put their confidence in me and our staff.  The interactions with our patients makes me excited to come to work every day.

3.      How competitive was the job market when you started working versus today? 

Quite a change has occurred over the last 27 years.  There are definitely more options for patients when it comes to who they see for their dental care.  When I graduated dental offices were fewer especially in the Durham region.  In addition, denturists (those that only make dental prosthesis like false teeth) are licensed to practice in Ontario.  Finally, Dental Hygienists  are now able to practice independent of the supervision of a licensed dentist.   That being said, I welcome the competition.  It keeps your business sharp and challenges you to be the best in your field.  At Dentistry on Dundas we continue to be successful in a very competitive market by offering our patients great dentistry in a comforting atmosphere.

4.      What advice would you give to someone starting out in orthodontics?

There are so many facets of dentistry that you should keep an open mind when entering dental school.  Orthodontics is a great profession but so is Endodontics (root canal therapy), Oral and Maxillofacial Surgery ( jaw surgery and complicated extractions), Oral Radiology, Periodontics (implants, gum surgery & care), Paedodontics (oral care for children), Oral Anaesthesiology (dentistry while asleep) and Prosthodontics (the restoration of complicated oral cavity collapse).

And lets not forget General Dentistry that allows you to perform any, some or all of these disciplines as you expand your knowledge in these fields. In addition, comprehensive treatment planning requires multiple disciplines.  At Dentistry on Dundas we have specialists in most of these fields that work as a team “quarterbacked” by a treatment plan set out by the General Practitioner.  Having said that, Orthodontics is a great specialty in dentistry and I would only encourage some one to continue to follow that path if that is where their interests lie.  Any path you chose you should always keep in mind that you serve the patient.  The rewards of this profession will come on its own if you treat your patients with respect, compassion, empathy and keep their best interests a focal point.

Mark Librach D.D.S.

Carol's Dental Makeover!

 

Carol's treatment plan consisted of crown and bridgework on all upper teeth to achieve her new smile!

 

 

 

 

 

 

 

 

 

 

 

Why was (patient) a good candidate for these procedures?

Carol was a great candidate for this dental makeover.  She always has a great attitude and she needed a smile to compliment her personality.  She is out going and her personality lights up a room.  Now she has a smile to match.  In addition carol knows what it takes to maintain her beautiful smile. Great home care and regular visits to the dentist will ensure the longevity of her restorations.

 

            Before                                                                                Before

 

 

 

 

 

 

 

 

 

Was her treatment out of the ordinary?

Although Carol's treatment was not extraordinary in the complexity of the restoration, it was important to Carol that her smile was perfect.  As always, the attention to detail and symmetry was foremost when treatment planning her case. When the patients expectations and commitment to the outcome match those of the doctor's, the results can be amazing. It was my pleasure to work with Carol.

Treatment provided by Dr. Mark Librach at Dentistry on Dundas

 

 

 

Small treatment creates BIG results!

Penny underwent a few small dental treatments to achieve her new smile. This included teeth bleaching, two new anterior crowns and cosmetic bonding.

 



Why was Penny a good candidate for these procedures?

Penny was a great candidate for her transformation. She was actually an extremely apprehensive patient that was nervous about most routine dental visits. Once she understood how standard the procedures were and how relatively quick they would be completed, she became more relaxed with each visit. She realized that a drastic result could be attained with ease, thus, a great case!

   

Before

 

After

 

How did you develop a plan for treating Penny's concerns?

In this particular case, during the initial examination, it was determined that a cleaning, some fillings and whitening were required before the front crowns were done.The first four appointments addressed the fillings and cleaning. These "easy" appointments were important to gradually help the patient relax with each session, and to create a healthy oral  environment. The whitening was done at home at  by the patient at their convienience. All it took to change the front teeth were the last two appointments. 

 

 

                       Before                                                                             After

Is there an ideal candidate for these procedures?

The ideal candidate for these procedures, or any for that matter, is a motivated individual who is committed to improving their oral care and esthetics. Everyone and every case is different. It may be few or many appoinments, however, there are always options where most issues can be addressed and improved upon. No matter how busy, the treatment can always be accomodated  to any schedule.

 

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

It is extremely important to maintain the health of any new restorations such as these crowns that were done on this patient. Home care and follow up cleanings are essential. Oral hygene instruction are reviewed and often, the patient is sent home with some special cleaning tools. Occasionally, a patient is asked to return one week later after a "large" case with many crowns, for example. This is to ensure the patient is satisfied, comfortable, and the tissues are forming to the new restorations appropriately.

Treatment provided by Dr. Michele Lanys at Dentistry on Dundas

 

 

 

 

 

 

 

 

 

 

Jonathan Mursic RDT, President of 5 Axis Dental     

 

 

 

 

 

 

Dentistry on Dundas Fireworks! July 23, 2011

Dr. Lanys interview on Bizymoms website

An interview with Dr. Lanys on Dental Implants.

What are Dental Implants?

Dental implants are metal root replacements for missing teeth that are placed into the bone. They take approximately 4 to 6 months to integrate with the bone at which time they are able to support a crown (cap), bridge or denture. Even if there is any bone loss from previous infection, periodontitis, etc., a bone graft can be placed before the implant to replenish some of the lost bone.

What are dental implants made of?
They are made of titanium and coated with a titanium alloy which is compatible with bone.

How long do they last?
Dental implants have a very high success rate of over 95%. A large advantage to this procedure is that if they are placed and subsequently integrated, they usually last indefinitely. There are, however, certain risk factors that may compromise the integration process or the longevity of the implant.

How are dental implants placed?

Implants are typically placed by an oral surgeon, periodontist, prostodontist, or a trained general dentist. This can be done under local anesthetic or sedation depending on the case and usually involves no discomfort during, and minimal discomfort after the procedure.

There are special x-rays or tomographs that are taken prior to placement to ensure all vital structures, such as nerves, are avoided and the implants are placed only within bone.

Before placement or on the day of surgery a temporary denture is inserted to ensure the patient never goes with missing teeth. When the implants are integrated some months later, the prostodontist or general dentist places the dentures, crowns or bridges securely onto the implants.

Risk factors or contraindications of dental implants.
The main risk factors associated with implants are smoking, poor oral hygiene, diabetes (especially if uncontrolled), other compromising diseases, and possibly some medications.

It is important to review your health history thoroughly with your dentist before commencing any dental treatment, including implants.

Will my implants feel like my natural teeth?

One of the main advantages of implants is that they do feel like natural teeth. They function and look like natural teeth, do not decay or require root canals. They maintain the surrounding bone, whereas if there was no tooth or implant, the bone would resorb or recede.

This is one of the only procedures that replace teeth without affecting any existing teeth in the mouth. They are by far the best treatment option to replace missing teeth and are widely used in my practice, resulting in many very happy patients.