Full mouth rehabilitations (rehabs) can be some of the most rewarding experiences, but require an immense amount of patience on everyone’s account, compliance, and good healing. This case in particular involved multiple failing endodontically treated teeth in conjunction with peri-apical abscesses which resulted in large amounts of bone loss prior to initiation of treatment.
After long discussions with the patient and preparations, we all elected to move forward with removal of the failing teeth, full debridement of surgical site, placement of immediate implants along with buccal grafting. This undoubtedly was a lot to ask of both the patient and the site, but as we will see, the results were great! Much of the success can be attributed to the patient’s compliance and diligence when following post-op directions. The timeline of events began on March 22, 2011 and commenced at just under a year.
After healing of the initial phase we were able to grow enough bone that it was necessary to remove some of the ridge to find and access the implants. Afterwards the healing around implant #10 yielded a deficiency in keratinized tissue and a bit of an alteration in gingival contour. This was discussed with the patient that grafting should take place prior but could be accomplished after final restoration. The patient made it clear that she wanted some slight imperfections of the teeth to obtain a “natural” look and did not want to have the perfect smile. Needless to say, she was ecstatic at the results.
We will wait for papilla formation between the new restorations and will continue to watch the tissue associated with #10, but for now she is 1 week into the restorations and can’t stop smiling!
A very special thanks to Dr. John Miller in Aspen who guided the restorative treatment and final restorations.
Nowadays you don’t go to the dentist just to have your teeth cleaned or a root canal performed. The use of impressive dental technology has made possible almost all kinds of treatments, whether in the scope of general dentistry or cosmetic dentistry. Whether you need whiter teeth, sturdy and natural-looking dental implants, or porcelain veneers, the right dental procedures can easily give you your smile back. Modern Dental Care is a careful blend of High-Tech procedures with old-fashioned care.
The Latest Breakthroughs in Cosmetic Dentistry
Perhaps one of the areas in dentistry which have seen a lot of advancements in recent years is cosmetic dentistry. Cosmetic dentistry is concerned mainly in enhancing the look of a person’s teeth, mouth, and smile. The procedures undertaken in cosmetic dentistry are done both for aesthetic and restorative purposes. Some of the most common cosmetic dentistry services involve the following:
A bright smile is impossible without a clean and white set of teeth. Teeth whitening procedures are performed in order to whiten stained or yellowed teeth. Certain types of teeth bleaching agents are used during each procedure, depending on the patient’s lifestyle and level of teeth sensitivity. There are also teeth whitening procedures which you can do at home, although the instructions are oftentimes prescribed by your trusted dentist well in advance.
Veneers and Lumineers
Veneers and lumineers are an ideal solutions for stained or broken teeth, as well as in treating tooth gaps and serious teeth discoloration. Porcelain veneers are known to be more reliable than bonding and are stain resistant as well. The veneer bonds completely into the tooth structure so that the natural look and feel of your teeth are restored.
Lumineers on the other hand are thin porcelain veneers. Since they are thinner than regular veneers, they can preserve your tooth better while giving it a more beautiful and natural-looking appearance. Lumineers are used to treat a wide range of dental problems including broken teeth, crooked teeth, tooth gaps, and teeth stains, among many others.
Dental caries (tooth decay) can be diagnosed earlier with digital technology than with conventional film-based dental X-rays. Therefore, if you need a filling to repair the damage from decay, the earlier diagnosis usually means a smaller restoration (filling) than before. Another major advantage of digital dental X-rays is the amount of radiation needed to take the image is significantly reduced. Patients can now clearly see their X-rays on large computer monitors in each dental room. We can also greatly magnify a digital X-ray image to better explain dental problems to our patients.