Full Mouth Reconstruction

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Case Study: Full Mouth Reconstruction

Patient Mark (not his real name) was referred to me by another dental professional in the area who was busy with their patient load, and Mark’s needs were more complex than they wanted to take on.

I met with Mark for a Comprehensive Examination, then for a Diagnostic Records Appointment, which was then followed by a Consultation Appointment.  Mark was highly successful in business but was embarrassed of his teeth.  His Chief Complaint was “My teeth are wearing down and my overbite is getting worse.  My brother is an Oral Surgeon and told me I need to get something done.”

As prosthodontist, I have experience planning multi-stage treatment plans over several months (sometimes years), and can coordinate with other dental specialists.  For Mark, this specialized planning included two major phases:

Phase I:

• Cephalometric Analysis with an Orthodontist
• Re-evaluate for definitive treatment plan, including:
  • Orthodontic treatment
  • Orthognathic Surgery
  • Prosthetic Reconstruction

Phase II:

• Provisional restorations # 3, 14, 15, 20 (cast metal)
• Update records as ortho progresses
• Full mouth reconstruction once ortho and orthognathic surgery was completed

When  the treatment plan was completed, Mark was ecstatic with the esthetic teeth that appeared natural and that allowed him to smile confidently.  He never thought his teeth would look as good as they do.

Dental Veneers to Fix Spaces

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Case Study: Dental Veneers to Fix Spaces

Patient Jane (not her real name) was referred to me by another dental professional in the area who was busy with their patient load, and Jane’s needs were more complex than they wanted to take on.

I met with Jane for a Comprehensive Examination, then for a Diagnostic Records Appointment, which was then followed by a Consultation Appointment.

Jane was embarrassed by the appearance of her teeth and told me that her Chief Complaint was “I am about finished with ortho and I have spaces with my front teeth.”

As a prosthodontist, I have experience planning multi-stage treatment plans over several months (sometimes years), and can coordinate with other dental specialists.  For Jane, this specialized planning took place after two separate consultations:

Consult #1 Treatment Plan

• Finish Treatment with an Orthodontist
  • Equal spacing with maxillary anterior teeth # 6-11
• Remove orthodontic appliances and fabricate retainers
• Patient to decide if she wants bonding in the anterior area or wait until growth is complete.
  • Then veneers will be placed at # 7, 8, 9, 10
  • She was informed that esthetic crown lengthening may be necessary prior to definitive treatment

Consult #2 Treatment Plan

• 3rd molar extractions with an Oral Surgeon
• Diagnostic equilibration and wax-up for #s 7, 8, 9, 10
• Full mouth equilibration and prep and provisionalize #s 7, 8, 9, 10
• Crown lengthening max anterior are #s 6-11 with a Periodontist
• Place definitive crowns #s 7, 8, 9, 10
• Maxillary BP

When the treatment plan was completed, Jane was pleased with the outcome.

Esthetic Dentistry – Retreatment of implant Restoration

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Esthetic Dentistry — Retreatment of implant restoration

Patient “Elaine” was referred to me by another dental professional in the area who was busy with their patient load, and Elaine’s needs were more complex than they wanted to manage. I met with Elaine at her initial consultation, then had a follow-up to review my initial treatment recommendations.

Elaine was embarrassed about the appearance of her teeth and and was uncomfortable smiling. She told me: “I don’t like the way my implant looks.”  As a prosthodontist, I have experience planning multi-stage treatment plans over several months (sometimes years), and can coordinate with other dental specialists.

Elaine’s treatment plan included:

• Remove custom abutment/crown #7, and then place cover screw and re-evaluate
• Provisional restorations #s 7, 8, 9 (#7 cantilevered)
• Crown lengthening #s 8, 9, 10, 11
• SCT graft area #7 with a periodontist
• Definitive FPD #s 7, 8, 9 (all-ceramic)
• Crown #15 with minor equilibration #18
• Maxillary BP/Nightguard

When the treatment plan was completed, Elaine was extremely pleased with the outcome of the new restorative work and felt confident smiling again.

Maxillary Denture and Mandibular Fixed Partial Denture

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Case Study

Patient Sally (not her real name) was referred to me by another dental professional in the area as Sally’s needs were more complex than they wanted to take on.

I met with Sally for a Comprehensive Examination, then for a diagnostic records appointment, which was then followed by a Consultation appointment. Her Chief Complaint was “I’m not able to chew right and I have lost several teeth because of abscesses.”

As a prosthodontist, I have experience planning treatment plans over several months (sometimes years) and will coordinate with other dental specialists when the treatment plan requires.

• Maxillary Arch
  • Extractions of remaining maxillary teeth
    • Maxillary Immediate Denture
      • Reline or remake of maxillary denture

• Mandibular Arch
  • Fixed Partial Denture # 22-27
  • Implants # 19, 20, 29, 30
    • Custom abutments and crowns
  • Crowns # 21, 28, 31

When the treatment was completed the patient was delighted with her new smile and her ability to chew appropriately.