This is probably the most dramatic treatment we can do in cosmetic dentistry these days – but it is not all fun and games, Ill show you how we do it, and help you understand that it may not always be the best way to do things.
As most of my patients know, I don’t like risky dentistry. I feels its always better to do a great job once, rather than make compromises which can effect success rates.
Meet Jean, (or Jean’s Smile!). She was considering to replace all her teeth with dental implants, for the last 50 years, she had hated her smile. She had an accident when she was young, this effected the look of the teeth, and immediately changed her personality, she was less outgoing and less confident – it was time to do something about it.
Jean had been suffering from gum disease for a long time, and a lot of the teeth were loose. Many were painful, and she could not remember a month where one tooth was not hurting!
After the assessment, the first thing we did was to have a Dental CT Scan done. This shows up in 3 dimensions, how much bone is there, and I can have a good idea about where we are going to put the implants, and what size implants we need. Its important to know that the scan is not 100% accurate – there can still be surprises once we start the treatment!
After taking the scan, I am able to view this scan on a special piece of software, which lets you virtually place the implants where you need them. This software has all the brands and sizes of implants available, and also has the connectors in it.
In the case of Jean, this was useful, but not used to its full extent.
If we had removed all Jeans teeth, waited 3 months for healing, and taken another CT scan, then we could have made a special guide from the software, and this guide would ensure that the implants are all placed in exactly the right position – minimising error.
Once all the planning was over, it was time for the big day. This is the plan:
1. Fully numb Jean so she doesn’t feel a thing
2. Remove all the teeth
3. Clean up any signs of infection around the teeth
4. Place Implants (4 in the bottom, 6 in the top)
5. Tidy areas up (Stitches)
6. Have temporary teeth made on site.
7. Check and adjust the teeth
Its a lot to do in a day!
We started at 0900, and did the bottom teeth first.
There was a lab technician on site, making the temporary teeth. I used the best guy I know, and is very experienced in this technique.
After the implants were placed, we took records, so that Jim could make the new “temporary teeth” on the day, so we could screw them in, and Jean could leave on the day, with fantastic new teeth.
As it happened, we decided that she would have a better set of temporary teeth if we could give them to her on the following day, so that’s what we did.
They fitted beautifully, and looked great. It was a very emotional time, it was the first time in 50 years that Jean had not been embarrassed to smile!
This is Jean’s smile – the teeth are fixed in position, and she says that she is surprised at how solid they feel.
This is what they look like, before they are screwed into position. You can see how slim line they are. One big complaint of normal dentures is how bulky they are – These are so slim line and hardly feel bulky at all.
This is an example of how great this treatment can be for some people, but remember there are many ways to achieve this result, and doing everything in one day is possible, but not always recommended.
If you would like to see how modern dental techniques can help you to achieve your goals, please get in touch, and we can arrange a free consultation to find out what is possible.