Patient Before & After

This patient attended in August 2015 unhappy with the crowding and appearance of her upper and lower front teeth.

Due to the significant amount of crowding and lack of vertical overlap (overbite) of the front teeth, it was decided that dental extractions were required as part of the treatment plan.

All four 2^nd premolars were extracted before upper and lower ceramic braces were used to gain a perfect bite and function at the completion of treatment.

Treatment took 1 year and 8 months in total (20 months). To hold (retain) the result the patient was provided with upper and lower vacuum formed retainers wearing them as prescribed.

This patient no longer wanted to wear a partial denture and wanted to discuss restorative options, his main interest and chosen option being implants.

A CBCT scan was carried out, allowing us to be able to position an implant and plan the surgery all by using the Sirona Galaxis implant planning software. A surgical stent was created and was used during surgery for implant positioning.

The surgery consisted of 4 implants with an open sinus grafting procedure.After a period of healing, a small insicion was made to expose the implants and impressions were taken. This allowed for a digital restorative phase. Using a piece of equipment that takes thousands of pictures a second to create a digital image of the area. The restorations were designed and milled in our milling machine. The temporary stage allowed for the bite to be analysed and corrected if necessary, making any adjustments before the final crowns were made. 

After the try in stage, the final restorations were milled in a material called monolithic Zirconia as a single piece three-unit bridge. These restorations were tried in for the approval of the patient before being secured in place.

This patient presented in April 2016 after his childhood orthodontic treatment had relapsed. The previous orthodontic treatment had involved extraction of two lower premolars.

Unfortunately, the lower teeth had become crowded again and there was little vertical overlap (overbite) of the front teeth, coupled with crossbites of the back teeth.

Upper ceramic and lower metal braces were used to correct the relapse and straighten the teeth after the extraction of one lower incisor.

 Treatment took 18 months and was completed by the spring of 2018. In order to prevent relapse again, the patient was provided with upper and lower vacuum formed retainers along with a 3D printed custom upper bonded retainer.

This Patient was looking for a solution to replace their missing teeth in the upper right corner of their mouth.

A full examination took place as well as a 2D x-ray to assess the area. We discussed all the different possible options available.

These being:

1. A denture for that area.
2. 2 dental implants in that area and a fixed bridge.

After discussing both options, the patient decided to go ahead with the fix solution having 2 dental implants and a bridge.

To begin treatment, we underwent digital planning taking a 3D scan, viewing the bone availability and anatomy that a normal radiograph wouldn’t show. From there we can plan exactly where the implants would be placed and the overall restoration.

During surgery two implants were placed and 3 months later with careful planning they were restored with a porcelain fixed bridge. 

Since the fitting of the restoration the patient has been attending the clinic yearly with one of our hygienists for reviews and hygiene maintenance to make sure they’re being cleaned deep and thoroughly. During this appointment, we can take an annual x-ray to make ensure that there are no problems. Everything has gone uneventful since.