dental-brisbane

REBUILDING A SMILE FOR A BUSY LIFESTYLE

In his late 50’s,  and 60 looming, Paul (real name withheld for privacy) decided it was time to fix his teeth.  Paul worked a high stress, long hour’s job and to cope with this he enjoyed marathon running.  Paul would often consume sport drinks and high sugar gels during events.

The combination of bruxing (grinding his teeth) due to the pressures of the job and the acid erosion due to the sport drinks, resulted in softened teeth that were ground down by at least half their original length.  Multiple fillings had failed, some teeth had broken and Paul no longer smiled to hide the appearance of his teeth.

Paul did not have the time for the hours it takes to crown the teeth so after much discussion he decided upon a composite rehabilitation – rebuilding teeth with composite resin or white filling material to reconstruct the teeth.

Composite rehabilitation and rebuilding teeth involves removing old fillings, and roughening the teeth, minimal tooth structure is removed making it a very conservative form of reconstruction.  Composite resin is then bonded to the teeth directly.

The Treatment Plan:

Day 1 (4 hours): Open the bite – Paul had become what we call “over closed”, to build the teeth back to their original height the bite had to be opened.

The top front 6 teeth were rebuilt first to the aesthetic smile guidelines – following these ensures the smile will look fantastic.

Day 2 (5 hours): The top back teeth (7 teeth) either side were rebuilt to their original height and an even bite plan established.

The very back top tooth was missing, but this did not require replacement. This tooth is subject to enormous pressures and is a high failure rate tooth, explaining why Paul already had this tooth removed.

Paul allowed 1 week to adapt to the new height of the bite. It is very easy for most people to adapt within a few days to changes to the bite.

Day 3 (4 hours): Paul returned the following week to rebuild the lower 6 front teeth to the original height.

Day 4 (5 hours): Finally the remaining lower back teeth were re-built to achieve an even bite plan and a restored smile.

 

With Pauls bite now restored,  he chose to replace the two lower missing back teeth with implants.

 

What can Paul expect in the future?

•Paul  now has the option in the future to replace any of the composite resin rebuilds with porcelain crowns.

•The normal life expectancy of composite resin reconstructions is excellent

•We can expect to rebuild at least one of the teeth every couple of years depending on the pressures the teeth are under.  This is often the perfect time to individually convert teeth over to stronger porcelain crowns if desired.

Paul has now stopped his sport drinks, increased his water intake and wears a night guard to protect the teeth from grinding.

“The process was well organised for me and very prompt – they were very professional and checked on me after every appointment” – Paul

(Real name and images withheld for privacy) Every surgical or invasive procedure caries risk and may not be suitable for everyone.

Brisbane Dentist

CREATING A SMILE FOR HER BIG 50TH

Today we have finished applying the final touches to our wonderful patients smile.  Its the best day of the week, and not because it’s Friday, but because we are a day closer to her big 50th bash on Saturday night.

Our gorgeous patient has lived with dark brown and opaque white spots on her front teeth from the minute they erupted as a 6 year old.  She also suffered a hockey injury when she was thirteen, killing another front tooth which was later root treated and took on a grey/black appearance.  Over the years she has thought about Veneers and even Crowns for the teeth, but was worried about cutting her teeth which were otherwise healthy.

With the help of GC Tooth Mousse we were able to develop a very conservative and tailored treatment plan:

 

• The plan was to internally bleach the dark tooth,  and externally bleach the remaining teeth.  This had to be carefully planned as we wanted all the teeth to end up the same colour, not one whiter than another.

• Inside the single black tooth, the root canal filling material (which is black in colour) was previously left high inside the tooth, making it instantly blacker.  This was removed and sealed with a white seal prior to internal bleaching.

In-chair teeth whitening (including laser whitening and light assisted whitening) can be unpredictable and sometimes even in-effective on brown enamel blemishes.  So we combined the in-office whitening with some custom made trays and take home whitening, as well as enamel micro-abrasion with GC Tooth Mousse applications.

Enamel micro-abrasion and Tooth mousse has been shown to “repair” areas of white and dark mottled enamel and help them to blend and disappear without cutting away good tooth structure.

Today we added one further appointment where we smoothed out a few minor chips and evened out the lengths of the teeth – a process known as enameloplasty.  The programme took about 4-6 weeks to complete.  She showed a wonderful commitment to following the instructions and did not suffer any pain or sensitivity.  Sensitivity is often less of a concern these days due to newer whitening gel formulations.  She will keep her custom trays to do a top up whitening in about 2 years.

Here’s to a wonderful party,  full of smiles!

(Photo’s and name have been withheld for privacy).   This treatment plan may not be suitable for everyone, each case is assessed individually.

 

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