- 17 Gerard St, Cremorne, Sydney, NSW, 2090
- I Mon to Fri: 8:00AM-6:00PM Sat: 8:00AM-12:00PM
Maxillary full implant supported bridgework
Mandibular (lower arch) fixed tooth supported crowns & bridgework
Failed aesthetics: missing teeth, failing crowns and bridgework affecting patients comfort, function and aesthetics. This is further compounded by the presence of mobile partial denture and general discomfort.
Treatment: reconstruction of maxilla (upper arch) and mandible (lower arch) using tooth supported and implant supported crowns and site augmentation (soft and hard tissue grafting) where teeth have failed that require removal.
This study will show
Chief concerns: “I want to smile with confident and chew with comfort””. The concern is to improve the upper arch shape and smile line as well as tooth colour. This lovely patient wants to smile and chew her food confidently.
Mrs J. was referred by her dentist, seeking specialist’s opinion and treatment in relation to fixed option of restoring missing teeth and failing dentition as well as tooth supported crowns. The loss of teeth from failing bridgework has left considerable soft and hard tissue defect that was replaced by partial denture.
We have unacceptable aesthetics and function. It’s surprising to see how much patients can tolerate with broken down dentition. I guess we all are busy in our lives, looking after the family and finally when everyone is ok, it time for us.
In general, whenever possible we would like to replace, or at least get close to the foundation bone and gum tissues to allow optimal tooth position in the arch that creates natural aesthetics.
Although the existing crowns and partial denture are holding well during dull smile, unfortunately the existing restorations are failing at gum margins with fractured roots not shown in the images. The lower teeth with multiple repairs was also concern with discoloured crown margins, unnatural teeth: colour, form, progression & gum line.
Diagnosis: Unacceptable dental aesthetics & function due dissatisfaction with failing fixed restorations, mmissing teet and general tooth discolouration
Removal of failing bridgeworks
Creating an upper lip and profile creating a youthful, fresher look with provisional restorations 2 months post-implant placement.
We need to improve the upper lip profile: This was completed.
Final treatment outcome: we have restored esthetics comfort & function and we have a happy patient
Clinical: Reconstruction of upper arch: implant supported bridgework & tooth supported crowns
The work was completed in six months and implants to integrate with the bone. Is best not to rush biology and allow optimal healing.
Note improvement in lip thickness & support in a combination of correcting protruding maxillary central incisors
Full lower arch reconstruction using special porcelain technology to restore tooth anatomy strength colour
Full lower arch reconstruction using special porcelain technology to restore tooth anatomy strength colour
Full lower arch reconstruction using special porcelain technology to restore tooth anatomy strength colour Lower arch positioned forward for improved lip support
We also extended the arch length to give fuller and complete lower smile line and lower cheek support for improve jaw line. This is most important for women with missing back teeth to reduce lower facial folding
Final treatment outcome: we have restored aesthetics comfort & function.
However most importantly we have complemented our lovely patient’s facial aesthetics.
Final treatment outcome and we have a confident and happy patient
Dr. Sarkis Nalbandian
Registered Specialist
Prosthodontist & Implant Surgeon
B.D.S. (Hons), Dip. Clin. Dent. (Oral Implants) Uni Syd, M. Clin. Dent (Prosth) King’s College, Uni London
D. Clin. Dent (Prosth) Uni Syd, FRACDS, MRACD (Prosth)
4 YEARS POST OP
17 Gerard St, Cremorne, Sydney, NSW, 2090
Mon to Fri: 8:00AM-6:00PM
Sat: 8:00AM-12:00PM
© 2020 Designer Smiles Pty Ltd.