CASE 1 – IMMEDIATE DENTURES

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For additional before pictures click here. CAUTION: some viewers may find some of these images difficult to view.

The following case was a very challenging one but it’s a prime example of how dentistry can change and improve the quality of one’s life and it’s the reason why I am passionate about dentistry. While the treatment course resulted in a more confident, beautiful, and aesthetic smile, more importantly it resulted in the improvement of the patient’s overall health!

Pre-treatment Summary

Before coming to our office for treatment, this patient was suffering from frequent mouth infections that were being treated with antibiotics in the emergency room.  Overtime, the frequent use of antibiotics to treat these infections would lead to future infections becoming resistant to antibiotic medications and the patient did notice that antibiotics were taking longer to clear an infection and infections were growing more severe. If the root cause of the condition was not addressed, this condition would eventually lead into a life-threatening situation where the month infections could spread to the brain or other parts of the body; in this context, this patient urgently needed emergency dental treatment to correct the issue.

This case is also a reminder that while an emergency room will treat the symptoms involving mouth issues, they are generally not the place to actually fix the root cause of the issue. Mouth issues should be addressed by a general dentist or a dental specialist. Another reminder is that getting regular dental checkups and oral care would not only prevent these types of conditions in the first place, but would also prevent the need for more expensive and extensive oral procedures to correct the issue.

Treatment Description

Step 1-Initial Consultation, Examination, and Treatment Options

A full set of x-rays and a thorough dental examination was performed to fully assess this case. We also evaluated the current medical condition including medications, allergies and previous surgeries.

The examination revealed that the only option left available to this patient was to extract all of her teeth and create a full set of dentures. Other treatment options would have been possible if some of the remaining teeth were intact. The term “immediate denture” is used when patients have to have all of his/her teeth removed and a denture is placed the day of the surgery. Most of the times these dentures are not very accurate and a more permanent denture needs to be fabricated a few months or weeks after teeth are extracted.

Step 2-Consultation with Oral Surgeon

Given the condition of the teeth and complexity of the case, an oral surgeon was required for the removal of all the teeth and a consultation with the oral surgeon was needed in order to coordinate the delivery of the dentures.

Step 3-Pre-Operatory Impression

An appointment was scheduled to make an impression before teeth were extracted. The impression was sent to the laboratory to create bite rims. A bite registration was taken in order to create an accurate relationship of the upper and lower arches. Also, color and size of her teeth were chosen. The bite registration and molds were sent to a laboratory to have the immediate denture created.

Step 4-Teeth extractions

Teeth and roots were extracted by an Oral Surgeon under sedation. A special thank you to Dr. Schaner and his wonderful team at Atlanta Oral and Facial Surgery who performed the surgery on this patient. The immediate dentures were delivered by Oral Surgeon.

Step 5-Immediate Denture and Reline

The immediate dentures were loose and teeth were a little too big for this patient. A soft reline was done to best fit the dentures to the mouth while waiting for the mouth to fully heal, a process that can take 3 months to 1 year.

Step 6-Denture

It is recommended to wait at least 3 months before getting new dentures to allow for bone healing. If possible, it is recommended to try to place implants to ensure a stable set of dentures. There are also over the counter products that patients can use like fixodent or polygrip to help with adhesion of these dentures.

After bone and soft tissue was healed sufficiently and no mouth infections detected, we were able to create a more accurate and better fitting denture. It is possible that a “hard” reline procedure is needed after about 1 year when the bone and mouth should be completely healed.

Post-Treatment

To date, the patient has not had another mouth infection requiring the use of antibiotics and can now enjoy eating a wider variety of foods. It has been more than one year and the patient reports than the denture continue to fit and function well.

Lastly, with the new teeth, the patient has a new sense of confidence and the patient continues to express to us how happy she is with the outcome of the treatment. She said you guys literally saved my life!

 


 

CASE 2 – WHITE SPOTS ON TEETH

Did you know there is a non-invasive treatment called ICON Resin Infiltration that removes or significantly lessen bright white spots on teeth? These spots are called: hypo spots, enamel bruising, or decalcified white spot lesions.

Over the past several years, we have had a number of new patients with these lesions and are surprised their previous dentists never made them aware of treatment options available to remove them. This is precisely what happened with this patient. This patient came for a regular cleaning and I noticed the white spots on the teeth and began talking to the patient about it. The patient indicated these spots has always bothered her but her previous dentists never mentioned or presented this treatment to her as an option to consider. After explaining and providing more information about the ICON Resin Infiltration treatment, the patient decided to do it and the result were fantastic!

To learn more about the treatment itself, you can visit our ICON Resin Infiltration page.