Dentures & Dental Implants

Rehabilitation of Terminal Dentition Terminal mandibular dentition affecting speech function and comfort worsening since 2005 Reason for past tooth loss: caries, periodontal disease as a result of poor oral hygiene years ago. Maxillary (upper) denture constructed 10 years ago.

Dentures & Dental Implants

Dentures and Dental Implants – Patient Story

Rehabilitation of Terminal Dentition

Terminal mandibular dentition affecting speech function and comfort worsening since 2005
Reason for past tooth loss: caries, periodontal disease as a result of poor oral hygiene years ago.
Maxillary (upper) denture constructed 10 years ago.
Negative adaptation history to maxillary denture.

This study will show

Complexity of treatment
Treatment outcome
Patient’s assessment
Please refer to the video provided

Inability to speak clearly and with confidence: well the denture is loose!

Chief concerns: “My lower teeth are mobile, I only use my top plate for eating and its usually in my shirt pocket for last 12 years, its bulky”

“Want to eat again and smile with confidence”

“I want a fixed denture for my bottom jaw, since I can tolerate the top loose plate”

Prosthesis stability: comfort

Aesthetically pleasing complete RDP

“Want to improve my health”

INITIAL PRESENTATION

Patient was referred by his dentist, seeking a dental specialist’s opinion and treatment in relation to fixed option of restoring missing teeth and failing dentition. Patient being a past model had difficulty in adapting to his current upper denture/plate. He also retained his lower teeth due to fear in wearing a complete lower denture, since the upper denture was unsuccessful.

Most of the time upper plate was in the patient’s top shirt pocket, only using to chew his food, affecting his confidence in his profession.

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.

Note Upper arch: edentulous and lower arch with broken-down dentition, and crowns.

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DIAGNOSIS

Unacceptable dental aesthetics & function due dissatisfaction with failing: teeth, fixed restorations and poor adaption to existing upper inadequate denture.

Our Aim: to improve the aesthetics of upper arch: New denture correctly constructed for patient comfort speech. Followed by construction of implant supported fixed lower bridgework.

In patients with maladaptation to upper dentures, we normally construct a well fitting and aesthetic denture. If this is satisfactory, there is no need for further treatment with implant and fixed bridgework. However, those few patients who cannot adapt to new upper denture that has been tried by myself, then the next option is to consider upper (maxillary) fixed implant supported bridgework.

This was accomplished with minimal discomfort to the patient and he left the practice without teeth. The new maxillary denture and lower provisional bridgework as both aesthetic and function.

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TREATMENT

Following with discussion of all risks and treatment modalities with our patient that included

treatment: this is not an option as the restorations are failing and affecting longevity of supporting teeth
option: implant supported upper and lower fixed bridgework-assuming there is intolerance to upper denture
Provision of new upper denture as the patient can adapt and construct new lower implant supported fixed mandibular(lower arch) bridgework) and accepted by the patient

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PROCEDURE &RESULTS

Construction of aesthetic and well fitting maxillary complete denture, followed by immediate provisional (ISFDP) implant supported fixed bridgework as the lower teeth are removed and the provisional bridge constructed within few hours on the day of the implant placement.
Lower arch: Immediate provisional (ISFDP) implant supported fixed bridgework as the lower teeth are removed and the provisional bridge constructed within few hours on the day of the implant placement.

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LABORATORY

Reconstruction of upper arch: complete maxillary prosthesis
Clinical: Reconstruction of upper arch: implant supported bridgework and tooth supported crowns.
The work was completed in six months and implants to integrate with bone. Is best not to rush biology and allow optimal healing.
Final treatment outcome: we have restored aesthetics comfort & function and we have a happy patient.

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FINAL TREATMENT OUTCOME

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What our Clients Say!

I've been a customer of Designer Smiles for over 20 years and I cannot say enough good things about them! From the moment you walk into the office, you are greeted with a warm and friendly atmosphere that immediately puts you at ease. The staff is knowledgeable, professional, and caring. They use the latest technology and take the time to explain everything. I highly recommend them!

Ken Baumli

Dr Sarkis is the maestro of cosmetic dentistry….for years I suffered with 2 slightly darker front teeth due to a childhood accident. I’ve had composite veneers before but nothing compared to the composite veneers Dr Sarkis did……now I feel so confident smiling again……Dr Sarkis I can’t thank you enough…

Monica McKenzie

Quite literally the best dentist I’ve been to in a lifetime. Dr Natasha Koelmeyer specifically is just a wonderfully kind and gentle Doctor. Must also mention that the head specialist here is also second to none. Their knowledge (goodness they know their stuff) their approach, their kind and gentle manner - my daughter actually enjoys going to the dentist. They’ve got a really considered patient centric mentality. I wouldn’t go anywhere else, every single person there including the reception staff is a star. Thank you Designer Smiles!

Michelle Lacasse

My journey with Dr Sarkis began about 10 years ago. I did not realise that I had lacked self confidence and shone away from "my true smile". Dr Sarkis was honest, reassuring and professional throughout my process and not only was he able to achieve that perfect smile but achieve same without compromising the health of my teeth and gums.The ongoing care at Designer Smiles is 5 star whether it is a routine check, clean minor or major dentistry. Thank you Dr Sarkis and also your team.

Christina Vergotis

I found Designer Smiles from one of their YouTube videos showcasing the Icon treatment to fix white spots on teeth. Dr. Sarkis Nalbandian's consultation provided me with a thorough plan and showed me how their practise could give me predicable results for my concerns. I knew I was in safe hands. I had Kristy Gupta perform both of my procedures and she was very professional and so kind. I am very happy with my results!

Winsome Kain

I cannot express how grateful I am for Sarkis and the team at Designer Smiles. Around 11 years ago my life changed when Sarkis first transformed my smile with composite veneers. This month, with my original teeth in tact I returned to have my composite veneers upgraded to porcelain. I was amazed that Sarkis and his team could do this without an injections, no pain and whilst still keeping my original teeth in tact. I absolutely love the result and I would highly recommend that anyone that is unhappy with their smile in any way, must visit designer smiles

Matt Williams

Started my treatment with the team at Designer Smiles in 2019. Had other dental treatments including Maxillofacial, expanders, straightening and gum grafting but out of all the procedures and surgeries Dr. Sarkis was the key as he was applying the ‘finishing product’ which included composite veneers. I am gobsmacked by the incredible job done. He talks the talk and definitely walks the walk. And his support team there are simply incredible and make you feel part of a family not just another dental clinic to take your money. Can not recommend highly enough. Customer for life here!!

Shaun Meader

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