Nothing to hide any more….
When the patient first time arrived to us asking if we could improve her smile, so she should not need to hold her hand in front of her mouth when smiling, and we said, well, we can do the trick for you, she was so happy with the quick and reassuring answer of our dentist, that with the next smile, she even forgot her tooth covering reflexes. Well this is how the treatment started…
During the consultation it turned out that some of her dental caries was so deep that even the nerve chamber of some of her teeth were involved…She was indeed complaining for years of sensitivity and recurrent pains of her teeth…to avoid further problems she needed also some root canal treatments and fillings to avoid recurrent infections and pains. Only after the cleaning of the dental cavities and caries we can make the root canal treatments, fillings and the necessary preparations for crown and bridgework.
Unfortunately some of her teeth were too bad for salvage and we had to remove them. To have enough posts for fixed bridgework, she needed some implants also. As she was missing many teeth for decades, she had also major bone resorption, thus she needed also sinus bone augmentation (bone graft to sinuses) during the implant surgery.
Following the healing of the implants we used two types of crowns and bridges: to the upper front she got Procera crowns, to the lower jaw she got gold ceramics.
As we could not use immediate loading 3 months had to be waited for the full healing of the lower implants, but as we can see it was worth the patience….