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crown lengthening, dental implants, ceramic crowns, full dental reconstruction
Mr. C had severe tooth wear, several missing teeth, and many defective fillings. The worn teeth were not hopeless, but we needed to perform a gum procedure, known as crown lengthening, to be able to repair them. Dental implants were used to replace the missing teeth and ultimately we rebuilt his entire dentition with ceramic crowns. Now he is able to speak clearly, chew effectively, and smile confidently.
dental implants, custom abutments, ceramic bridge
Ms. L was unhappy her implant bridge. It replaces several of her front teeth, but appears to be slanted. An examination showed that the bridge wasn’t inserted completely, which in addition to looking strange, was causing significant inflammation of her gum tissue. We used digital design software to fabricate new custom implant abutments and a new ceramic bridge with proper proportions and position.
sinus bone grafts, dental implants, overdenture
Ms. R lost all of her upper teeth many years ago and is tired of her denture. Because she has been without teeth for so long, her upper jaw has shrunk significantly, so Ms. R required a large bone graft, 4 dental implants, and 2 retentive bars to stabilize an upper “snap-in” denture, also referred to as an overdenture. Most importantly, by changing the position of the teeth in her new overdenture, we were able to give this patient the slightly more youthful look that she desired
dental implants, cast post and core, ceramic crowns and ceramic bridges, full dental reconstruction
Ms. K had all of her teeth capped or crowned about 20 years ago. Over time, her gums have receded, showing a metal line around those crowns. She has also lost several teeth, and her upper front teeth have become mobile. We extracted the fractured front teeth, replaced her missing teeth with dental implants, and used ceramic crowns and bridges made of zirconia to restore her entire dentition. The best part for her is, “no more black lines around my teeth!”
Dental implants, custom abutments, single crowns
Ms. B was born without lateral incisors and now that she is in college, wanted a permanent tooth replacement. She underwent orthodontics to idealize the position of the adjacent teeth and to create space for dental implants. Despite these efforts, there was just barely enough space for the implants. To address the problem, we used implants of narrower diameter and a careful surgical technique. After healing, we fabricated temporary crowns to shape the gum tissue and test out the look of her new teeth. Once the patient was happy with the appearance and function, the last step was fabrication and insertion of her customized abutments and single crowns.
one-piece abutment and crown
Several years ago, this patient knocked out one of his front teeth and received an implant and a ceramic crown to replace it. Unfortunately, the part of the implant that connects to the crown, called the abutment, broke and the entire crown came out. When I met him, he had a temporary crown in place that was short and discolored. We fabricated a new 1-piece abutment and crown made from slightly different materials, with the hope of a lower risk for complication.
ceramic crowns, partial denture, full dental reconstruction
Ms. Y is another patient with extensive dental disease. Nearly all of her remaining teeth show signs of erosion, which is a type of tooth wear, which makes her teeth look very thin and fragile. We used ceramic crowns to rebuild all of her teeth and improve the look of her smile. Instead of dental implants, this patient selected a removable partial denture to replace her missing teeth. She didn’t mind the metal clasping arms that hold the partial in place, and she liked the fact that she can take it out to clean. This option allowed her to save a little money and still achieve an excellent result.
maxillary denture, dental implants, mandibular overdenture
Ms. EE did not particularly like how her upper denture looked, nor did she like how her lower denture moved around. So, we decided to make her a new conventional upper denture that looked better, and also provide her with two implants in the lower jaw to create a “snap-in” overdenture. You can see the underside of her lower denture (with the black caps) that snap onto the gold pegs in her lower jaw. For patients unhappy with their dentures, this treatment option is perhaps the most cost-effective way to improve the quality of life related to dental health.
maxillary denture, dental implants, mandibular fixed full arch prosthesis
This patient grew up in a part of the country that did not have fluoride in their drinking water, which combined with many years of constant soda drinking, left him with severely decayed teeth. Unfortunately, the damage was too extensive to repair and the patient elected to have full mouth extraction. Once the extraction sites had healed, we fabricated a new conventional denture for his upper jaw, then placed 4 implants in the lower jaw, and fabricated a full arch bridge made of a high strength ceramic called zirconia in the lower jaw. The change in his life was simply remarkable.
maxillary denture, dental implants, mandibular fixed full arch prosthesis
A victim of abuse, when I first met this patient she had no teeth in her upper jaw, and severe decay on the few teeth remaining in the lower jaw. She has also had more than one bad experience at the dentist, so relationship building was a big component of her care. We extracted the remained teeth in her lower jaw, and then placed 4 implants in the lower jaw. Once healing was complete, we fabricated a new conventional denture for her upper jaw and a full arch zirconia bridge for her lower jaw. Now she smiles all the time and has regained the confidence she once had.
Mr. J simply could not afford proper dental care when he was younger, and unfortunately this resulted in teeth being extracted even when the problems were not particularly severe. Now he has lost all of his teeth and is in need of something. He had plenty of jawbone left to fabricate stable upper and lower conventional dentures. In this case, you can see that we added slight asymmetry to the tooth positions and that we used customized staining of the pink plastic to ensure that his dentures do not look like denture.
dental implants, fixed full arch prostheses
Ms. S came into the office with a number of failing bridges and a very collapsed bite. We used digital design software to precisely plan the future location of dental implants, and after implant placement, to also design and fabricate 2 full arch bridges made from zirconia ceramic. We used 6 dental implants in the upper jaw and 4 in the lower jaw. The key to this case was making her smile “age appropriate”. The patient didn't want fake looking teeth, so we carefully selected tooth color, contour, and position to ensure the proper look.
Trailhead Dental is a prosthodontic office specializing in implant, esthetic, and reconstructive dentistry.
Many people live with dental problems and are unaware that a solution is right around the corner. If you have concerns about your dental health or would like to have a relaxed discussion about your dental needs, please contact us to schedule a consult with Dr. Bryan Limmer.