Case Studies
from Contemporary Smiles in Corrimal
Initial Situation
This patient presented to our practice with significant oral health concerns, including five missing upper teeth and severely compromised remaining dentition. The lower arch featured A06’s placed two years prior, with no current pain but notable inconvenience and functional limitations. The patient had been relying on snap-on veneers to mask aesthetic concerns and assist with chewing. Medical history was unremarkable, though the patient is a smoker and expressed willingness to quit.
A clinical examination revealed advanced deterioration of the remaining teeth, with extensive damage, prior resin restorations, and suspected buccal bone loss beneath existing bridges. Peri-implantitis was observed around teeth 44 and 45. The condition of the remaining dentition was described as poor, with a borderline prognosis for many teeth.
Objectives:
- Improve aesthetics and chewing ability
- Replace missing teeth with stable long-term solutions
- Address peri-implantitis and underlying structural issues
- Remove reliance on snap-on veneers
The Treatment Plan
Phase 1: Disease Management and Stabilisation
The first phase focused on halting disease progression. The patient was educated on
smoking cessation and its role in implant and periodontal health. Initial efforts included professional cleaning, targeted oral hygiene guidance, and local management of peri-implantitis around 44 and 45. A conservative approach was taken due to bridge coverage obstructing full visual and radiographic access – definitive assessment was deferred pending bridge removal.
Phase 2: Removal of Failed Restorations and Resin Veneers
The old resin restorations were removed under local anaesthesia (1 x Septanest), along with areas of decay. The affected teeth were found to be heavily structurally compromised. Composite veneers were placed, knowing the prognosis was guarded. The patient was fully informed that no warranty could be provided due to the extent of previous damage and the high likelihood of future root canal therapy or potential extractions.
Phase 3: Partial Denture Fabrication
To replace the missing upper teeth and provide an interim solution that restored function and appearance, a partial denture was constructed. This allowed immediate aesthetic improvement and enhanced chewing function, providing the patient with stability while further long-term treatment options were evaluated.
The Outcome
The treatment resulted in a successful short- to mid-term restoration of the patient’s oral function and aesthetics. The composite veneers brought back structure and form to severely damaged teeth, giving the patient an immediate boost in smile confidence. Despite their compromised nature, the restorations have remained intact, with no post-op complications or further deterioration at this stage.
The partial denture has been well tolerated, significantly improving mastication and speech, while alleviating the inconvenience associated with the prior snap-on veneers. Peri-implantitis sites have been stabilised, and the patient has committed to quitting smoking, which will positively impact their long-term prognosis.
The patient is currently under a strict maintenance program, including ongoing monitoring of the compromised teeth and peri-implant sites, with a view to possible future implant-supported restorations once oral health stabilises.
BOOK IN FOR A FREE CONSULTATION TODAY
Book in for a FREE consultation with one of our dentists at our Corrimal Dental Clinic.Why choose Contemporary Smiles Dental?
At our practice in Corrimal, patients have access to a comprehensive range of dental treatments. We strive to provide state-of-the-art procedures, including dental implants, orthodontics, hygiene, cosmetic, and unique/bespoke services. Our team of highly skilled and experienced dentists works together to ensure our patients receive the care they need all in one place, without the need for referral to another clinic.
Why do regular dental visits matter?
The importance of routine dental check-ups lies in their ability to detect oral health issues at an early stage, making treatment simpler and more cost-effective. Preventive measures can also be taken to avoid the onset of oral problems. Additionally, certain diseases or medical conditions may manifest symptoms in the mouth, making regular visits to the dentist crucial.
How often do I have to go to the dentist?
Dental treatment is tailored to the individual, as every person's oral health needs are unique. The frequency of dental visits may vary, with some requiring only one or two visits a year, while others may require more. Your smile is unique, and your dental care should reflect that.
What should I look for when choosing a dentist?
It's advisable to consult multiple dentists before making a decision. Dental care is a personal service that relies on a strong relationship between dentist and patient. During your initial visit, you should be able to assess if the dentist is a good fit for you.
What are the early signs and symptoms of mouth cancer?
Mouth cancer can occur in various parts of the mouth including the lips, tongue and the throat. Sadly, mouth cancer has a high mortality rate due to late detection. However, there is hope as precancerous conditions can develop well before cancer and if detected early, can be effectively treated with a high chance of prevention or cure. Some common early signs of mouth cancer include:
- An ulcer or sore throat lasting more than three weeks.
- A white or red patch on the soft tissue, gums, tongue, or inner mouth.
- Chronic sore throat or hoarse voice for over six weeks.
- Difficulty swallowing or feeling of something stuck in the throat.
- Neck swelling lasting more than three weeks.
- Numbness of the tongue or other mouth area.
Is bad breath a sign of gum disease?
Chronic bad breath or a bad taste in your mouth can be a warning sign of gum disease and other oral issues, making it important to identify the cause. If you are experiencing persistent bad breath, schedule a visit with your dentist. Regular check-ups enable them to detect any underlying problems, as your bad breath may indicate a medical condition. If your dentist finds no oral health issues, they may refer you to a primary care physician.
Should I have my wisdom teeth removed?
Wisdom teeth removal is not always necessary, but in certain situations, their arrival can cause discomfort, swelling, or infection. The most frequent issue we encounter is the lack of sufficient space for the wisdom teeth to emerge, leading to the recommendation of extraction for impacted wisdom teeth.
How long will my implants last?
Your new teeth's lifespan depends on the quality of care you provide after the implant area has fully healed (typically 3-6 months) and the crowns have been properly fitted. Proper care, such as you would give to natural teeth, will ensure the longevity of your implants and they can last a lifetime.
How can you get in touch with us?
If you're located in the Illawarra and surrounds, we welcome you to contact us for a consultation. Patients travel from far and wide - including Batemans Bay, Canberra, and Sydney to receive quality dental care from our experienced team.
We'd be happy to discuss your treatment options and help you take the next step towards a healthier smile.