Quality & Affordable Dentistry in Malaysia

Planning Your Whole Smile With Dental Implants 

Posted by dentist3 in Uncategorized | 0 comments

Have you seen a smile where no two teeth seem to match? There are crowns and fillings of different shapes and colours, and the gums are different heights. The result is just untidy.

I call this patch-work dentistry. One item of dentistry is done every few years and the result is a patchwork appearance. If you have a new implant placed, are you just adding to the patchwork? It is time to take a step back and look at your whole smile, so the size, shape and colour of your new implant can be planned with your whole smile in mind.

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp : https://linktr.ee/dentist3

Before you start treatment, let us consider your smile in particular. Is there any other work that needs to be considered together with your implant treatment?

The smile is made up of:

1. gums

1. teeth

2. lips

Let’s look holistically at your smile right now. Grab a mirror and talk me through what you see.

Your Gums

Are your gums pink and healthy?

Is your gum line symmetrical?

Do you have a gummy smile?

Your Teeth

Are you happy with the shade of white of your teeth, or would you like them whiter?

Are all your teeth a good shape, symmetrical and even?

Are your teeth crowded or spaced? Would you like them correcting with straightening?

Do you have old crowns and fillings that need changing for aesthetic restorations?

Are any of your teeth worn or chipped?

Your Lips

Are you happy with the shape of your lips, or are they thin or asymmetrical due to teeth that are irregular or set back in the smile, and therefore not supporting your lips well?

All these aspects need discussing at the planning stage, so that your case can be planned to get your desired result.

There may need to be a multi-disciplinary team approach.

Multi-disciplinary means that different clinicians with different skills plan your care together. They work side by side to give you the best outcome. A highly skilled implant surgeon may not be the best clinician to also provide highly technical aesthetic dentistry or treat crowded teeth, for example. The best result, in this example, may be for an implant surgeon, aesthetic dentist and orthodontist to plan your care and work together holistically. There are different looks for different people. Let’s look at some examples.

The Natural Look for your dental implant in Selangor, Malaysia

Some patients want to keep the look of their existing smile. So missing teeth are replaced to match the remaining teeth, matching the colour and reflecting the nuances of aging teeth.

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp : https://linktr.ee/dentist3

Case 1

Take a look at this smile.
Take a look at this smile.

This patient has a missing front tooth. The other incisor has recession at the root, showing as darker yellow. In this photo, the implant fixture has been placed, which we can just see the healing abutment showing in the gum.

The gum has healed, and the dental implant is ready to be restored with an implant-crown. Let’s look at the aesthetics of the other natural front tooth. 

There is recession at the gum line, with the yellower dentine showing, and the tip of this incisor is very slightly worn. The teeth have a natural yellow hue.

The patient had two options, 

(1) to smarten up the remaining teeth before the implant crown is placed, or

(2) simply match the implant crown to the remaining teeth. This patient requested the new implant crown match her existing teeth and this was what was planned.  The dental implant crown was created by the ceramists to mimic the matching incisor as perfectly as possible. The implant crown has the appearance of recession, being shaded darker at the gum line, and the biting edge of the tooth is created to look slightly worn.

After treatment: the implant crown has been fitted to the implant fixture.
After treatment: the implant crown has been fitted to the implant fixture.

Class 2

In this second example, which of the two incisors do you think is the implant crown?
In this second example, which of the two incisors do you think is the implant crown?

It is difficult to tell. Actually it is the front right incisor, as you are looking at the photo. Let’s look at a more complex case.

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp : https://linktr.ee/dentist3

The Smile Makeover in Selangor, Malaysia

You can’t see it in the photo, but this lady had a failing front tooth that needed replacement with a dental implant. Now, as we discussed in Case 1, she could just have had this tooth replaced with an implant and the colour matched to the teeth either side. However, she didn’t like the teeth either side. She wanted to review the overall aesthetics of her smile. So, this was discussed at the planning stage. Let’s look at her aesthetic issues of the upper teeth.

Concerns:

Gums: asymmetry of the upper gumline. Colour of the teeth: natural yellow. A whiter colour was preferred, yet still within the natural-looking range.

Shape of the teeth: asymmetrical teeth, including all the upper 8 front teeth showing most in the smile.

Centre-line: not straight. The edges/tips of the front 6 upper front teeth were out of line, especially the front incisors.

There were four old crowns on the upper front teeth, with one of those failing and needing replacing with a dental implant crown.

So, the plan in order:

1. Removal of the failing tooth and a temporary restoration placed.

2. Professional Teeth Whitening treatment of the remaining natural teeth during the healing period.

3. Placement of the dental implant fixture, with adjustment of the gum-line to create symmetry.

4. After the healing period, placement of new crowns/implant-crown/ veneers on the upper 8 front teeth – all at the same time.

Let’s take a look at the before and after photos side by side:

Before
Before
After
After. 

At every, stage the patient had temporary restorations so she could smile with confidence.

How Harmony of Colour is Created in Selangor, Malaysia

When ceramists make crowns and veneers, then they build up each layer of the porcelain in a similar way to the colours of a natural tooth. They start with a darker layer, mimicking dentine, then a middle lighter layer, mimicking enamel and finally place a translucent top layer. It really is art. 

Many, many colours are used in the layering process. To recreate a crown to match one already in place, is like asking an artist to recreate an oil painting exactly to match one painted previously. Possible, but almost impossible.

It is much more accurate to create works of art at the same time, side by  side. In the same way, the results of ceramists are much more consistent if adjacent crowns, veneers and bridges are created at the same time.

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp : https://linktr.ee/dentist3

Creating all of these 8 crowns/veneers in the photo above at the same time ensured that all would match. They were colour-matched to the newly whitened lower teeth.

Let’s look at another complex case.

The Negative Smile-Line. This patient had old crowns which had recession at the roots, shown by the dark lines near the gum. Also, the tips of the teeth were uneven and presented in a ‘Negative Smile-Line.’ She needed one failing tooth replacing with a dental implant. The patient asked to redress all of the issues in the smile at the same time.

Before
Before
After: Full smile redesign, including new implant and additional crowns.
After: Full smile redesign, including new implant and additional crowns. 

A Note About Professional Teeth Whitening Teeth

Whitening only works on enamel, not on dental-made restorations. It is so important to choose the colour of your teeth before any treatment is started. If a natural yellow crown made is made to match your naturally yellow teeth, then if you were to whiten your natural teeth, the crown would remain the same colour. Yellow.

So, whiten your teeth first then have any new crowns made to match the whiter colour. You will avoid expensive remakes.

Dental Implants Replacing a Failing Dental Bridge

Before: note the failing dental bridge with severe recession around it, and the bone loss around the canine on the right side of the photo.
Before: note the failing dental bridge with severe recession around it, and the bone loss around the canine on the right side of the photo.
After: the dental bridge was replaced with a dental implant bridge and the old crowns replaced at the same time, so that the restorations match.
After: the dental bridge was replaced with a dental implant bridge and the old crowns replaced at the same time, so that the restorations match.

“When I first started working with implants, I didn’t understand the scope of implants at all. They can replace any missing teeth, from one, two, several to full mouth replacement. I just love watching our patient’s journeys, and patients being totally amazed. They become so happy and confident. It’s so nice to see this. I love my job, it is so fulfilling.

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp : https://linktr.ee/dentist3

Replacing the Failing Upper Teeth and Old Partial Denture with Implant-Retained Locators

Before: The six upper front teeth were failing, with gum disease, and the patient was wearing a partial denture replacing all the missing back teeth.
Before: The six upper front teeth were failing, with gum disease, and the patient was wearing a partial denture replacing all the missing back teeth.
During treatment: The remaining upper teeth were removed, and four dental implant fixtures placed.
During treatment: The remaining upper teeth were removed, and four dental implant fixtures placed.
After: The lower teeth were whitened with professional teeth whitening, and the upper teeth were restored with an implant-retained denture fixed to the implants.

“A lady in her late 60s came to visit us complaining of ill-fitting dentures. She was unable to wear them. In fact, she actually arrived to the appointment with no teeth in at all, not wearing any dentures. She proceeded to pull 6 pairs of previously-made dentures out a plastic bag with that she couldn’t wear. She was quite depressed and not confident at all. She came across as quite moody, almost to the point of being aggressive. It turned out her husband had passed away a few years ago and since then she had not socialised with any of her family or friends.

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp : https://linktr.ee/dentist3

The fact that she could not wear her dentures even to talk, let alone eat, mortified her. Her health was deteriorating due to living on a soft diet as she was unable to chew her food properly. All this led to her suffering with mild depression. We discussed an over-denture on implants and she loved the idea. We proceeded with the surgery and successfully fitted upper and lower implant-retained dentures. We called her back after 6 months for a review. This is why the memory stays with me…. the same lady literally skipped into the practice. Her hair was freshly permed, her face was made-up beautifully with bright red lipstick and a smile as wide as you would ever imagine. She began to thank us for changing her life. She went on to explain that she now is constantly out visiting friends and family. She can now confidently talk without having to worry about a lisp or her teeth falling out! What was also amazing, was that her health had dramatically improved as her diet was no longer mainly soft foods. She had been able to introduce roughage into her daily diet. Her mental health had improved and she was no longer taking medication for depression. Her overall quality of life had changed dramatically.  Seeing this first hand, made me love my job and dental implants more and more. I now work for one of the world leaders in implant manufacturing and I am able to share my experiences and passion of why dental implants are simply life-changing.”

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp : https://linktr.ee/dentist3

Leave a Reply

Your email address will not be published.

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>

error: Please email smile@dentist3.com for Content :)