Problem
This 48-year-old woman came to us desperately in need to find the solution, because she had been diagnosed with severe periodontal disease and all her teeth had to be extracted. Besides she was not happy with the way her teeth looked.
Approach
After a complete clinical exam, a full set of photos, and a CT scan, we could confirm that all her teeth were hopeless because of gum disease and their severe bone loss. Based on the dental impressions we created a customized digital smile design for her. Our goal was to give back her functionality and at the same time improve her look. Because of the periodontal disease and especially the severe bone loss, this treatment was planned in 3 stages (visits).
Visit 1
In the first stage, the extractions, bone grafts, and bilateral sinus augmentations, along with 8 dental implants were done. The patient had to leave with regular dentures, as temporary teeth which were also based on the digital smile design. This was necessary while the implants healed into the bone.
Visit 2
In the second stage, 6 months later, she came back to Costa Rica, to receive 4 remaining implants and to get some temporary plastic bridges that would go over the first set of implants, this was a new set of fixed temporaries. This was done to improve her quality of life, while the second set of implants healed into the bone and she could have had the final set of teeth.
Visit 3
Third Stage, and final visit. This time she came to Cancun and was ready to receive her final set of zirconium structures. The second set of plastic teeth based on the smile design were tested to make sure everything fitted as planned.
End
The zirconium structures were delivered and secured with screws, 2 days were given for her to try it out and make sure she was comfortable with her new set of teeth.
She has lost the fear of losing her teeth and now she is back in the real world with functionality and looks she always dreamt for her smile.
