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Posts tagged with "before and after"
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The restorative management of the bruxist patient - a dental nightmare
By Finlay Sutton - 14 November 2011
BDA Lancaster and Morecambe Section 9th November 2011
It was an absolute pleasure giving this presentation, as the audience were so interactive and the venue was the lovely Refreshment Room, where Brief Encounter (the 1945 film) was made. This is a difficult topic because the management of these patients can be very complicated. Treating a patient who bruxes (clenches and grinds their teeth) presents many challenges because the forces placed on their teeth can exceed 1000 Newtons. In this presentation I discussed the diagnosis and management of these cases. Bruxist patients’ who have been treated with composites (white fillings), crowns (caps), bridges, dentures and splints were shown. Techniques for increasing the longevity of these restorations were discussed.The presentation was illustrated with photographs of cases I have treated with Rowan Garstang my dental technician.
Learning Outcomes
The aim of this presentation was for attendees to have an increased understanding of the following aspects of bruxism and tooth wear:
- Bruxism – and the huge forces patients can place on the teeth
- how to manage bruxism, when the condition cannot be cured
- the importance of communication with patients who have this condition
- designing restorations to withstand the massive loads generated.
Tagged with: before and after, bruxism, whitening
Posted in: Patient testimonials 0 Comments
Replacement implant supported canine
By Finlay Sutton - 28 July 2011
My Experience - Patient Testimonial
I was referred to the Practice by my dentist because of a failed crown, which could not be repaired and the alternatives were to leave a space, have a single tooth denture or have an implant retained crown. Because the missing tooth is the upper right canine, having a gap was not something I wanted and a previous experience with a single tooth denture meant that this wasn't likely to be along term solution for me.
I had an initial consultation with Finlay, which was extremely thorough and was carried out in a manner which gave me confidence. I was able to discuss the options and was subsequently provided with a detailed treatment plan which enabled me to consider what I wanted to do. The treatment was complicated by the nature of my smile and whilst a straightforward implant would have been possible, I accepted the recommendation of a tissue graft at the implant site. This extended the length of the treatment, but the final result is well worth the wait.
The extraction, implant placement and graft were all carried out under intravenous sedation. This was administered by the Practice's Consultant Anaesthetist and both he and Finlay took time to explain what was involved and ensured that I was happy with what was going to happen. The sedation itself was the perfect way to enable the treatment to take place. As the sedative was administered I began to feel “fuzzy” and the next thing I was aware of was when Finlay was coming to the end of the procedure.
I was provided with a detailed post treatment plan and the necessary medication. Whilst I had some discomfort in the days immediately following the procedure, ordinary painkillers were adequate and I was able to return to work after a couple of days.
Once the tissue graft had healed, I was provided with a denture for aesthetic purposes. Whilst this was fine for the short period involved, it confirmed my view that a denture would not have been a satisfactory long term solution for me.
The period from the initial consultation to the final checkup was about seven months, but the final result is well worth it and I'm completely satisfied with the outcome and able to smile with confidence again!
Throughout the treatment, Finlay ensured that I understood what he was proposing to do and that I had the opportunity to ask questions if I was unsure about anything. The professionalism and attitude of Finlay and his team made the whole experience as “enjoyable” as such a complex process can be.
Tagged with: Anaesthetist, before and after, sedation, supported canine, treatment planning
