Mr H came to the Surbiton Smile Centre initially with the problem of a loose bridge. He avoided smiling as his teeth had been damaged in a rugby game several years previously causing his front teeth to be shunted forward. He had also lost a tooth on the upper right side, which had been replaced by a cantilever bridge supported by his top-right canine.
Unfortunately, this canine was fractured, and the entire bridge fell out. Upon examination it was found that his upper-left incisor was also infected and needed to be extracted. Mr H had developed the habit of clenching his teeth, which had over the years, worn down the surfaces of all his teeth.
Taking time to talk with Mr H, he revealed that he did not like the appearance of his teeth. He said that he tried to stop himself smiling and always made sure that he kept his lips closed when he talked. Mr H asked if there was any way to improve the look of his teeth. He was aware that he had not smiled for a long time. Mr H was assured that it was possible to restore his teeth and give him, once again, a healthy, natural smile.
A cost-effective Treatment Plan was devised that took into consideration his wishes and budget. It was to be a multi-disciplinary procedure, which would require a long-term commitment from Mr H, but would in the end fully reconstruct his mouth.
Mr J is a special case. He has been coming to Surbiton Smile Centre to see Dr. Soltani since 2003. Mr J had problems with decay and grinding his teeth. A smoker, his condition was made worse as his saliva secretion was next to nothing. These additional risk factors made Mr J more prone to tooth decay and erosion. To begin to restore his teeth to health, we needed to find out what was going on. Firstly, Mr J went to see hygienist to improve his general oral hygiene.
A saliva test showed that his lack of mouth moisture was a severe problem. We asked him to cut down on his smoking and drinking, and rinse his mouth twice day with fluoride mouthwash. Over a course of a year, this would strengthen the tooth enamel. A blood test at his GP also revealed Mr J had a liver problem. We drew up a personal treatment plan in consultation with Mr J to boost his confidence and improve his social life. His decayed teeth would be restored over several years, a course of action that required considerable co-operation from the patient. He only wanted to restore his upper jaw, so we kept the upper-left canine and with orthodontist treatment brought the upper teeth forward, making plans to increase his bite and the height of the teeth.
We made a personal mouth guard for him to protect his teeth from grinding and allow the teeth to move forward in both his upper and lower jaw. These measures managed to increase Mr J’s bite, giving him an extra 2 mm. Mr J’s new upper teeth were designed on a wax model. To accommodate the longer teeth, we needed to reshape his gum as well. We made him a set of temporary crowns, which he wore for several months to get used to his new bite height. At this stage, we could alter and adjust his crowns until Mr J was happy with his new teeth.
He had regular check-ups on his oral hygiene and we monitored how he was getting along with his new teeth. After 9 months, we took a final impression and built new crowns from metal-fused porcelain. On the lower-right side we placed an implant to provide him with a better chewing platform. With this type of case, treatment continues with a good programme of daily dental hygiene. With a good diet, good saliva flow and cutting down on fizzy acidic drinks, Mr J can expect to keep his new teeth for many years.
Mrs W’s denture had become loose because of bone loss in her jaws. There was not sufficient bone to hold her denture in place and she couldn’t eat comfortably. Because it constantly threatened to fall out, socialising was embarrassing for Mrs W and she was very unhappy.
The only solution was to build a new implant-retained denture for Mrs W. With our dental expertise and technical knowledge, we fixed with four implants in her upper jaw and three implants in her lower jaw, as well as making the new dentures. With them snugly fitted, Mrs W looked happier and healthier with fewer wrinkles around the mouth. Now she could eat everything without any stress, talk and smile with confidence, and socialise in comfort. Her life is revitalised and she shines when she smiles. Mrs W has had her denture for the last three years and still attends the dentist for her annual check-up. It is great feeling for the Surbiton Smile Centre team to see how our efforts and care improve the quality of our patient’s lives.
Mr T came to us for help before his daughter’s wedding. He had a gap in his front teeth, which he wished to make smaller while retaining this part of his character.
Time was of the essence here. An impression of Mr T’s teeth was taken, and this was immediately sent to the dental technician for making his new teeth in wax. Mr T was rescheduled to see the wax models in a matter of days, which then gave him the opportunity to visualise the look of his new teeth. Meanwhile, after a clinical examination, and the taking of X-rays and photographs, his proposed treatment plan was discussed. At his next appointment, Mr T’s teeth were shaped, and a set of temporary veneers and crowns were made up. These were worn as temporaries for 6 weeks, in order to see if he liked their shape and form, and also to check if he was happy with the setting. Finally, a new impression was taken and sent to our dental technician for making the final crowns and veneers.
Mr T was impressed with the speed and efficiency of our service. He was very happy with the end result. He did not outshine his daughter on her wedding day, but his smile said it all.
Patient G had been undergoing orthodontist treatment at another dental practice for two years, but had failed to maintain good oral hygiene. She came to Surbiton Smile Centre after her braces had been removed, revealing that her teeth had decayed underneath.
We gave her back her beautiful and individual smile with a four-stage cosmetic treatment, returning her to her bright and bubbly self. First of all Patient G was given a whole-mouth gum treatment. Then, fluoride therapy strengthened the surface of her teeth. Bleaching for two weeks at night and for one hour in the surgery brought back her pearly whites, and finally, the surfaces decayed by the orthodonic adhesive were lovingly restored.
The form and the shape of our teeth have a fundamental impact on facial harmony and, as a result, our confidence. Ms Z, a beautiful Romanian woman, didn’t like the way her teeth looked. Her front teeth were root-filled and built up with filling, which affected the harmony of her face. Due to root filling, Ms Z’s teeth were slightly dark, and the shape and the shade of her teeth interfered with her lovely face and bright personality. Our dental treatment masked the dark shades with an opaque material, and Ms’s teeth and beautiful smile were restored with two metal-free ceramic crowns.