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Gum Disease

Treatment time 16 months
Gum Disorder
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Comments: A remarkable transformation for someone who was clearly very self aware of her smile.

We worked with specialist periodontist Dr Roula Tsirba and we carried out her teeth alignment and the replacement of her missing lower teeth. The lower teeth were zirconium which allowed thin wings which could be bonded to the adjacent teeth – see image above- which was sandwiched under our bonded retainer. It was a ‘stress broken’ design to absorb small movements of the teeth without breaking the retainer. A very rewarding treatment to undertake and I am sure it ws well received.

Memorable Moment: From the moment I met her she always smiled and personified contentment. It is a lovely place to be.

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Mahesh Patel Copyright©

Treatment Time: 9 Months
Brace: 2D Lingual
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This  lady was unfortunate to have movement and migration of the teeth in the upper and lower jaw, complicated by bone loss and gum recession.

She was 56 when she commenced orthodontics and she wanted an ‘invisible brace’ for the upper teeth and a discrete brace for the lower teeth. Cost was a factor. We opted for a 2D lingual brace for the upper teeth and a Damon clear for the lower teeth – we felt this would be appropriate when bone level was compromised.

In 11 visits, we obtained the result she wanted.

54546 Mahesh Patel Copyright©

Treatment Time: 13 Months
Brace: Metal
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Spaced teeth can present challenges of gum enlargement during space closure.

This is an extreme case of enlargement managed with trimming. Residuals spaces are acceptable for the clinician and client at present.

Composite bonding can be considered if necessary.

47005 Mahesh Patel Copyright©

Treatment Time: 8 Months
Brace: Metal
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A beautiful example of our practical multidisciplinary teamwork between periodontal care, restorative care and orthodontics. This young lady was unfortunate to be affected by by periodontal disease at a relatively young age with drifting of the teeth due to bone loss, gum recession, gaps and dark triangles between the teeth.  Gaps and dark triangles are disliked by patients for poor appearances and cause of food/plaque traps. They are disliked by dentists as they can be a severe challenge  to correct.

After being managed by Rana at AlFa-Perio initially for the important gum and bone treatment she was seen by Ash, at the SmileDesignByAsh,  and ourselves. We arrived at a solution that met her needs to for a better smile, enhancing her periodontal care and addressing her missing teeth.

There are alternative solutions ranging from veneers, Invisalign and composite bonding. However, for the best result the option is clear: no veneers, avoid composite bonding as far as possible and place teeth in the ideal placement for implants. The result is precise and exacting and carried out to a very high quality in just 8 months.

The key to the orthodontic management is the intrusion of the teeth into healthy bone and gum structure which enhances the aesthetics and the provides increased bone support. Ongoing monitoring with a specialist periodontist is essential in these delicate cases. Merely closing the spaces without reshaping the teeth and intrusion of the teeth would not have given this result.

54091 Mahesh Patel Copyright©