All-On-4 Treatment before and after - Anna's Transformation!

ATTENTION: This video has been modified from its original version. To comply with AHPRA’s advertising guidelines for Dentists in Australia, we have removed patient feedback from this video. We apologise that you are unable to hear the words of Anna and any inconvenience caused.

Advanced Dental Artistry in West Perth specialise in cosmetic dentistry, dental implants and rehabilitation of the teeth, smile and bite. Having on-site anaesthetists, on-site ceramists and dental technicians they are unique in their team and treatment approach. Everything is completed at one location.

Any medical or dental procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Dr. Kat: Hi, it's Adrian Kat from Advanced Dental Artistry here in West Perth. I'm gonna talk through an All-on-Four case, actually, this is an upper All-on-Four case on a patient, you'll actually see that her lower teeth are quite sound, so this is Anna and we saw her in May of 2015. The reason for treatment, which she had what we called terminal teeth, which is when the teeth have actually gone beyond a point that it can be saved. You'll actually notice in her mouth that her lower teeth are actually very sound, so there's no real treatment that we need to do on the lower teeth at this stage. On the upper, however, we've got a partial plate that replaces two teeth and if the plate's taken out of the mouth, you can actually see that there's gaps. You can also, there's a lot of gum recession around her teeth too, and these teeth are actually moving, so we can't save these teeth. Her partial denture looks like that, where you can see there's two teeth on the denture, but you can actually see that there's arms, these metal arms, that actually go to her molar teeth, so that when she smiles you can see these arms actually on both sides.

This is Anna on the day of surgery, and you can actually see we do a lot of video here, and the reason for the video is it helps us with our planning. We can see how the patient laughs and moves, and where their lips go and that allows us to get much better harmony with our cases when it comes to their smile. We have an on-site anesthetist to put patients to sleep, and that's the safest way to do treatment.

This is actually a try-in, and so two days after treatment, this is when we removed all of the teeth, is that we do what we call a try-in. This is the All-on-Four, the teeth are actually wax. So, you can see that the pink part is very, very red, but you can see that the teeth are actually the correct teeth and what we wanting to do here is just test to see whether the bite is correct, but of course, whether the patient is happy with the way that the teeth look.

So, this is Ana, with the try-in in place, and what we're doing here is we're just having a chat. We're looking at some photos and video, and she's giving me comments to tell me whether she feels that the teeth really suit her. She's slightly puffy, because it's only been about two days after surgery, but we're just going to listen to some of her comments.

I don't see any problems at the moment, since everything was quite...after treatment.

Anna: Yeah? That's good. This is the most sensitive to me now because the gum is sensitive. But it's not sore, it's not painful. You know what I mean? But really, after the treatment, no pain. I...

Dr. Kat: Have you took some...

Anna: I didn't touch [Inaudible 00:03:03].

Dr. Kat: Okay. Okay. I thought you took some on the first day but no, okay.

Anna: No, I didn't. I only took my antibiotics, like I should, and then I started taking the inflammatory after the operation.

Dr. Kat: And soreness at the moment, is it any soreness really? Or just a slight bit of puffiness?

Anna: Probably just puffiness but it's not sore.

Dr. Kat: We, of course, once we do this try-in, we go back to the smile design, and we're really then going to check, how we actually corrected the problems. One of the issues here is the midline is still slightly off by about half a millimeter, so we're just going to refine that before we do the final teeth. So, this is, three days after surgery now, and this is the All-on-Four Bridge finish so you can see the teeth are the same but now we've changed the wax to pink acrylic. Now, we can actually see here with the new teeth, of course, we're going to analyze her smile again to make sure that her smile is correct.

Midline is now perfect, and you can now see in this video the change between her on surgical day, and just two or three days after. And here's a portrait of Anna. If you have any questions, you can give us a ring at 1-800SMILING to book a complimentary visit, or you can email me direct at: dradrian@adaperth.com.au. I look forward to seeing you in the practice.

Видео All-On-4 Treatment before and after - Anna's Transformation! канала Advanced Dental Artistry