Sometimes, patients who have suffered many years of deterioration or destruction in their bite and smile require complex and combined treatments. A beautiful smile may necessitate the rebuilding of a stable and well-functioning bite, replacement of missing teeth, and treatment to ensure healthy teeth and gums. Quite often, cosmetic and restorative dentists must use orthodontic tooth realignment, as well as dental work performed in conjunction with several specialists, to ensure that your reconstruction is the best it can be.
Award-winning dentist Mark Hughes, DDS has undergone extensive training in bite reconstruction and complex dentistry. He aims to enhance your health and well-being as much as your smile appearance with comprehensive care that looks and feels great, giving you the confidence to enjoy an active life. Under his care, aesthetic excellence and proper dental function can be achieved with restorative dentistry services designed to address extensive cavities, biting irregularities, missing teeth, widespread tooth damage, and more. If you require restorative care ranging anywhere from mild repairs to full mouth rehabilitation, Dr Hughes is here to help.
The process of renewing your smile and oral health will begin with a careful consultation, during which you will discuss your concerns and treatment goals with Dr Hughes. This will allow him to gain a cursory understanding of what aspects you hope to improve while you two work together to rebuild your smile. For individuals who may have no idea where or how to start, Dr Hughes also provides a complimentary e-consultation that can outline potential treatment options according to your unique situation. After your custom treatment plan is created, he can utilise advanced digital smile design software to render a preview of the potential aesthetic outcome before the start of any treatment! This smile simulator also allows digital incorporation of any necessary improvements and refinements before any dental work begins.
Depending on your unique needs and the state of your oral health, your restorative dentistry options may include:
- Dental Implants
- Implant-Supported Dentures
- Implant Bridges
- Porcelain Veneers
- Dental Crowns
- Dental Bridges
- Root Canal Treatment
- Gum Therapy
- Gum Augmentation
- Bone Grafting
Dr Hughes will utilise the treatments that can fulfill your treatment goals and renew the state of your oral health most effectively. In some cases, bone grafting may be required to strengthen your underlying jaw structure and allow proper rehabilitation of your teeth and smile.
Dental crowns are caps placed over a tooth to provide additional support for the tooth structure and protect weakened or worn-down enamel. They can resemble natural teeth for a discreet and aesthetically sound restorative solution. Crowns have a variety of uses and can be purposed in the following ways, depending on your treatment goals:
- To protect or restore a weakened tooth
- To provide coverage for a dental implant
- To anchor a dental bridge
- To support a tooth after a root canal
If you experience pain or extreme sensitivity when pressure is exerted on a tooth, additional structural support from a dental crown can improve your biting function and reduce or eliminate your painful symptoms. Furthermore, teeth that appear cracked or decayed typically benefit greatly from crown treatment.
For patients who are missing one tooth or multiple consecutive teeth, a dental bridge may be able to provide a secure, natural-looking tooth replacement without the need for dental implantation. A dental bridge is designed to fill in absent spaces between teeth with a series of one or more interconnected pontics or dental crowns that mimic the appearance of your natural teeth. The bridge is secured to healthy teeth on either side of the gap—called abutment teeth—with dental crowns. Dr Hughes uses only the finest ceramic materials to craft your custom-designed dental bridge and can generally achieve the following with this treatment:
- Replace lost or damaged teeth with restorations that can look and feel natural
- Prevent tooth shifting and further deterioration of the jaw structure
- Improve biting function and speaking ability
For patients who wish to have their bridge affixed to their jawbone rather than their adjacent teeth, or whose abutment teeth cannot adequately support a dental bridge, Dr Hughes also offers implant bridge and dental implant treatment to achieve long-lasting tooth replacements that can function as a natural part of your mouth.
Root Canal Treatment
When bacteria buildup at the root of an injured or decayed tooth begins to inflame the underlying dental pulp, endodontic treatment—or root canal therapy—may be necessary to clear away a tooth infection and prevent an extraction. An infected tooth can cause a myriad of problems to your oral and overall health if left untreated, such as extreme pain, the spread of the infection, and fever, making it essential to seek prompt care from an endodontist or restorative dentist.
Who is a Candidate for a Root Canal?
Patients in need of a root canal usually exhibit some of the signs of an infected tooth, which may include the following:
- Intense pain
- The presence of an abscess, typically marked by inflammation, heat, discharge, or swelling around the tooth
- Tenderness or inflammation in surrounding gum tissue
- Extreme sensitivity to hot and cold temperatures
- A constant bad taste in the mouth
- Difficulty chewing
- Discolouration around the tooth
Root canal therapy will involve removing the inflamed or infected dental pulp and subsequently sterilizing, disinfecting, and sealing the nerve chamber. Once the infection is cleared, the function and aesthetic of the tooth structure can be restored with a natural-looking dental crown and/or a tooth-coloured filling.
Gum therapy treatments are designed to address gingivitis and other periodontal (gum) diseases inside the mouth. Periodontal diseases are caused by a buildup of tartar and bacteria within the gumline and soft tissues surrounding the teeth. If left untreated, this bacteria accumulation can eventually lead to tooth loss, gum recession, biting issues, bleeding gum tissue, the spread of infection, and other health risks. Fortunately, periodontal diseases can be treated with a number of options that may involve killing bacteria-causing microbes, cleaning the teeth and gums down to the root, and removing any infected tissue. Dr Hughes will examine your teeth and mouth during a consultation to determine whether periodontal disease is present and recommend the best course of action. Depending on the state of your oral health, treatment may involve antibiotics, laser scaling and root planning, or pocket reduction, among other options.
Gum contouring—or gum resculpting—is a treatment designed to adjust the level of your gumline for a more proportional smile appearance, as well as for the improved health and hygiene of your gums. When the gums rest too low on your teeth and excessive gum tissue conceals your enamel, a “gummy smile” can make your teeth appear smaller than they actually are. On the other hand, a high gumline can be an indicator of gum recession, a condition which occurs when the gum tissue surrounding your teeth wears away and creates “pockets” where bacteria can gather and deteriorate your oral structures. Gum augmentation can be used to cosmetically refine an uneven gumline, or as part of periodontal therapy to address a buildup of bacteria, tartar, and decay. Dr Hughes often combines the gum contouring procedure with other cosmetic treatments, such as cosmetic bonding or porcelain veneers, for more extensive smile enhancement.
In order to achieve long-term restoration of missing teeth with dental implants or implant dentures, individuals must have the necessary jawbone density to support a tooth replacement. Fortunately, Dr Hughes offers bone grafting for patients who may lack the requisite bone structure to immediately undergo implantation. Bone grafting can be a state-of-the-art way to add extra bone density and/or help regenerate new bone for the enhanced strength and durability of your oral structures.
Who is a Candidate for Bone Grafting?
Bone grafting can greatly increase the likelihood of successful tooth restoration for individuals who lack a solid foundation for dental implants. To begin the process, Dr Hughes will perform a thorough consultation in which he will determine whether you may require bone grafting prior to implant placement. Ideal candidates for bone grafting are typically affected by:
- Not enough jawbone density
- Bone loss as a result of absent teeth
- Trauma or fracture injuries in the jawbone
How is the Bone Grafting Procedure Performed?
There are a number of ways to approach the bone grafting procedure, and Dr Hughes will determine the most effective method to restore lost bone density based on your unique needs and anatomic indicators. In general, the treatment begins with the cleaning and sterilisation of your gum tissue in the areas planned for implantation. A small bone graft will then be placed near the missing space in your jawbone with the goal that the tissue will fuse together, fostering new bone growth. After the bone is gradually regenerated, Dr Hughes should be able to commence the dental implant or implant denture procedure to successfully complete your restoration and give new life to your smile.
These restorative treatments are often combined with cosmetic procedures, such as teeth whitening, for a completely renewed smile makeover. Dr Hughes will keep you informed through every step of the process with the aim that your goals for treatment and aesthetic expectations are comprehensively fulfilled.
To learn more about restorative dentistry with Dr Hughes, or to schedule a consultation, please contact Harley Street Dental Studio today.