Specialised Dentistry

Implantology
implantology photo Pretoria
Dental implant Dentist in Wonderboom

What is an implant? A dental implant is a screw-like piece of metal the length of a tooth root, made from pure titanium or zirconia, which is placed into a specially prepared hole in the bone (alveolar osteotomy) below the level of the gum. On top of these artificial roots dental prostheses are fixed.

 

Implant treatment should be well planned before any surgery is done. The golden rule for placing implants must be prosthetically driven. The tooth to be replaced should be placed  in the ideal position before determining the position where the implant must be placed. Usually the type of prosthesis that is fixed to the implants influence the type, number and size of the implants.

 

Implants can only be placed in bone that is healthy and has the required minimum thickness and depth. The bone must be of good quality with acceptable hardness. To diagnose whether or not bone is sufficiently hard and thick is often quite difficult.

 

Good x-rays from various angles are essential and in some cases a CBCT (cone beam computed tomography) scan may be required to precisely locate the nerve canals, thickness and height of the bone above and around them.

 

In areas where there is insufficient bone, bone can be build up by using various techniques of bone augmentation, such as ridge preservation/ ridge augmentation and sinus lift procedures.

 

Once the implant is placed, the surrounding bone may be given up to five months to grow firmly and attach itself to the implant surface (Osseo-integration).

 

Implants can be used to support single crowns, multiple bridges placed on implants or removable or fixed dentures.

Single Implants
single implant image
single implants image

Single implants are used to replace a single tooth, either through a screw retained prosthesis or a cementable prosthesis.

Proper evaluation of the bite is one of the factors to take into consideration before deciding on screw retained or cementable prosthesis. 

Multiple Implants
Dr M Reiners Multiple implants

When the whole dental arch is edentulous, or a part thereof, multiple implants can be used to restore the function and esthesis.

Dr. Reiners always works out a treatment plan that best suits the patient. Proper planning is essential for his success.

before implants

BEFORE

Dentist after implants photo

AFTER

Full Make Overs and Aesthetic Dentistry
Full make over before and after Wonderboom

BEFORE

AFTER

A beautiful smile is an integral part of a healthy mouth.

 

Full make overs and aesthetic dentistry are comprehensive  treatment which need an interdisciplinary approach where all service modalities, like orthodontics, restorative-, surgical intervention, endodontics, periodontics, implants and aesthetics are taken into consideration to restore function and aesthetics of a patient.

 

In order to achieve the appropriate treatment regimen Dr. Reiners always get to a diagnosis first before resolving the problem. He then follows certain guidelines and understands the relations between teeth and the adjacent structures to get to a good                acceptable result.

 

The first step in a Full Make over treatment is to determine the vertical height of the bite. If there is any loss of vertical height, it must first be addressed with temporary fillings and crowns to make sure that the muscles and surrounding structures will adjust without any problems to this new vertical height. Once the vertical height has been restored the final prosthesis can be manufactured, and VOILA - A BRAND NEW SMILE!!!

Make-over (before)

BEFORE

teeth before work done
Make over (After)

AFTER

Dentist after make over on teeth

Prosthodontics

Prosthodontics refer to the appliances and prosthesis that are constructed to replace one or more missing teeth. The loss of a tooth gives rise to a significant disequilibrium in the masticatory system.

What happens when a tooth is lost? When a tooth is lost the posterior tooth begins to deviate forward and the anterior tooth backward, and the opposing tooth begins to extrude. This leads to the loss of the point of contact of the teeth, generating gingival and periodontal problems between neighboring teeth. In this way, dental loss that started with a single tooth extends to the other teeth.

After the loss of a tooth, healing of the residual socket begins. Initially a blood clot (coagulum) forms which is invaded by blood vessels and inflammatory cells from the adjacent bone. The alveolar bone resorbes to such a degree that it becomes difficult in some cases to replace the lost tooth with a prosthesis. 

Removable Prosthodontics

Full upper and lower dentures

Removable Prosthodontics

Loss of all teeth gives rise to local problems associated with mastication, appearance and phonation. General problems also occur, such as nutritional disorders and social problems. The absence of an occlusal plane usually has consequences for the tempero-mandibular joint (TMJ) due to the inability of the mandible to achieve a stable position with respect to the maxilla. In most cases teeth were lost due to periodontal disease.

Removable full dentures replace all missing teeth in the mouth. This prosthesis can be removed by the patients themselves to clean it and put it back themselves.

Dr. Reiners spend a lot of time in the manufacturing of dentures, to ensure that the functions of esthetics, speech and chewing are achieved properly.

Full upper denture

Before photo full upper denture

BEFORE

After image upper dentures

AFTER

Immediate full dentures

Immediate full dentures are manufactured while the natural teeth are still in the mouth. The denture is only placed the day that the teeth are removed. The benefit of immediate full dentures is the quick adjustment of the patient due to the fact that there is no phase without teeth.

Full dentures before

BEFORE

Full dentures after

AFTER

The overlying full denture

If a tooth or root is left in the bone, the alveolar ridge stays intact and the ridge is preserved for longer. This reduces bone resorption, thus giving more stability to the denture.

Partial dentures

Partial Dentures before and after image

In cases where not all the teeth are lost, the missing teeth can be replaced by a partial denture to achieve function, esthesis and phonetics. These dentures are either made with an acrylic base, standard metal Chrome-cobalt phrame or the newest flexible acrylic base.

Dr. Reiners prefer the new flexible acrylic as it does not have the clasps that can damage the remaining teeth. According to patients the new flexible acrylic plates are very comfortable as they flex during mastication and function. This new characteristic makes it very durable and resistant to fracture.

Semi Fixed Prosthodontics

BEFORE

AFTER

Semi Fixed Prosthodontics is a concept where the partial denture is fixed onto alotments, either on crowns, bridges or implants. The main purpose is to restore function, aesthetics and stability.

Fixed Prosthodontics

Crowns

Immediate full dentures are manufactured while the natural teeth are still in the mouth. The denture is only placed the day that the teeth are removed. The benefit of immediate full dentures is the quick adjustment of the patient due to the fact that there is no phase without teeth.

Bridges

Immediate full dentures are manufactured while the natural teeth are still in the mouth. The denture is only placed the day that the teeth are removed. The benefit of immediate full dentures is the quick adjustment of the patient due to the fact that there is no phase without teeth.

Inlays

Immediate full dentures are manufactured while the natural teeth are still in the mouth. The denture is only placed the day that the teeth are removed. The benefit of immediate full dentures is the quick adjustment of the patient due to the fact that there is no phase without teeth.

Onlays

Immediate full dentures are manufactured while the natural teeth are still in the mouth. The denture is only placed the day that the teeth are removed. The benefit of immediate full dentures is the quick adjustment of the patient due to the fact that there is no phase without teeth.

Vineers and Thineers

Immediate full dentures are manufactured while the natural teeth are still in the mouth. The denture is only placed the day that the teeth are removed. The benefit of immediate full dentures is the quick adjustment of the patient due to the fact that there is no phase without teeth.

Dental posts

Immediate full dentures are manufactured while the natural teeth are still in the mouth. The denture is only placed the day that the teeth are removed. The benefit of immediate full dentures is the quick adjustment of the patient due to the fact that there is no phase without teeth.