My name is Siyana Petkova.
I decided to undergo a smile makeover so it can be brighter and more beautiful.
The teeth I had were hurting me and created a discomfort.
I was to a point suffering, they were hurting, I could not eat!
Overall, It was extremely uncomfortable.
Therefore I finally decided to have implants.
Patient's problem was that the upper jaw was a removable total denture
which was mobile and loose especially during eating.
Lower jaw there were teeth
with multiple infections and also mobile and loose.
The patient was feeling very uncomfortable
when eating let alone smiling.
The treatment method chosen in this case
was restoration of the entire dental arch
with 4 implants in the upper and 4 implants in the lower jaw.
Meaning fixed temporary denture on top of the implants.
In some treatments and systems
this is also known as "All-on-4" or
in general we could say implant supported fixed denture.
We solved my dental problem in 3 days.
My first visit included removal of hopeless teeth and implant placement.
My second visit was to testdrive the temporary fixed dentures
with regards to the bite and evaluation of the aesthetic parameters.
The third visit was for delivery of
the implant supported fixed dentures in the mouth of the patient.
The lower jaw was ahead of the upper
therefore it presented a huge esthetic challenge
we were able to compensate this skeletal discrepance by
using purely prosthetic means
and with the position and inclination of the teeth in their final outlook.
The teeth, which were done 15 years ago,
compared to the current ones that I have now, have nothing in common.
The new smile of our patient
is something new and totally different compared to what she had before.
During her old previous denture
the teeth were made to be in an edge-to-edge position
so she can have "some kind of smile"
because the restoration of the upper and lower jaw were not done simultaneously, but separately.
We manufactured the upper and lower jaw at the same time (simultaneously),
which allowed us to optimize the position of the frontal teeth
with regards as to how forward can they be and how much is the teeth display when smiling.
Furthermore with this approach, the lower teeth can be put in such position
so that they are not in conflict with the upper.
So at the new smile of the patient,
whether with relaxed lips or at full smile there is a tooth display
and the upper teeth literally follow the lower lip,
which is basic and fundamental esthetic parameter.
My biggest motivator
for the change of my smile
was my family and most of all my daughter.
I feel excellent with my new smile
and I am super happy.
First of all, my daughter saw me,
her first reaction was
"Wow mom, but they are really, really, very beautiful!"
After she regained her senses, she said: "Well done. They are very nice!"
I and my dental technician Stefan Petrov
were extremelly satisfied with the result that we achieved
at this very difficult case, which was hers.
I think that the patient is delighted
with the end-result of treatment.
She was very emotional
when the temporary fixed dentures were delivered in her mouth.
Frankly, she was at an emotional shock,
and was very sceptical that we could do and finish what we promised her.
I mean, she had initial trust in the dental team
but she had been promised many treatments
that fell short over the years so she said:
"I did not believe that you can do such a thing"
What we promised and showed we can do at the beginning
through the Digital Smile Design
was adhered to and fulfilled until the very end,
which was an amazing surprise to her
and as I am sure, to all her relavies, family and friends.