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Oral Rehabilitation

Restoring function and aesthetics to your mouth

During the past 30 years Kitchener Waterloo Prosthodontics has seen and helped thousands of people regain their smiles and function.  Whether damaged by trauma, disease or past dental experiences there is a solution for everyone.  Rehabilitation can be a single tooth or a full mouth.  Dr. Burgoyne and Dr. Wong's specialty training is unique to the area of full mouth reconstruction.  This is a highly specialized area of dentistry and is usually avoided by practitioners with limited training.

Cosmetic Dentistry

Your Smile, My Specialty

A beautiful smile is something that all of us desire.  Through the use of models of your mouth, digital photographs, video and cosmetic simulation programs we can establish what may be possible and how to achieve for you.  Cosmetic dentistry can be achieved through tooth whitening, direct bonding, porcelain veneers, crowns, orthodontics, cosmetic surgery or any combination of these procedures.  All of these procedures are offered or coordinated by our office.

Dental Implant Therapy

Tooth replacement you can rely on

Tooth replacement using dental implants is by definition a prosthodontic procedure.  Dental implant therapy has a surgical component.  However the determination of what type and how many implants are required is based on the design the the prosthetic tooth replacement.  If your medical and dental situation is appropriate, Dr. Burgoyne or Dr. Wong will perform both the implant surgery and the prosthetic restoration.  When the situation becomes complex, our prosthodontists will refer you to and work with surgical colleagues as part of a team to achieve the best results for your treatment.

Fixed bridge and crowns

Fixed Bridges and Crowns

Restoring missing teeth and tooth structure

Both crowns and most bridges are fixed prosthetic devices. A crown is used to entirely cover or "cap" a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. A crown can also be placed on top of an implant to provide a tooth-like shape and structure for function. Porcelain or ceramic crowns can be matched to the color of your natural teeth. Other materials include gold and metal alloys, acrylic and ceramic. These alloys are generally stronger than porcelain and may be recommended for back teeth. 

A crown may be recommended to:

  • Replace a large filling when there isn't enough tooth remaining

  • Protect a weak tooth from fracturing

  • Restore a fractured tooth

  • Attach a bridge

  • Cover a dental implant

  • Cover a discolored or poorly shaped tooth

  • Cover a tooth that has had root canal treatment

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 Computerized Bite Analysis and Correction

When you need stability and improved function

Occlusion analysis is the study of the relationship of the biting surfaces of opposing teeth and their associated functional harmonies. The primary purpose of occlusion analysis is to reveal interferences in the bite which cannot be observed directly in the mouth. Diagnostic casts are necessary for  documentation and subsequent analysis of the bite (occlusion).  Once the diagnostic casts are made and transferred to an instrument we can begin the occlusal analysis. This detailed analysis is most often performed prior to the initiation of any comprehensive restorative, prosthetic, or periodontal treatment plan. The analysis will identify the corrective measures that are necessary to harmoniously balance the functional dynamics of your bite.
Occlusal adjustment is the scientific grinding and/or reshaping of the occluding surfaces of teeth to develop and improve upon their harmonious relationships between each other, their supporting structures, muscles of mastication, and temporomandibular joints.
Dr. Burgoyne uses a combination of clinical diagnosis and computerized analysis with a Tekscan device.  This device identifies the timing of contacts(which teeth hit first) and the magnitude of the contacts.  None of this information is attainable using inked paper alone.

Somnomed appliance in the mouth

Sleep Apnea and Snoring Appliances

Sleep and quality of life can be improved

Snoring is the sound of partially blocked breathing breathing during sleep. Snoring can be harmless  but it might be early signs of more serious conditions like upper airway resistance syndrome (UARS) or obstructive sleep apnea.(OSA) Snoring occurs when the flow of air is partially obstructed by structures in the mouth and throat.  When air goes by these obstructions, the throat structures vibrate causing the sound we know as snoring. Large tonsils, a long soft palate and uvula and deposits can all make the airway narrower than it needs to be.   Appliance therapy such as Somnomed may provide patients with a healthy alternative to treatment devices like the CPAP.  If you  have been diagnosed with sleep apnea and are having difficulty utilizing the CPAP, an oral appliance may help.

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Complete and Partial Dentures

Tooth replacement designed for you

Removable dentures either partial or complete usually consist of replacement teeth attached to pink or gum-colored acrylic bases with or without a metal framework.  Partial dentures use remaining natural teeth and/or implants to hold the denture in place and stabilize it during function.  Partial dentures may use clasps (wires) around teeth or attachments.  Partial dentures made with a metal frame are stronger and longer lasting than acrylic alone. 

 

When there are no remaining teeth, complete or "full" dentures may be an option.  Complete dentures stay in place by an intimate contact with the gums or with the support of implants.  Dentures retained by dental implants are often the choice for providing the most stable denture option.  In many jurisdictions, a lower denture retained by two dental implants is considered the standard of care for patients with no teeth.

 

Just like teeth, dentures require routine evaluation and maintenance to ensure their long term success. Over time, your gums will change and dentures will become loose and uncomfortable.  This is not because the denture is deficient, but the dynamic nature of the gum and bone causes the change in fit and comfort.

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