October 2014 - Prosthodontist in Johannesburg
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October 2014

By: Dr Gerald Kaplan

This is a treatment modality that you may not have heard about.

Some patients may have dentofacial  deformities creating functional and aesthetic problems that can benefit from orthodontics and oral and maxillofacial surgery.

Dentofacial  deformities are common problems that are sometimes difficult to identify. Patients with deformity may have difficulty eating and talking, and may have psycho-social problems as well. The ability of the prosthodontist to identify these deformities may provide the patient with an opportunity to improve his quality of life.

Corrective treatment often involves the general dentist, orthodontist, prosthodontist, and oral maxillofacial surgeon, as well as other healthcare providers.

Imbalances in the jaw alignment may cause functional and aesthetic deformities as well as myofascial pain of the face, jaws, head, neck, shoulders, and back. Also, hearing in earaches are common symptoms. Temporomandibular joint dysfunction may occur separately or in conjunction with a muscular skeletal deformity of the jaws.

Patients with jaw deformities are best evaluated and managed by a team effort usually coordinated by the oral and maxillofacial surgeon, prosthodontist and orthodontist.

This video YouTube clip is most informative….


By: Dr Gerald Kaplan

Have you noticed how many adults are wearing orthodontic bands and wondered why?

Very few people like to talk about their dental treatment but adult orthodontics has become more and more popular for a host of very good reasons.

Let’s explore some of the reasons why adult orthodontics is indicated…

Unfortunately many people have lost permanent teeth at a young age. This results in drifting and shifting of the remaining teeth causing a change in the bite which can be corrected even as an adult.

  1. Many adult patients have not had the benefit of orthodontics as a child and have grown self-conscious about the look of their teeth.
  2. As a result of periodontal disease and bone loss the permanent teeth drift and shift and need to be brought back into position to facilitate further treatment
  3. The placement of dental implants to replace missing teeth requires adequate space between the remaining teeth. Many times the space is inadequate and can be regained with orthodontic treatment.
  4. Patients become self-conscious of the aesthetic appearance of their teeth.
  5. Orthognatic surgery to correct majorly mal aligned jaws requires preliminary orthodontic treatment prior to the surgery.

All these conditions are frequently identified in a routine prosthodontic consultation. It is with careful questioning that the desire of patients are identified and the appropriate treatment can then be planned.

Don’t be afraid of adult orthodontics. It is highly predictable and the bands can even be hidden behind the teeth so as to not have the world know what is happening.

Don’t be shy to explore the possibility of adult orthodontics… It may certainly be worth the time and effort spent.

Give us a call.

By: Dr Gerald Kaplan

Dental aesthetics is a subject on which books have been written and is a topic of continuous postgraduate education at every level.

Every dentist strives to improve his skill in providing his patients with good-looking teeth be they their natural teeth or teeth that have needed to have restorative treatment.

Natural teeth present their challenge in achieving beautiful aesthetics. The treatment may involve minor adjustments; orthodontic treatment; composite restorations or even veneers.

I have a questionnaire on the website which leads you through many questions that allow a diagnosis to be made for the suitable treatment plan to be followed.

Teeth that have had previous dentistry like extensive anterior composite restoration which have now become unsightly and discoloured need their own special approach. The clinical situation determines the treatment plan.

Teeth that have been crowned and that now have a black margin around the gum can also be improved with aesthetic dentistry.

The choice of materials that are available today are so wide and again which material to use is dependent on the clinical situation. It is so important for the prosthodontist to work with a talented technician to provide beautiful anterior aesthetics when teeth are to be capped.

As in every aspect of restorative dentistry an initial consultation is the starting point of establishing exactly your wants and desires. One can take the treatment from there.

Maybe you would like to give us a call?