The Treatment Process

When Old Dental Work Makes Your Smile Look Older Even the highest-quality dental work doesn’t last forever. Over time, crowns, veneers and implant restorations can begin to show their age. They may chip, stain, or no longer match your surrounding teeth. As your gums naturally change over the years, restorations that once looked beautiful can begin to appear uneven or unnatural. Many patients tell us: This patient came to Geach Dental looking for exactly that. The Challenge This patient had several cosmetic concerns affecting the upper front teeth: Because the implant could not simply be moved, restoring this smile required careful planning and advanced prosthodontic expertise rather than simply replacing the crowns.  Why Replacing Old Dental Work Isn’t Always Simple Many people assume replacing an old crown or veneer is straightforward. Unfortunately, that’s not always the case. When dental implants, veneers, crowns and natural teeth all need to work together, every small detail matters: These complex cases are exactly why prosthodontists receive years of additional specialty training after dental school. Our Treatment Process Rather than immediately making new crowns, we first removed the existing restorations to evaluate the health of the underlying teeth and assess the position of the dental implant. Using digital smile design principles, we created custom provisional (temporary) restorations that allowed us to: These temporary restorations became the blueprint for the final result. Precision Craftsmanship Makes the Difference One advantage unique to Geach Dental is our in-office dental laboratory. Instead of sending everything to an outside lab, Dr. Adam Geach works directly with an experienced laboratory ceramist to customize: This close collaboration allows us to achieve an exceptional level of detail that is especially important in the highly visible front teeth. The Final Result Although the original implant position limited how much the gum line could be changed, nearly every other esthetic concern was corrected. The new restorations provided: The result is a smile that looks healthier, more balanced and significantly more natural. Healthy implant and tooth structure formed first: Final Restorations Placed: Do You Have Old Crowns, Veneers or Dental Implant Restorations? You may be an excellent candidate for replacing your existing dental work if you notice: Many patients are surprised how dramatically replacing aging dental work can refresh their entire appearance. Why Choose a Prosthodontist? Replacing cosmetic dental work is about much more than making new crowns. A prosthodontist is a dental specialist trained in complex restorative, cosmetic and implant dentistry. This advanced training is especially valuable when treating challenging cases involving: At Geach Dental, every smile is carefully planned with the goal of creating results that are beautiful, functional and built to last. Schedule a Smile Consultation If your crowns, veneers or dental implant restorations are beginning to look worn, stained or outdated, we can help you achieve a natural-looking smile that looks healthy—not like dental work. Dr. Adam Geach, DMD, MDSc is a board-certified prosthodontist providing advanced cosmetic dentistry, smile makeovers and dental implant restoration in Downtown Los Angeles and Laguna Niguel, serving patients throughout Los Angeles County and Orange County. Contact Geach Dental today to schedule your personalized smile consultation.

Not Every Dental Implant Can Be Restored the Same Way Most dental implants are straightforward. A single implant is placed where a missing tooth once was, heals for several months, and then receives a custom crown that looks and functions like a natural tooth. See the example below.   Occasionally, however, patients are referred to our office with implant situations that are far more complicated. This was one of those cases. The Problem: Two Implants Where Normally Only One Is Needed This patient was referred to our prosthodontic practice after two very narrow dental implants had been placed in the space of a single lower molar. See picture below.  Although the implants were healthy, they were positioned extremely close together and angled toward each other. This unusual placement made it nearly impossible to place a conventional implant crown. For many dentists, this type of case can become frustrating because standard implant components simply won’t fit. Instead of replacing the implants, we developed a customized solution designed specifically for this patient. Why This Was So Difficult Think of trying to place a lid onto two jars that are leaning toward each other. If the jars aren’t parallel, the lid won’t fit. The same concept applies to dental implants. Because these implants were angled differently, a traditional implant crown could not seat properly. Without advanced prosthodontic planning, the patient may have required extensive additional treatment—or even implant replacement. Our Solution: Custom Implant Engineering Rather than removing healthy implants, we designed two custom implant abutments. These precision-made components corrected the angulation of the implants and created a common path that allowed a single implant crown to fit accurately. See the X-ray below showing the tapered, custom abutments. Everything was designed, and fabricated with exceptional precision in our in-office dental laboratory. This approach allowed us to preserve the existing implants while creating a restoration that is both functional and attractive. The Final Result The completed implant crown: Most importantly, the patient left with a tooth that functions naturally without requiring additional surgery. Before:  After:  Why Experience Matters Complicated implant restorations require far more than simply placing a crown. They demand: As a prosthodontist, Dr. Adam Geach specializes in restoring complex implant cases that many general dental offices refer for advanced care. Our practice treats challenging implant restorations every day, including: Why Our In-Office Dental Laboratory Makes a Difference Unlike many dental offices that outsource laboratory work, Geach Dental has its own in-house ceramic laboratory. This allows us to: For complex implant cases, this collaboration often makes the difference between an average result and an outstanding one. Looking for a Specialist to Restore Your Dental Implants? If you’ve been told your implant restoration is difficult—or you’ve had a loose, broken, worn, or unattractive implant crown—you may benefit from treatment by a prosthodontic specialist. At Geach Dental, Dr. Adam Geach provides advanced implant restoration and cosmetic dentistry for patients throughout: Call (213) 622-3339 or schedule a consultation to learn how even the most complicated implant restorations can often be successfully restored.