What’s going to happen is we’re going to keep all her bottom teeth. We’re going to put a beautiful temporary bridge and, on the top, what we’re going to do is a procedure called all-on-four. Because we’re going to use four implants to stabilize a full set of teeth. Because she hasn’t had back teeth in a long time Paula’s bite is completely out of whack. So what we have to do is rebalance her muscles and find out where the correct bite is for her new smile and we did that using a TENS machine which actually does electrical stimulation of the muscles to relax them in the right bite. I’m going to be able to express the joy I have on the inside on the outside after today. Now that Paula is sedated Doctor Simon will go in and start preparing her lower teeth. He is lasering the gums to make them own even for the bottom. Now that he’s done with a lasering he’s going to be removing all the old fillings and recontouring the teeth. We’re taking an impression right now so we can finalize the bridge outside of her mouth, while I’m working on the top. First thing I’m going to do is use a piezo electric machine, to detach a little muscle attachment that engages the teeth into the jaw bone. So, the teeth will come out really easy. There we are. We’re going to take out seven teeth total. We actually saved the bone and we recycle it. I’m ready to start repairing the implant beds where the implants will lie. So, I’m going to start preparing the bed starting with the right one, okay, so now that we put in the four implants, I’m going to use that recycled bone to plug in the holes left behind. We are ready to attach the abutment onto the implants, so we can support the teeth. Doctor Simon is going to take an impression to relate the implant position to Greg who’s going to fabricate the teeth now that we place the implants and the abutments, we’re going to take the bridge and finalize it in the left and finally our last step putting in the upper and lower bridges. Smile, beautiful! I have to tell you; I’m really looking forward to seeing Paula’s new smile. This was just yesterday. How did she do with this? It was amazing she’s such an amazing person because after he really hours of the procedure, she was still smiling, she came out of there smiling and excited. They weren’t smiling watching the procedure, I can tell you that. We have Paula’s fan club here in the audience. We have her daughter. Kirsten, Kirsten I’m sorry her sister’s Heidi and Ingrid and her son Anthony and you guys haven’t seen Paula since she had the procedure. No. This happened yesterday. Paula has not seen her new smile. I want to remind everyone Paula hasn’t, we haven’t this is what Paula looked like before yesterday and are we all ready, are we ready. Come on Paula.
Now Paula, I want you to go stand in front of share because I think it’s time, I want to show everyone a side-by-side before and after and then we’re going to let you see Paula for yourself the amazing work that these dentists have done for you and your smile. You see yourself. Believable and, and, Doctor Simon explained to us why giving back her teeth and the supporting structures around the teeth just make her face look overall absolutely when you’re missing your back teeth for a long time what happens is all the muscles sink in. So, you lose the dimension of your face and your face shrinks. So, we are able to give you the volume back and the length back by giving you the contours of the teeth so you build that out. Saying I want to show some footage of what you did in an animation so that of course everyone who is having trouble watching the surgery will understand what you did. So, this is of course what Paula was dealing with, yeah, initially yeah Travis so what we have is like big decay right here we have guns that are really, really, inflamed because when you don’t have teeth in the back there what she was using is using her front teeth for everything. So, they really got a beating. So, you could see here how beat up even her old fillings were and her teeth really started shifting because when you’re over using them, that’s what happens. Even her teeth that remained were severely damaged right, so you had to go do a fairly significant procedure and walk us through what you’re what you’re showing us here. The amazing thing about this on for treatment concept is that we’re actually saving money and we could use bone that we do have available, so we’re placing four implants and we avoid any kind of bone grafting. So ultimately, it’s a minimally invasive procedure. That’s why Paula actually looks as good that she does because she doesn’t have any of the bruising and swelling associated with bone grafting procedures that we would do traditionally. Paula are you ready you ready do some modeling again I mean that is just to be remarkable in one day everyone one day. That’s one day Thank you Doctor Simon, Doctor Moldavan. Thank You
Every night millions of Americans go to bed hungry and in pain due to their inability to chew food properly from loss of teeth. Many are our country’s disabled, seniors, children, military vets, prisoners of war, survivors of domestic abuse and those suffering from alcoholism, addiction, cancers, Alzheimer’s, Parkinson’s and other debilitating diseases.
These once productive citizens retreat from society due to missing teeth. They simply can’t afford the costs of the urgent dental care they need to improve basic chewing functions to live their daily lives, and healthy smiles to pursue tomorrow’s dreams.
For those whose life’s challenges have rendered them powerless over the state of their mouths from gum disease, teeth decay, or injuries, Dr. Sanda Moldovan and her Smile Fairies provide critical pro bono dental care—in a safe and nurturing environment.
Smile Fairies are a group of caring providers, who represent the nation’s leading dental health experts, who are renowned for their scientific expertise and aesthetic designs of full mouth
The following program contain images of an actual surgical procedure that may be graphic and disturbing. Parents are advised that these images may not be suitable for young children. My teeth have been decaying since I was a little girl. I don’t feel good. I don’t feel pretty. I’m so scared they’re just going to continue to fall out raw my biggest fear is that in the next 10 years i’ll have no more teeth. That was Danielle, who’s been living with an embarrassing smile and countless dental issues, her entire life. We actually sent Danielle to periodontists Doctor Sanda Moldovan to find out what could be done to fix her teeth once and for all. We’re so excited today because Danielle gets a dental rejuvenation procedure and she’s going to have a completely new smile. I’m going to start getting you num. Are you feeling mellow? We’re all done with the anesthetic. So Doctor Malkin is getting ready to start shaving back the teeth. Danielle’s teeth have quite a bit of discoloration and cavities. So, I’m going to remove all this infected tooth structure. This dark area is decay. Now it’s pretty much done. So now there’s enough space to put new crowns over her teeth, except for this little dye that Doctor Moldovan is going to remove. So, I will be doing a little bit of tapping around the tooth, gently detaching the muscle attachment. Now here it is, nice long root there. You can see the dark infection. So, this part lies right here was sitting deep inside her jaw bones causing her pain and the implant itself is made out of pure titanium and this part will actually integrate with her bone and she’ll have it forever, and there she is, like nothing happened. So, this is an impression material. Now it’s set. So, I’m going to remove it. So, we’re just finishing up Danielle’s procedure. Everything went perfect and Doctor Malcolm delivered some beautiful prototype temporary smile.
So that procedure Danielle had was just yesterday like Doctor Moldovan said she is not seen her new smile we covered all the mirrors in her hotel room in the bathroom we had to wear a surgical mask everywhere she went. So, she hasn’t seen it neither has anyone else we even covered the mirrors in our dressing rooms here at the studio. So, Danielle and you are about to literally see her teeth for the very first time, but before we bring her out, I do want to introduce you to her mom Jaclyn and her four-year-old daughter Tuesday, who both came today. Hai there. Tuesday are you excited to see your mom’s new smile. Oh, I bet. Are you all ready to see Danielle’s new smile? I want to remind you all of Danielle’s old smile because this transformation is truly amazing. Are we ready? Danelle come on out. I have not seen it. I know I know. This sounds fantastic. Are you ready? Yes, yes. Oh, my goodness, oh my God, I can’t believe this, this is amazing. I’ve never. I am so glad you love it. I’ve never had it pretty smile. Thank you so much. Mom, my daughter is beautiful and now I’m glad to see her smile. Let’s show everyone in this animation what you were exactly what you were doing there during this procedure. So, what we did we actually ended up taking the tooth out and what we see going in is the implant itself which is made out of titanium and on top of it there’s a zirconium abutment or neck into which the crown gets screwed on and I want to thank definitely Doctor Malkin who’s here in the audience today she put 19 crowns on Danielle’s teeth. And also I what to thank BioCare for donating the implants and also the Beverly Hills dental lab who donated all their work, so she could look so beautiful. All right so let’s see your smile before 24 hours ago this was your smile compared Wow.
This is fake this is bridge here all mine but they’re all moving. Leyavarshafskaya has had problems with her teeth all her life, but now she’s come to LA all the way from Boston for cutting-edge dental rejuvenation surgery, and it’s not just about looks she has trouble speaking eating everyday living. Sometimes you can sneeze and you, teeth can fill out This is going to change your life. I hope so. You are going to walk out of here with a beautiful smile. It will be better than what it looks like now. Periodontist Doctor Sanda Moldovan is going to remove her diseased teeth. After I remove the teeth, we’ll place implants for her into the remaining bone of the upper jaw prosthodontist Doctor Olga Malkin designs teeth for the implants. So, when once you have something natural age-appropriate because you don’t want to have a 60-year-old with a smile of a 20 year old you want someone who is 60 year old with a smile of 35 year old or 40 year old. This is a life-changing surgery for our patient Lia today and for a long time she’s going with diseased teeth and a prosthesis in her mouth that she actually has to remove on a daily basis and this is very exciting for her to leave here not only looking better but functioning better, and it only takes about five hours instead of the process of a year with dentures, it used to take. When you tell a patient that they have to go for a year with the removable denture they can think about if their grandmother or grandfather with the little denture in the you know water cup next to their bed and it was very discouraging to the patients. Then you will need the position of these implants to be about three millimeters. This dental rejuvenation procedure is actually done in one day and she’s coming in in the morning and leaving with beautiful teeth in the afternoon. So three days later Lia comes back for a check-up before it’s home to Boston. So let me see your smile. Oh, that looks gorgeous, wow you look 10 years younger at least. Thank you. You see here we have the implants that are right in the bone there and you have the sinuses. We did the bone grafting right up in here. I could already see that she’s more confident she smiles more she no longer covers her mouth when she’s smiling and she’s excited to go back and show her friends her true spirit. How you can be happy if you can smile right now, I can smile. My father would smile now in Heaven. Very true. Thank you. In Beverly Hills Jennifer Bjorklund NBC 4 News
I’ve been working in the mission field for over 17 years. We work with the refugee people bringing them medical supplies clothing books or whatever their need is plus we teach English plus we teach Christian values. One of the difficulties that you’re having with your teeth, well I can’t eat properly. I can’t chew my food properly. I was out in the rural areas in the refugee camps I was out in places where they didn’t have roads, we had to walk to get to them some of the earlier places I went to we were had write elephants to through the jungle to get to them. Where I did have access, I mean the office was substandard the cleanliness wasn’t there. My mouth and teeth really started to quickly decay and deteriorate from January of this year, till now they’ve just it’s like as accelerated. It’ll be wonderful to have a whole new set of teeth, it’ll affect many lives in terms of what I do teaching and helping people around the world. David first came to us from the dental implant company that we work with Nobel BioCare. One of their employees goes to church with David. Yeah, that’s part of the miracle of it. Doctor Moldovan and Doctor Malkin they’re great they’re really great, kind sweet ladies, did a great job. They had connections with a Nobel BioCare and somehow, they put it all together. To get David from where he was to where he is now, with this beautiful smile, it takes a team, a dental technician the restorative doctor periodontist and also the patients. So, we are here to give David his beautiful smile, we’re here with Doctor Olga Malkin hello and Sam Alevi me from Beverly Hills dental lab and we have our great patient David, how are you feeling David? Great. So, first thing I’m going to do is remove any remaining inflected teeth on the top and clean out the infection. You could see the teeth already loose here. So now that I’m done removing all the infected teeth, and I cleaned up the mouth, we’re moving towards placing the implants. This part goes inside the jawbone and it integrates with the surrounding cells to allow the prosthesis to be stable for a lifetime. A dental implant is really a medical device that allows us to provide teeth for the patients and is really the standard of care today. So now that we’re done placing the implant Doctor Malkin it’s going to retrofit his new smile onto the implants. Now that Doctor Malkin check the prosthesis, she’s going to hand it out to the lab technician Sam to make sure that this properly fits over the implants. He’s going to take this back into the laboratory, to put the finishing touches on it. So now that Sam has finished the final prosthesis, he’s going to hand it to Doctor Malkin to insert it over the implants. As we can see, if you look at the prosthesis, is going to perfectly engage, so he will not be able to remove it from his mouth. Now that David has a new smile, you’ll be able to go and do his missionary work without worrying about his teeth. He’ll be able to inspire people and do good in the world. In one day we were able to remove all the infection that he had in his mouth and really all the upper teeth were infected and he’s been suffering with this dental disease for four years and in one day we removed the teeth, placed four implants and gave him a beautiful prosthesis, which is fixed. He’s not doesn’t have to remove it. This concept allows the patient to walk out after surgery with full set of teeth. It was his, his, fate that really bought and brought him where he’s at and he brought him to us. It’s just a great thing for me spiritually and also emotionally to be able to offer this for our patients, and I got teeth that’s even more amazing. I’m excited that I can eat again and that i’ll be able to eat corn on the cob and different things that I haven’t been able eat. I’m excited also that I can smile without putting my hand up in front of my mouth and that i’ll be able to speak and teach them more effectively. The miracle happens yeah, I’d say I mean only God could make this happen.
* Contact us and stay informed on Smile Fairies’ Wings-on-Wheels 2018 tour of dental duty HERE, or send your comments or questions to smilefairies@askdrsanda.com.