(This review was previously posted on Angie's List)
I needed a good prosthodontist to create a denture for my lower jaw. Dr. Cunningham was recommended by my oral surgeon and the results are FANTASTIC! I could not be happier with EVERY step of this process.
I am a bruxer. There, I've said it. I grind my teeth at night, hard. Because of this activity, I have lost all my lower teeth, and have been wearing dentures for many years. I HATE denture paste, denture glue, denture powder - whatever you want to call it. So, I had 4 mini-implants (one piece metal rods) inserted into my lower jaw so that my denture would not need that stuff and the implants would support my denture. That worked fine for a while, but going into my fourth year, my implants were loose - I ground all four implants out of my jaw as well as doing damage to the back side of my five remaining upper teeth. I needed a new plan. I went back to the peridontist who put in my first set and he referred me to someone with more experience dealing with jaw nerves (I have one exactly where they want to have an implant.)
It is important to understand, at this point, that my oral surgeon and my prosthodontist worked hand in hand regarding the location of the implants, how the implants would be supported so that I wouldn't repeat my damage a second time, and also solve the gooey, gluey issue and stop the jaw bone regression that already occurring. The decision: a permanent, reinforced denture for my lower jaw. The implants they chose were conventional, two piece implants. The base is surgically inserted below the gum line and caped. The gum tissue is allowed to grow over the top of the implant, giving time for the bone and the implant to fuse together for maximum strength. Then the base is uncovered and the top piece is screwed in, with whatever attachment the prosthodontist decides is the best adaptation for the denture; in my case, screws.
Before anything could take place, the crucial issue of where to place the problem implant without hitting that darn nerve. It was absolutely imperative to have both doctors involved in making that decision. But, it was Dr. Cunningham who built the template for Dr. Jelic to use for implant placement, that made all the difference in this entire process. In the end, it was Dr. Cunningham who drove this entire proceedure from beginning to end.
Like I said, first the consensus on where to put the implants, and what kind of implants. Also, the doctors decided that to help give support to the implants, there would be a band of flat wire inside the denture that would "cradle" the implants, just in front of and just behind the implants, to stop the horizontal movement that is part of the grinding motion. The denture would then be screwed into the top of the implants so that nothing would move. I will talk about the surgery later when I review the surgeon, separately.
Next steps were to create a new "temporary" denture. This is what I wore (and, yes, glued) to my lower jaw while the implants healed and the bone grew around them, making that metal part of me. Once the implants were exposed, and the tops were added (the metal that extends above the gum line), the temporary denture was altered to screw into those implants. Implants were permanent but the denture was temporary because they were missing the metal ribbon which is the ingenious part of this system.
The permanent denture would not be made until everyone was sure that those posts weren't going anywhere. My gums are really cooperative when it comes to healing, and soon enough it was time to sit for the new denture (casting), which was then sent to the lab, where the metal banding would be added to the denture.
As you can see, there was a great deal of thought as well and time and effort to make sure that everything proceeded exactly as planned. Every step of the way, I was being checked on for anything that might be out of the ordinary, making sure that I was not in any discomfort and ready to coach me should I not understand what my part was in the bigger picture. Both my husband and I spent a great deal of time, prior to anything happening, to make absolutely sure we understood all that was to come, even before we agreed that I should even have this proceedure. Good doctors will not mind answering questions and most of the time, they will tell you that people don't ask enough. I had GREAT doctors!
This process started with my first appointments with surgeon and prosthodontist on June 16, 2014 and my last appointment with my surgeon, after all the prosthodontic work was done took place on May 11, 2015. That is why this review is so long. You want to make sure that everyone has your best interest at heart and are willing to go the extra mile to make sure that everything goes smoothly, and you are thoroughly cared for when there are problems. I cannot tell you how thrilled I was with everyone involved on both of these teams. read more