A Dream That Sticks With Reality
By Christopher Stepp

Gently pulling one tooth at a time and laying each one down into the tray, the dentist held the pliers to the upper teeth of this woman. Not an upper tooth was left in a matter of minutes and the initially empty tray was filled with her estranged teeth. On that day in May, this patient had both her fears and her dreams realized. This patient's past was somewhat tainted with great difficulty. These thoughts did not really leave her through the years. But as soon as she reaped the fruits of waiting, she knew it was all worth it.

The following month brings with it the start of the brand new smile of this Twin Falls local, and the periodontal disease she has always had will also cease to be seen. Unlike her mother, she wouldn't have to resort to removing a denture each night, leaving a caved in, toothless mouth. I remember as a kid I'd look at her and say, I never want to do that, she said the morning of the procedure that removed all her upper teeth. They were all so ugly I was glad they are all gone.

It was not exactly a pageant, but this 47 year old woman is a titlist of the contest called The Worst Bite which was sponsored by a Twin Falls cosmetic dentist. It was her friend's initiative that brought her to the contest and she was really astonished upon hearing that the price would be a total mouth reconstruction by the dentist. The dentist said he has also waited for so long to perform a smile makeover on her first appointment. He presented his duplications and matched them up with the pictures taken of her prior to the procedure.

This is one dream from which she does not want to wake up, she said. The commercials she watches are just animated versions of what she wants to see in herself. This lady, who has been self employed, hasn't had dental insurance for about 15 years, so despite her care with flossing and brushing, her genetic makeup meant she was just a few years from permanently losing her teeth to disease. Her enamel will not start to chip off, her fillings will not cease falling out, and new cavities will inevitably appear.

After seeing the failing bite and the absentee teeth, the dentist thought to himself that he has to put his best effort in managing this. The dentist chose the all on four technique wherein the fixed denture is attached to four titanium posts onto the bone, instead of having her wear a removable denture even though this would not prolong the bone loss. She is the first patient to undergo this procedure in this city, said the dentist. She will soon get veneers on her bottom teeth to complete her mouth makeover.

The supplier of a TV show that do makeovers for prosthesis is a dental company which is local based, yet has already been internationally published. It uses computer assisted design and manufacturing to build the tiny screws and perfectly shaped artificial teeth that make up implant dentures.

A device shaped like a retainer was also fabricated where four holes have been precisely placed. A dental instrument is used to guide and measure the hole drilling to skip the need to retract and cut through the gums. The impact on the gum tissue is still aimed to be less despite the use of local anesthesia to facilitate faster healing and less pain after the implantation has been done.

In the end, she got what she wanted, a perfectly looking smile for the rest of her life.

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