Tremendous Transformation

Unique blend of technologies adds brilliance to expressive smile.

She won’t go so far as to say it should be a prerequisite for employment, but Nadi Janvier strongly believes that one of the most important things she does in her job as a physical therapist working in a skilled nursing facility is smile.

Photo by Jordan Pysz.

Nadi Janvier

“I believe you can change someone’s entire demeanor and actually make them feel better just by giving them a smile,” says Nadi, a 38-year-old mother of two who, despite what was once a very noticeable aesthetic flaw, never hesitated to smile.

“I love to smile,” Nadi continues. “But for a very long time, I had a lot of space between my teeth. Not just the front teeth, all of them. It was something I was very self-conscious of, but my family and friends always said I looked fine.

“My mother, father and brothers, or anyone who was a big part of my life or close to me, would always say I had a beautiful smile and beautiful teeth, but I know that people who are close to you and love you don’t want to bring you down.

“I mean, I’d look in the mirror and I didn’t see the smile I wanted, so I looked into what could be done to fix it, but all the dentists I went to said the same thing – that the best thing to do was put veneers on them.

“But that would hide my real teeth and make them look bigger than normal. I didn’t want that, so I didn’t know what to do. Then one day, I read an article about someone’s experience with a different dentist in Florida Health Care News.”

Unique Combination

The article Nadi read is about Stephen G. Blank, DDS, who practices cosmetic and functional dentistry in Port St. Lucie, where he willingly embraces leading-edge technologies as part of his commitment to providing the best care possible for his patients.

Encouraged by what she read in the article, Nadi scheduled a one-on-one consultation with Dr. Blank during which she expressed her wishes and concerns regarding her teeth. Following the consultation, she agreed to let Dr. Blank correct her smile.

“When Nadi came to me, her goal was very simple,” Dr. Blank explains. “She wanted a beautiful smile. So, we looked at her case to see if we could simply move all her teeth closer together so that they would all touch. But we soon realized that would not work.

“There was just too much space between the teeth, so we did something unique. We used Invisalign® clear braces to align her four front teeth and bring them together in the middle, which created a larger space out on the edges of those four teeth.

“The outcome is excellent. It actually surpassed my expectations.” – Nadi

“To correct that, we planned from the very beginning to fill the spaces between the edges of her four front teeth and her side teeth – on both the top and bottom – with dental implants, which would actually leave her with a total of four extra teeth.”

Invisalign clear aligners do the same job as metal braces, but they are made of a hard plastic that makes them virtually invisible. They are also removable, so patients can take them out when eating or brushing their teeth.

Each clear aligner is designed to be worn day and night for approximately two weeks, after which the aligner is changed out for a new one. The entire length of time a patient wears Invisalign clear aligners depends on how misaligned their teeth are.

Dr. Blank says many patients complete their realignment program within a year. That was not the case with Nadi, who wore her aligners for a year and a half, including wearing a specially designed aligner near the end of the program.

“When we got near the end, we told the lab to create aligners that appeared to have an extra tooth in them, so that she could get a preview of what it was going to look like when all her teeth were in place,” Dr. Blank says.

Once Nadi’s four front teeth were positioned properly, Dr. Blank sent her to an oral surgeon, who began the implant process by fitting an implant into each of the four spaces created by the movement of the four front teeth to the middle of Nadi’s smile line.

Dental implants are root-like posts made of a surgical grade titanium alloy that are placed in the jaw, where they fuse with the jaw bone. Once the fusion process is complete, the implant supports an abutment upon which a crown is placed to complete the replacement tooth.

Better Than Expected

Nadi was missing a lower right second premolar when she first visited Dr. Blank, so she was also fit with a fifth implant to replace that missing tooth. Four months later, after the implants had fused with Nadi’s jaw bone, Dr. Blank completed the implant process by topping the five implants with abutments and fabricating all ceramic crowns to go on top of the abutments.

Before image courtesy of Stephen Blank, DDS.He also reshaped the gum line around Nadi’s four front teeth by performing a painless, in-office laser procedure that enhanced the appearance of Nadi’s front teeth, making them look longer and less square.

“The laser work is minimal, and the teeth look better right away as a result of it,” Dr. Blank says. “In most cases, the patient hardly remembers the procedure being done, and they have the result they want without crowns or veneers.”

Nadi’s outcome wasn’t just the one she wanted; it was the one she had long dreamed of. When Dr. Blank’s work was completed, the spaces between Nadi’s teeth were gone, her teeth were straighter and were more aesthetically pleasing than ever.

“The outcome is excellent,” Nadi enthuses. “It actually surpassed my expectations. I can’t tell you how many times since the work was done that someone has stopped me and said to me, Whoa, you have a beautiful smile. That’s why I recommend Dr. Blank so highly.

“And that’s why I’m so glad that I called Dr. Blank the very next day after I read that article, because even though it took me a while to get there, I love what was waiting for me at the finish line. I’ve always been a result-oriented person, and this result was great.”

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    • Stephen G. Blank, DDS office

      Stephen G. Blank, DDS, is a 1982 graduate of Northwestern University Dental School in Chicago. He has since completed intensive continuing education studies. Dr. Blank has studied temporomandibular joint (TMJ) disorders under Mark Piper, MD, D... Read More

    • Stephen G. Blank, DDS

      Stephen G. Blank, DDS, is a 1982 graduate of Northwestern University Dental School in Chicago. He has since completed intensive continuing education studies. Dr. Blank has studied TMJ under Mark Piper, MD, DMD, at the Piper Education and Resea... Read More