Regaining a Youthful Appearance

Actual patient that we have kept smiling for 35 years! From crowns and fixed bridge work to implant rehabilitation. Click here to read her story.

Collapsed Bite Reconstruction – Milwaukee

Cosmetic – Functional Facelift

Wear and tear, a normal process, accumulates as we all age. As we approach middle age and beyond, the tell tale signs begin to appear. As our teeth become shorter and shorter, the height of our bites also become shorter and alter the resting positions of our jaws.

Collapsed Bite Rehab Wisconsin For some individuals the wear and tear can become accelerated due to other issues including severe bruxism, periodontal disease, excessive extractions and a variety of untreated traumas.

The cosmetic and functional changes, if left untreated, produce the effect of making us appear older than our natural years. Our smiles collapse, causing our lip structures (especially the upper lip) to flatten out or even sink in.


In time, facial structures begin to appear more rounded or squared off. In severe cases, significant under bite will occur.

The resting position of the jaw also closes… further accentuating an aging mouth structure.

Our featured patient, Fred, had a history of several restoration failures on his upper (maxilla) jaw.

The adjacent pretreatment picture shows the extent of his worn out teeth, along with several distortions of upper tooth structures caused by the ever-changing malocclusion.

Originally, our patient wanted only to repair one tooth…. a tooth that had been repaired several times before.

As Fred became aware of the extensive malocclusions existing between several teeth, he decided to treat the overall problem affecting his entire mouth and jaw structure… rather than a single tooth.


Fred’s new goal was to recreate normal occlusion again… something he hadn’t had for some time.

While Fred focused on having teeth with proper occlusal relationships (fit good – feel good) that would forever end the breakage problem and enable him to eat anything he wanted with self assurance, Dr. Winter created teeth replacement elements that would simultaneously look good and recreate a bite height and normal jaw positioning he hadn’t had in many many years.

The extreme closeup photo of his upper and lower jaws show the extent of damage and need for a variety of restorative and tooth replacement procedures.

Malocclusion seemingly appears to have affected nearly every upper and lower tooth pair.

The severe wear that had given him an edge to edge bite had worn his incisal edges thin, leading to a bite that was so tight that teeth were now fracturing. He had lost 2 upper left molars before losing his lateral incisor.


Dr. Winter provided the patient with a menu of treatment choices that would address the entire upper jaw and achieve Fred’s goal of getting everything back to normal, the way it is supposed to be and last for a long time.

Once the diagnostic wax-up was completed, Dr. Rick created a set of temporaries that Fred could wear for opening his bite and normalizing his occlusion. These custom temporaries allowed Fred to “test” his new bite and new jaw positions and to also test for correct speech patterns.

The revised temporaries generated the technical data needed by Dr. Rick and his ceramist for fabricating the custom crowns.

The crowns were specially made of Creation porcelain that was layered on gold copings which resulted in a “warmth” of color that was age appropriate for Fred. He did not want the smile of a 20 year old but rather of a 50 year old man.

Fred was very focused on normal dental function… something he hadn’t had in years. He was looking forward to being able to eat and chew all of his favorite foods again…. especially Tagalach – a tasty Jewish baked honey donut!

With a brand new smile and renewed bite we will finish a few crowns on the lower jaw and place implants where he lost 2 upper molars to complete his occlusal rehabilitation.


How are Dental Implants Different from Teeth?

Why do Dental Implants Fail?

Dental implant failure can occur for a few different reasons. Facial or dental trauma is one that is extraordinarily rare. The most common reason for implant failure is a condition called peri-implantitis. This is an infection that could be likened to periodontal disease. The infection may stem from a lack of sufficient oral care. If you're considering getting dental implants or you already have them, it is important to talk with your dentist or hygienist about how you can brush and floss most efficiently.

Another reason that dental implants might fail is a lack of adequate bone density. In this case, the implant post may never integrate into the jawbone as well as it must to fully support chewing function long term. Dr. Winter takes exceptional care during your consultation and examination to determine if you are a good candidate for dental implants. The thoroughness of your examination helps us plan accordingly. In some cases, bone grafting is performed ahead of the dental implant procedure to build up the structure around the post.

How Often Do Implants Fail?

According to statistics, approximately 95 percent of dental implant cases are successful. This means that the implants integrate fully into the jawbone and that implant-supported restorations perform well over a long period of time. Implant failure is extremely rare.

What are the Signs of Failing Implants?

It is important to know the signs of dental implant failure so you can schedule a visit with us as soon as possible should a complication occur. The most common sign of potential implant failure is pain. It is perfectly normal, and expected, for minor discomfort to occur in the few days after the dental implant procedure. Prolonged pain or pain that comes in waves of throbbing discomfort, however, is not normal and may indicate a problem with the dental implant. When your dental implant is fully integrated as intended, it should be completely inconspicuous. You should not be aware of its presence. If you "feel" the implant when biting or chewing, it could be that the post is not integrating well or has begun making micro-movements in the jawbone. Finally, gum swelling or recession that occurs around the implant-supported tooth could be an early sign of implant failure. These symptoms could be the first indication of peri-implantitis and may be correctable with appropriate dental care.

How can I Protect My Dental Implants from Failing?

It is ideal to consider how to prevent dental implant failure as you move forward in your dental implant treatment process. From the outset, you can reduce your chances of implant failure by carefully selecting an implant dentist who has considerable training and experience performing this procedure. We welcome your questions about this when you contact us for a consult! Once you've selected your implant dentist, you can take additional steps to preserve your dental implants even before your procedure. The top suggestions include avoiding smoking and the use of all tobacco products and taking excellent care of your teeth and gums. This involves brushing twice a day for two minutes each time. Daily flossing is also a must. Diligence with oral care before getting dental implants can build great habits well in advance of needing to maintain your new restorations. After receiving dental implants, you may make slight modifications to your habits or diet. For example, it can be beneficial to limit the consumption of hard, crunchy foods that tax your teeth and implants. If you have a medical history of Diabetes or Rheumatoid arthritis, let Dr. Winter know right away as these are contra-indications to even having dental implants. While implants are a wonderful modality to help people that have or will lose teeth, it is important that you work closely with Dr. Winter and his associates to insure you will have the right treatment for your unique situation.

Having regular dental care and frequent cleanings and x-rays will allow us to evaluate the health of your implants. If you have inflammation, pus, or bone loss there is a possibility we can do revision surgery. We clean the implant surface that is exposed, add bone grafting and a membrane to stabilize and detoxify the implant and allow it to remain in function. So frequent cleanings are imperative to keeping your implants healthy and well maintained. Also checking your bite to insure ideal implant occlusion will prevent the implant from being overloaded with too much force which can also cause pre-mature implant failure.

What are the Treatment Options if My Implants Fail?

Experiencing dental implant failure is not catastrophic. Your smile and chewing function can very likely be restored once again with appropriate treatment. Do not put off seeing your dentist if you notice changes in your bite, gums, artificial teeth, or the feel of your implant. If your implant has failed, we can determine why and then plan corrective treatment around the cause. For example, if you develop peri-implantitis, Dr. Winter might remove the dental implant and treat the socket and surrounding tissue to eliminate the infection. Once the infection is resolved, a new implant can be placed. We can discuss the options that may be appropriate for you after gaining a clear understanding of your symptoms and, if implant failure is involved, what has caused the problem.

Call 414-464-9021 for information on any of our services.

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