Implant case of the day

This patient came in to my office having broke off his upper right front tooth leaving only the root. This was a challenging  case because his other upper front teeth had old crowns on them with receded gums. This space was also larger than the width of the other incisors. I would have liked to replace all his old crowns at the same time so I could make everything perfect and even, but he just wanted me to restore only this broken off tooth.  It turned out pretty nice. Since he has a low lip line, he only shows half of the upper teeth anyway when he smiles. My implant tooth actually looks better than his other teeth. This is how I did it:

fractured off tooth
fractured off central incisor
fractured tooth
x-ray image of root
tooth extracted
root extracted and implant placed
custom abutment
custom abutment screwed into implant
implant crown
implant crown cemented
Dr. Gentry and happy patient
happy patient
implant
implant and custom abutment
implant parts
torque wrench, crown, screw, custom abutment
design scan abutment
computer design scans

design scan

Teaching at The University of Maryland School of Dentistry

Dr. Philip Gentry in clinic         dental students

Teaching and supervising at the University of Maryland School of Dentistry. We have the most awesome, amazing, and smart young dentists here in The Advanced Education in General Dentistry Department. I’m proud to say the future of the dental profession is in good hands :-)))

Dr. Gentry teaching
Dr Gentry teaching
Dr. philip Gentry Dean
Dr. Gentry with Dr. Mark Reynolds, Dean of The University of Maryland School of Dentistry

University of Maryland School of Dentistry

Bonding for worn down teeth

This patient’s lower teeth were worn down from years of grinding and clenching. We discussed crowning all the lower teeth, but I wanted to try bonding composite to the tops of the teeth to build them back up. He will eventually wear this away, but it’s easy for me to add to and re-bond the teeth as he wears them down over the years. I also made him a nightguard to wear when he sleeps to protect the teeth.

worndown-teeth
worn down lower teeth
afterbonding
after bonding
nightguard
nightguard

Chipped teeth of the day

The first two patients I saw today chipped the same front right central incisor biting into a chicken bone. The third one chipped her lower right incisor biting into a sandwich. The last patient grinds his teeth and fractured the edge off his upper left central incisor. I restored each these teeth in about a half hour, for each one, with bonded ceramic composite restorations. Here are the before and after photos taken 30 minutes apart.

chipbefore2    chipafter2

chipbefore1chipafter1

chipped-tooth  after-composite  fractured-incisor  after-composite-restoration

Dr. Gentry’s 10 Steps to Happy Teeth and a Happy You :-)))

Here’s a New Year’s Resolution You can Smile About! Ten Steps to Happy Teeth and a Happy You:

smile

  1. Floss once a day. Without flossing you miss 40% of the tooth surface.
  2. Brush twice a day. Brush for 2 minutes with a fluoride toothpaste, and brush your tongue.
  3. Schedule at least 2 dental check-ups and cleanings each year.
  4. Eat healthy. Cut down on sweets and eat more fruits and veggies.
  5. Stop smoking. It’s bad for everything!
  6. Drink more water. Stop drinking soda!
  7. Stress causes you to clench and grind your teeth, wearing them down and breaking your teeth. Try to relax more and have your dentist make you a nightguard if you grind.
  8. Chew sugarless gum after meals. This stimulates saliva flow to clean off your teeth.
  9. Wear a custom fit sports mouthguard when playing contact sports to prevent broken teeth and concussions.
  10. Smile more. It will boost your immune system and you will feel better :-)))

Dr-Philip-Gentry Dr.PhilipGentry

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