Although this patient has other dental problems, I wanted to fix his smile first so he can smile and enjoy the weekend. Here are the before and after pictures.
This patient presented with a broken off upper right bicuspid tooth. The tooth was extracted and implant placed. Following healing I delivered a beautiful computer designed-3D printed, screw retained zirconia/titanium implant abutment and crown- awesome!!!
For this implant bridge case I digitally scanned in the impression of his teeth, implant abutments, and bite. Then computer designed and 3D printed out the bridge. Then screwed it into his mouth. Turned out perfect and the patient was very pleased :-)))
This patient presented with a broken lower implant. I originally restored this implant crown a few years ago, and I was quite surprised and curious as to why it broke. This is very rare, and I used all the best, highest quality, Swiss made, Straumann Implant parts. The implant porcelain crown and titanium abutment broke apart leaving the screw still in the implant. She clenches and grinds her teeth, but still, this should not have occurred. I redid the implant crown and did not charge the patient. These are the clinical pictures:
On this patient I noticed decay under two 20 year old crowns on teeth #30 and 31. Removal of the old crowns revealed tooth #30 with deep decay sub-gingival into the root furcation. This tooth was non-restorable. I recommended extraction and an implant. For tooth #31, I was able to clean out the decay and do a crown build-up and make her a new crown.
The first x-ray above shows my initial try-in with a gap between the implant crown and implant. The crown would not fully seat, so I re-did the implant crown. The second x-ray, after re-doing the implant crown, shows a perfect fit!!! Both the implant crowns #30 and #31 fit and look beautiful.
I do an oral cancer screening on all patients, and usually end up doing about 1 biopsy a month. I use magnification glasses, and it only takes about 20 seconds- I know what to look for! This month I did 3 biopsies, and that motivated me to write this blog post on oral cancer exams. Two were benign fibromas, and the other was a papiloma (HPV) showing mild to moderate dysplasia. I removed this fibroma on the inside of the patient’s lower lip because he kept biting it and it was annoying and bothering him.
The papilloma virus patient had no idea the lesion was there. This lesion was way back on his soft palate and I didn’t even see it until I held his tongue down to check his throat. This papilloma was showing mild to moderate dysplastic changes and could have turned into oral cancer.