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.
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.
This patient was hit in the mouth with a tennis racquet and broke his front tooth. The tooth also required a root canal, and periodontal crown lengthening surgery. I placed a temporary crown on the tooth for 2 months while the gums healed and did a computerized custom shade match to obtain a perfect color match.
For this patient today, I removed 2 porcelain fused to metal crowns that she recently had done in El Salvador, cleaned up the decay underneath, polished her other teeth, and placed 2 beautiful new zirconia crowns. She was so happy and has a beautiful smile for Christmas :-)))
This patient today broke off his upper lateral incisor. We discussed the different restorative options. I told him I would try to save the root and build a tooth back up for him and place a crown. The tooth had a root canal many years ago. I drilled out the canal and cemented a titanium post inside the canal and build the tooth up. I prepared the tooth and made and cemented a zirconium crown over the build-up.
This first patient came to see me for this broken lower molar. He said he had 4 silver amalgam fillings placed in his lower molar over the last 10 years by various dentists and the tooth or filling and kept breaking. I told him he needs a crown. Here’s the pre-treatment x-ray, and photo of the broken tooth before and after removal of the old filling and decay, composite build-up and placement of the porcelain crown.
This next patient broke her molar biting into an almond. I removed the broken part and old amalgam filling and restored this tooth with a crown. Here’s the before and after photos.
This next patient broke her last molar and old amalgam filling biting on hard seed. Here’s this before and after.