Category Archives: cavities-before/after

Cavities of the day

This first patient had a large deep cavity on the inside (lingual surface) of her upper lateral incisor. The decay extended under the gum-line and the pulp was necrotic. We discussed treatment options and could have extracted the tooth and placed an implant, but I felt we could save this tooth with a root canal and composite build-up.

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deep decay
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decay extended into pulp
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composite build-up
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root canal

The next patient had a cavity on his upper molar. I quickly and easily removed the decay and placed a composite restoration.

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decay-before and after

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What happens when you don’t brush

This is what happens when you don’t brush your teeth and do not see a dentist for 10 years. Most of this 64 year old patient’s teeth looked like these two that I uploaded here. Some are just too decayed and will need to be extracted, these two teeth I was able to restore with bonded ceramic composite restorations. Here’s are his before and after photos.

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before-decayed upper central incisor
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after-restored with composite
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before-lower bicuspid
afterfilling
after

Cavities of the day

This 30 year old patient drinks lemon water all day long. She also grinds her teeth. The grinding causes her teeth to crack and the acid from the lemon juice erodes the tooth causing demineralization of enamel allowing tooth decay.

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before-deep decay spreading between her teeth
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after-cleaning out the decay and restoring the teeth with ceramic composite restorations
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happy (and still numb) patient after

Next, his 23 year old patient had a crack in his back upper molar. The tooth had a 10 year old amalgam restoration in it. The crack allowed decay to spread deep under the old amalgam filling. The tooth was not sensitive and the patient was unaware that he had a cavity. I removed the old filling and cleaned up the decay, placed a fluoride base to protect the pulp and restored the tooth with a beautiful ceramic composite.

consult

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cracked decayed molar
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deep decay
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decay removed
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composite restoration placed

I enjoy explaining and educating my patients

As Dean’s Faculty, Clinical Assistant Professor in The Advanced General Dentistry Department at The University of Maryland School of Dentistry, I am used to teaching and educating residents and senior dental students. I am always happy to answer questions and show patients exactly what I am doing and explain why.

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X-ray of the patient’s upper left teeth on the monitor
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Showing the patient her cavity and explaining what I am doing
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After photo demonstrating her tooth restored with a ceramic composite restoration
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Showing this patient his cavity
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cavity
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decay removed
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restored with ceramic composite restoration
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happy (and numb) patient

decay under an old crown

This patient had been taking medications for depression and allergies causing dry mouth.  As a result he developed decay under an old crown. I was able to save the tooth by removing the old crown, cleaning out the decay, and placing a new beautiful all porcelain crown.

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old crown removed revealing decay
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decay cleaned and crown buildup placed
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new porcelain crown

Cavity of the day

This patient takes a medicine called atenolol, which is a beta blocker, used to treat high blood pressure. It’s great at lowering blood pressure, but also causes dry mouth. She also loves to eat Reese’s Peanut Butter Cups. The decreased saliva and frequent consumption of sugar caused these teeth to decay and the cavities to form. I was able to remove the decay and restore the teeth with ceramic cosmetic fillings. These before and after pictures were taken 15 minutes apart. Looks great!!!

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