Today for this patient I restored her missing lower right molar with a Zimmer-Biomet Encode titanium dental implant with a custom titanium abutment and porcelain crown. Here are the restorative pictures and digital design scans.
For this patient, I replaced his lower right missing bicuspid tooth with a porcelain fused to metal bridge. Normally we would place an implant, however, in this case his mandibular bone was very thin in this area, and the distal tooth was very badly decayed and needed to have a crown. So I recommended a bridge to replace the missing tooth.
This next patient was missing a lower molar and the adjacent teeth were badly broken down. We elected to try to save the remaining teeth and made a porcelain fused to metal bridge to replace the missing molar and restore the adjacent posterior teeth. The other option would have been to extract the 3 broken down teeth and place dental implants to restore the lower left quadrant. Here’s the before picture showing the broken down teeth, and after with the bridge cemented in place.
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.
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.
The next patient had a cavity on his upper molar. I quickly and easily removed the decay and placed a composite restoration.
