This patient had an old amalgam filling with recurrent decay. I removed the filling and decay and placed a beautiful ceramic composite restoration.
Filling of The Day
Tag Archives: Dr Gentry
Implant case of the day
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.
Tips for Your Teeth: Halloween Edition
Dr. Gentry’s Tips for Healthy Teeth
- Eat Halloween candy right after meals. The saliva produced during meals will help dilute the acids produced by the mouth bacteria in response to the sugar and the saliva will help rinse away food particles.
- Avoid candy that lasts a long time. It’s the length of time the sugar is in your mouth that is the critical factor. The longer the candy is in the mouth the more damage to the teeth.
- Stay away from sticky candy. The longer the sugary candy is stuck to the teeth the more decay will occur. Stay away from gummy bears, sticky fudge and taffy. Stay away from sour candy. Sour candy is highly acidic leading to erosion of enamel.
- Drink more water. Tap water with fluoride is best. This will help wash away the candy.
- Eat good healthy foods and don’t fill up on sugary candy. You need good nutrition for healthy teeth and gums.
- Stay away from sodas and sports drinks. The frequent contact with the sugary liquid will increase damage to teeth.
- Chewing sugarless gum after eating candy will cause increased saliva production, which will neutralize the acid in the mouth and wash away food.
- Brush as soon as possible after eating. If you ate sour or acidic foods rinse with water a few times first to neutralize the acid so not to push the acid into the enamel. Brush for two minutes.
- Floss! Flossing removes plaque and food stuck between the teeth where the toothbrush can’t reach.
- Visit your dentist regularly to catch dental problems early, and “treat” them before they get really scary. … Remember good oral health is a major contributor to good overall health.
Bridge to replace a missing tooth
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.
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.
The next patient had a cavity on his upper molar. I quickly and easily removed the decay and placed a composite restoration.
Attending the Virginia Dental Association Meeting in Norfolk
We attended the Virginia Dental Association Meeting September 15-18th in Norfolk, Virginia and learned about the latest advances in dentistry. I also was able to talk about the future of dentistry with the President of the American Dental Association, Dr. Gary Roberts, and Virginia Dental Association President, and friend, Dr. Vince Dougherty. As Virginia Dental Association Delegates we voted on issues that effect dentists and dental care in the state of Virginia.
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.
Immediate partial dentures I did this week
This 68 year old patient broke his 3 front teeth. Unfortunately the teeth were broken below the gumline and non-restorable, and we had to extract them. We placed dental implants at the time of extraction and I made him a temporary partial denture to use for 4 months while he is healing. After healing and the dental implants have osseointegrated, I will place fixed crowns on top of the implants, and cement them in place.
This 65 year old patient broke his front tooth off biting into corn on the cob at his office picnic party. I was able to glue the tooth back in temporarily while I made him a temporary partial denture. We then extracted the remaining root and placed an implant. In a few months after the implant has fully osseointegrated I will make the permanent fixed cemented implant tooth crown.
Chipped front teeth today
This patient was playing hockey and his left front tooth was fractured by a hockey stick. I restored the tooth in 20 minutes with a ceramic composite bonded restoration. Looks great and he’s happy to get his great smile back.
This next patient fractured the her front tooth biting into a hard piece of bread. I quickly repaired this tooth too.
This patient chipped his lower tooth when he bit down hard and the tooth fractured against the upper incisor. This was a quick and easy repair.
Implant case of the day
This patient was missing 2 lower right back teeth, and the tooth in between was broken, I restored him with 2 implants and a porcelain crown on the tooth between.
