Tag Archives: Philip Gentry

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.

before
before- broken off front teeth
after
after-with partial denture in
flipper
temporary partial denture

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.

before after misssingtooth                  xrayrootbrokentooth brokentooth2    

immediatepartial

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.

dental implants
2 implants with broken tooth in between
custom abutments
custom abutments placed
porcelain crowns
crowns cemented
crowns
looks great
dental implant parts
crowns, custom abutments and gold screws
implant x-ray
x-ray to check seating of custom abutments
patient
happy patient

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.

decaybefore
before-deep decay spreading between her teeth
fillingsafter
after-cleaning out the decay and restoring the teeth with ceramic composite restorations
happypatient2
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

decay
cracked decayed molar
decay1
deep decay
decay2
decay removed
decay3
composite restoration placed

Restoration of a fractured upper central incisor tooth

This 14 year old patient chipped his front tooth on the metal restraint bar on a ride at Disney World. Today I repaired the tooth with a ceramic composite bonded restoration in 30 minutes.

chippedtooth
before-fractured front tooth
bondedtooth
after bonding
happypatient
happy patient

A wonderful lady who I made happy today and a very rewarding and enjoyable case for me

I restored her smile with a Valplast upper partial denture. Nice case :-)))

before
before
valplast partial denture after
after
happy
fantastic!!!
valplastpartial
valplast partial denture
partial denture
comparison of a cast metal partial and a Valplast partial denture

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.

x-ray
X-ray of the patient’s upper left teeth on the monitor
image2
Showing the patient her cavity and explaining what I am doing
image
After photo demonstrating her tooth restored with a ceramic composite restoration
cavity1
Showing this patient his cavity
cavity2
cavity
cavity3
decay removed
cavity4
restored with ceramic composite restoration
cavity5
happy (and numb) patient

Monday morning dental implant case

This patient fractured his lower right first molar. We extracted the tooth and placed a 6mm wide 13 mm long Zimmer Biomet Encode titanium implant. This morning I delivered the  beautiful porcelain implant crown.

implant encode abutment
healing abutment
implant
implant, notice internal hex
implant crown
implant crown with gold screw visible
implant crown
screw access channel filled
implant crown
second from the back
happy patient
happy patient
implant x-ray
digital x-ray
dental implant parts
crown and gold screw
designscan2
computer design scans

designscan

Dental implant case of the afternoon

This patient lives in Ft. Lauderdale and flew up today for me to restore his lower front teeth with dental implant crowns. This was a challenging case because of how thin the bone was and the tight space, and close proximity of the implants.

implant20
x-ray of custom abutment try-in with gold screws
implant23
implants
implant21
close up view, notice internal hex
implant24
custom titanium abutments
implant22
secured with gold screws
implant25
crowns cemented over custom abutments
implant26
looks so natural when he opens his mouth
implant28
happy patient :-)))

digitalscandigitalscan2digitalscan3digitalscan4

digital design scans

Replacing a 20 year old crown

This patient wanted me to replace her 20 year old crown. She had gum recession exposing her root and recurrent decay that had spread under her old crown. The dark area showed when she smiled. I cut off the old crown, removed the decay and made her a beautiful new porcelain crown to cover the exposed root. Here’s the before and after photos.

oldcrown
before
newcrown
after
porcelaincrown
porcelain crown