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.
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.
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.
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.
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.
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.
