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.
digital design scans
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.
These are 2 patients have swellings on the inner surface of the lower lip and cheek. The first is a 31 year old male, that has had it for 1 month. The second is a 27 year old female that has had it for 2 weeks. This is called a mucocele. It is caused when you bite or traumatize your lip and rupture or obstruct the small salivary gland duct. The saliva pools up and causes a small swelling. There are many small salivary glands on the inner surface of the lip and damaging the duct can cause the saliva to pool up causing a clear or bluish swelling. My treatment for this condition is to have the patient rinse with warm salt water 6 times a day for 1 week. If it is still present after 1 month have it surgically removed.
This next condition on this 55 year old female patient is called an aphthous ulcer, sometimes referred to as a canker sore. This is usually caused by stress, not eating or sleeping enough and getting run down. I see this a lot in college kids who are stressed during finals and not sleeping enough or eating well. It can also be caused by an allergic reaction. The aphthous ulcer usually resolves on it’s own in 2 weeks and can reoccur. It can sometimes be painful, and if it’s really bothering the patient, I can prescribe a Chlorohexidine mouthwash or steroid cream.
These next patients have mandibular tori, also called torus mandibularis. A torus (plural tori) is a bony growth that occurs in the lower or upper jaw in 20% of the population. Tori are normal bone covered by normal tissue. These are usually caused by genetic factors and teeth grinding causing excess bone to be deposited. No treatment is required.
This last patient has both maxillary and mandibular tori: 
This patient’s upper left first molar tooth was fractured and very painful. We extracted her tooth and placed a Biomet Zimmer Encode Implant. Today I finished restoring her molar with a beautiful dental implant.
Today I restored this upper right molar tooth with a BioHorizon screw retained porcelain crown and titanium Implant.
This patient came to me wanting me to fix his smile. I did this with 6 porcelain crowns on his upper front teeth. He was very happy with his new smile and now we are working to get his gums in better shape.
This patient had 2 teeth that were broken and needed to be extracted. We placed 2 dental implants.
This patient fell and knocked out his front teeth and broke his 30 year old bridge off. I was able to make him a temporary upper partial denture in one day so he didn’t have to miss much work. I will replace the broken metal on his old crown in his mouth with a nice porcelain crown and place dental implants in the future.
This patient was super pleased with his new teeth. His 4 upper teeth were broken down and needed to be extracted. We did a bone graft and placed 2 implants. Following healing I made him a 4 unit porcelain bridge cemented over custom abutments. The entire process took about 6 months. During the healing phase he wore a partial denture.
This patient was very unhappy with her smile and wanted me to help. We discussed different treatment options and what would work best. I took study models, waxed up an ideal smile and made a provisional bridge of the ideal smile. At the treatment appointment I prepped the canines and centrals for the bridge, extracted the lateral incisors and adjusted, fitted and cemented, the provisional bridge. The provisional bridge will stay in place for 3 months while the extraction sites heal. Following healing I will re-prep the teeth and take the final impression for the porcelain bridge.
