Tag Archives: virginia

Emergency case of the day

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.

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knocked out teeth
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before view
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after partial
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much better
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temporary partial denture

Implant bridge case of the day

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.

before
before
implantsurgery
uncovering the implants
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Encode healing abutments
customabutmentsmouth
custom abutments
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implant bridge cemented over custom abutments
implantbridgesmile
nice smile

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facephoto
very happy patient

happypatient

digitalscan

xraycustomabutments

Immediate provisional bridge

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.

before
smile before
after
Two hours later with provisional bridge
provisional bridge
provisional bridge
bridge
placing the provisional bridge
extractedteeth
extracted lateral incisors

after

Porcelain crown of the day

This patient had an old porcelain crown and was not happy with the esthetics, and came to me for a cosmetic consultation to improve the look of his front tooth. He was unhappy with the “black next to the gums and the square shape” of the crown and wanted me to make him a new better looking crown. I removed his old crown and cleaned up the decay that was under it and made him a beautiful, perfectly matched front porcelain crown.

before
before
after
after
customshade
custom color match
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porcelain crown

happy

complete upper denture case

In this case today, a lady came to me as an emergency with a broken old upper denture. I was able to temporarily repair her upper denture, use it as a custom tray, take the final impression, and make her a new nice fitting brand new upper denture in just a few days. She used the old denture while we made her a new one.

denture before
previous upper denture
dentureafter
new denture I made
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complete upper denture