Tag Archives: Dr. Philip Gentry

Two patient’s smiles I made happy today.

The first patient was concerned about his broken down front upper teeth and the gap between the teeth.

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after

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The next patient broke her lateral incisor tooth. It is very dark since it was traumatized and had a root canal many years ago.

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Thank you letter from one of my patients last week :-)))

For 44 years, I have been practicing dental hygiene in Virginia.  Recently I had to have a crown prep done on #8 and a replacement crown on #9.  My first crown on #9 was stainless steel, placed at age 7 in 1958.  Since then this tooth has had 14 replacement crowns that improved the appearance as dental materials progressed over the years.
 
My new ones though are the best I’ve ever had made.  The contacts, size, shape, color & occlusion are perfect and needed no adjustments when they were delivered.  I experienced no discomfort during the procedure, even while wearing the temporaries.
 
I have seen thousands of crowns & fillings by hundreds of dentists over my long career and Dr. Gentry’s work surpasses them all.  He is extremely attentive to detail.  The perfect fit and aesthetics are evident in every restoration he does.  I have no reservations in recommending his work to family, friends & current patients.  His sensitivity and approach while interacting with patients is a model for all individuals interested in entering the profession.
 
I truly feel he is deserving of the recognition equal to his daily accomplishments in the field of dentistry. As a dental hygienist with 44 years of private practice experience, I know who the best dentists are, and Dr. Gentry is one of the best!
I highly recommend Dr. Gentry. His dental work is the best I have seen. 
 

Sincerely,

Alicia Woodall, RDH
Williamsburg, Va. 23185
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Before
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Fractured molar

This patient fractured the lingual side of his first molar tooth biting down on a Skittle candy. Dr. Gentry was able to restore the tooth with a porcelain crown and was able to avoid a root canal and crown lengthening periodontal surgery.

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Fractured molar tooth.
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Tooth immediately following crown placement.

Porcelain Veneers

Porcelain Veneers

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Porcelain veneers are thin pieces of porcelain used to recreate the natural look of teeth, while also providing strength and resilience comparable to natural tooth enamel. It is often the material of choice for those looking to make slight position alterations, or to change tooth shape, size, and/or color.

VENEER CONSULTATION

The first step is to schedule an appointment with Dr. Gentry to determine if veneers are the right option for you, or if there are alternate solutions available. Communication about what you want corrected is critical for a successful result. Spend time clearly identifying what cosmetic improvements you want to accomplish.

You’ll often hear people say that celebrities have veneers and this may seem like the best way to replicate picture-perfect teeth, but each mouth is different and veneers need to be carefully researched. We begin with a smile analysis and diagnostic wax mock-up that will allow you to see if the final result is actually what you’re looking for. Deciding that porcelain veneers will create the look you want is only one step in the process. There is much more to learn before proceeding further.

THE HOWS AND WHYS OF PORCELAIN VENEERS

Porcelain laminate veneers consist of a compilation of several thin ceramic layers which replace original tooth enamel, and an adhesive layer. To apply a veneer, a very small amount of the original tooth enamel must be removed, usually about a millimeter. This is essential as it creates room for the porcelain veneer to fit within the mouth and most accurately restore natural tooth function while creating an even better appearance than the original tooth.

The bond between original tooth and porcelain veneer is critical as it not only provides the esthetic perfection desired, but also a strong bond which is essential for correct veneer function. Light-sensitive resin is placed between the original tooth and the veneer and then hardened using a special curing light.

Porcelain veneers are a very successful option in many situations where the original tooth has developed poor color, shape, and contours. It is also a good choice for fractured teeth, gaps between teeth, and in some situations where the tooth position is compromised and there are minor bite-related problems. For some people, superficial stains do not respond well to tooth whitening or bleaching. In these situations, a porcelain veneer may be the best option.

THE BENEFITS OF VENEERS

Since veneers are individually sculpted for each patient, it is nearly impossible to tell the difference between a veneer and a natural tooth. Unlike natural teeth, custom-made veneers resist coffee and tea stains, and cigarette smoke because they are made of high-tech materials.

With veneers—as opposed to crowns—your natural teeth remain largely intact with only a minimal amount being altered to fit the veneer.

For teeth that resist whitening, veneers can make even the darkest teeth appear bright white.

Dentists may also recommend veneers to quickly fix minor twists, overlaps, and small gaps.

POTENTIAL VENEER DOWNSIDES

Because a portion of the original tooth enamel is reduced, a veneer is not considered a reversible treatment. Although adjustments and even new veneers can be made, you can never reliably return to the original condition of the tooth.

Creating porcelain veneers requires some laboratory time, so expect at least a week before they’re ready to be applied.

After the porcelain veneers are attached you will probably have some sensitivity to hot and cold temperatures due to the removal of that thin layer of enamel. This typically disappears within a few days. In a healthy mouth properly treated with porcelain veneers—and where destructive forces are minimized or eliminated—a patient should be able to use porcelain veneers like his or her own teeth. Although they’re very strong, veneers are also brittle. You should avoid the same excessive stresses you would avoid with non-veneered teeth: don’t bite your fingernails, chew ice, or open beer bottles with your veneers!

MAINTENANCE OF A PORCELAIN VENEER

Maintaining porcelain veneers is actually quite simple: Treat them as you would your original teeth, with routine brushing and flossing. Using non-abrasive fluoride toothpaste will typically be suggested by your dental professional.

One week after your veneers are placed, you will be required to return to the office for a follow-up visit and evaluation so the dentist can see how your mouth is reacting to the veneers. Even if you feel the veneers are a success, this appointment is vital to your future oral health.

If you have a habit of grinding or clenching your teeth, we will make you a nighttime bite guard so you do not damage your veneers.

You should also return for regular professional maintenance because porcelain veneers should be polished with a specially formulated, non-abrasive paste, and because we need to inspect your dentistry for any sign of potential failure.

One of Dr. Gentry’s Veneer Patients from last week

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Before
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After. She is numb so it’s difficult to smile.
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After

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teeth whitening-take home trays

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For home teeth whitening, Dr. Gentry recommends Opalescence Go.

Professional results—to go

Opalescence Go is the professional alternative to over-the-counter whitening options that Dr. Gentry recommends, and has for sale in his office for only $50 per kit. It’s a simple, fast, and great-tasting way to start a whitening treatment, or for whitening touch-ups. With no impressions or custom trays necessary, Opalescence Go is ready to use right out of the package!

  • Opalescence tooth whitening gel contains PF (potassium nitrate and fluoride). Potassium nitrate has been shown to help reduce sensitivity. Fluoride has been shown to help reduce cavities and strengthen enamel. Together they help to improve the overall health of the teeth.
  • No impressions, no models, no lab time
  • Sleek and comfortable; adapts to any smile
  • Discreet, clear tray material
  • 10% – wear 30-60 minutes
  • 15% – wear 15-20 minutes
  • Peach, Melon, and Mint flavors

 

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Crowns

Dr Gentry cementing some of his porcelain crowns

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Broken down tooth that had a root canal prepared for crown.
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Porcelain crown placed.
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Molar crown prep
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Porcelain crown cemented
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Two teeth prepped for crowns.
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Porcelain crowns cemented.
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Crown preparation
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Crown cemented
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Crown prep
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Crown cemented

Occasionally Dr. Gentry will recommend a gold crown for a back molar if the patient constantly clenches their teeth or is a severe grinder.

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Gold crown on patient’s stone model.
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The gold crown.
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The back molar tooth.
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Dr. Gentry cements the gold crown cemented into place.

 

Immediate partial denture cases

In these 2 examples of immediate partial dentures, Dr. Gentry extracts the patients broken, decayed, hopeless teeth and places the partial denture at the same visit. Following healing dental implants, fixed bridges or a flexible partial denture will be fabricated.

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broken, decayed teeth
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I extracted 6 teeth
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immediately placed the partial denture
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happy patient leaves with teeth right after
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The partial denture was made before the teeth were extracted so she was never without teeth.

Another extraction and immediate partial denture case of Dr. Gentry’s replacing one upper front tooth.

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broken tooth
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His tooth is removed and denture placed same visit