This patient had severely worn teeth, periodontal (gum) disease, and sore muscles. We performed a complete examination to determine the problems, followed by mounted models to treatment plan the right treatment in 3 dimensions. This involves designing the teeth in wax and then using this design to make provisional (temporary) restorations to test the esthetics, chewing, and speech. Once the provisional crowns are perfected, the result is copied and used to make permanent crowns She had Scaling and Root planning (deep cleaning) to address the gum disease and crown lengthening surgery so crowns could be placed on the teeth. The bite was establish so her jaw joints, teeth and the way they come together work in harmony to eliminate sore muscles. Her teeth are protected at night using a custom night guard.
Jason had a childhood injury that caused his front tooth severe trauma. His dentist did a good job keeping the severely damaged tooth until Jason was done growing. He did this by doing a root canal, using a post and placing a crown. Unfortunately decay crept in severely decaying the root of the tooth. Jason was made a temporary partial denture to replace the front tooth while the root was extracted, and an implant placed. A custom abutment was used and an implant crown placed. The custom abutment allows the crown to be placed where it is best for the bone and gums of the jaw. This also provides for the best esthetics so the gum is symmetrical with the natural tooth.
This patient had a front tooth that had a root canal and a post that lasted for quite a long time before becoming decayed and unable to be restored. The tooth was extracted, a bone graft placed and a temporary partial denture constructed. An implant was placed and after healing, the crown was placed.
Andrew came to the office for comprehensive care. A complete examination was done. The patient had some areas of tooth decay, an unstable bite causing his bottom teeth to traumatize his upper front teeth. He also was unhappy with the appearance of his front tooth and the fact that one front tooth was farther towards his lip than the other. After the cavities were filled, his bite was balanced so that his jaw joints and his teeth worked together in harmony with his muscles. His new front teeth were designed on mounted models in wax to allow him to see what the end result would be and so the doctor could design the teeth to meet the patient’s needs. The newly designed teeth were transferred to the mouth so he could test them out in provisional (temporary) crowns. Once the adjustments were made to the provisional crowns, they were copied and used to make his permanent crowns.
Patient came to the office because of cavities after braces. Many teeth had cavities and the gums were severely inflamed. The teeth were stabilized from continued destruction by removing the decay and placing composite fillings prior to definitive treatment. The gums were treated by multiple cleanings, home care education , and an oral rinse.