Smile Gallery
Restorations | Cosmetic
Dentistry | Endodontics | Oral & Maxillofacial Surgery | Other
Restorations
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• Crowns (Caps)
A female patient was concerned with the significant wear on her front teeth. Crown were recommended to enhance the appearance of her front teeth as well as prevent any further wear on her teeth in the future. Crowns were placed on her front six teeth and a more natural shade was selected.
• Crowns (Caps)
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Before
After
Before
After
BEFORE: An older male patient
fractured the front part of his tooth on the upper right. The tooth
had a large silver filling in it already. The best prognosis for
this tooth long term was to place a crown (cap) on it.
AFTER: The new crown (cap) was placed on the tooth to restore it's
original shape, color, and chewing function.
• Dental Implants
CASE #1 - The Frozen Candy Bar
A patient was eating a frozen candy bar and broke a tooth down to the gum line in addition to breaking fillings on the teeth on either side. The broken tooth could not be saved. It was removed and an implant was inserted in its place. New fillings were placed on the other teeth and a crown was made to attach to the implant.
CASE #2
BEFORE: A female patient had a space in her upper right due to a tooth that broke and needed to be removed (see the case in the oral and maxillofacial surgery section of the smile gallery). An implant was placed in the area where the tooth was missing.
AFTER: A crown was placed on the implant a few months later to restore the patient's smile and chewing ability.
Before
After
Before
After
Cosmetic
Dentistry
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One hour in-office whitening brightens
teeth an average of 6 shades lighter!
• Replacement of and Old Crown
A female patient wanted to replace an older crown that was darker than the other front teeth. The tissue above the crown was recontoured first (red arrow) to be more symmetrical with the other front tooth. Then the old crown was removed and replaced with a porcelain crown that more closely matched the other front teeth.
• Porcelain Crowns
(Caps)
Before
After
An older female patient wanted to
enhance the appearance of her front four teeth while staying within
a budget. We accomplished this by making crowns (caps) for her two
front teeth, a tooth-colored filling on another tooth, and lightly
recontouring the remaining front teeth to create a nice, even
appearance.
• Porcelain Crowns (Caps) and Partial Denture
An older female patient had a failing bridge on the bottom front teeth and did not care for the appearance. A new bridge was made to correct the the deficient areas and improve the appearance (middle picture). A partial denture was also made to replace the back teeth in order to even out the patient's bite and improve chewing and function (bottom picture).
Before
After
Before: Patient needs Upper Arch
Rehabilitation. Presents with Upper Anterior teeth that are
stained, incisal edges (tooth edge) are worn down and chipped, and
gumline recession is present.
After: Smile restored with placement of 8 Upper All Porcelain
Crowns (Caps). Gumline and incisal edges are now uniform. Patient
now has longer, better shaped teeth to enhance the smile line and
aid in chewing/biting function.
Before
After
BEFORE: A male patient presented with
a missing lower front tooth due to past trauma and concerns about
the wear and appearance of his lower teeth. He desired to have
something that looked nice and could also withstand the forces of
biting
AFTER: A porcelain bridge was placed to replace the missing tooth,
while the remaining front teeth had porcelain crowns placed to
resolve his concerns. The photo is from 2 weeks after the crowns
were cemented in place. The patient was pleased with the outcome. A
bite guard was made for the patient to wear every night to help
protect his crowns long-term from the forces of nighttime
grinding
Endodontics
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• Root Canal Therapy
Before
2 Weeks later
6 Months later
A patient presented with pain on a
molar tooth. A before x-ray revealed an infection in the tooth (the
large dark space indicated by the red arrow). The second x-ray
shows the completion of the root canal 2 weeks later. The third
x-ray shows the same tooth 6 months later. The patient was no
longer in pain and the infection (dark space) has disappeared
underneath the tooth.
A male patient complained of pain in a
lower right molar. A large cavity (red arrow) was observed that
caused the nerve to become exposed. A root canal was performed to
remove the nerve and relieve his pain. A view from the top of the
tooth using an intraoral camera shows the channels in the tooth
where the nerves of the tooth used to reside. Once the nerves are
removed, the channels are filled with a material to keep any
bacteria or irritants from causing future problems. The final x-ray
reveals this technique, and the patient was free of pain.
• Root Canal
Retreatment
Before
The old root canal material was
removed
9 Months AFTER
A patient had pain on an upper molar.
An x-ray revealed an infection around the root of a tooth that had
a previous root canal (red arrow showing a dark void). The old root
canal material was removed, the canal cleaned, and re-filled with
new material. The dark area around the root of the tooth where the
infection was can no longer be seen, and the patient is
experiencing no more discomfort.
Cracked Tooth
Cracked tooth!
A patient complained of pain to biting
and cold sensitivity on the upper right. A fracture below an old
filling was suspected. Upon removal of the old filling, a very
visible fracture line was seen running down the tooth (red arrow).
The fracture went in to the nerve of the tooth. A root canal was
needed to relieve the pain, followed by a crown (cap) to keep the
fracture from running any deeper and compromising the tooth.
Oral &
Maxillofacial Surgery
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• Dental Implants
Before
After
Before
After
This patient had a tooth that broke
off in the upper right. What was left of the tooth could not be
restored. After the tooth was extracted and allowed to heal, an
implant was placed in the bone underneath the gum tissue (see the
result of the case in the "Restoration" section of the Smile
Gallery).
Other
Procedures
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• A Fun Sports Logo Crown
Case
Penn State Crown
An older male patient broke a tooth on
the bottom left that required a crown. In honor of his daughter, a
Penn State University Alumni, he requested a Penn State nittany
lion logo for the crown. It was a fun case for us, the patient, and
the lab. Although it is on the farthest tooth back and not easily
seen, it is an interesting conversation piece nonetheless.
• Cosmetic Tissue
Recontouring
Before
After
Before
After
BEFORE: A female college student asked
about making the gum tissue around her upper front teeth look
symmetrical. The tissue was trimmed using an electrical surgical
instrument. The procedure took less than 5 minutes.
AFTER: Two weeks later the patient was happy with the results
showing her front teeth appearing the same length on the right and
left side.
(Note: Patients depicted in photos
have provided their consent to display their pictures online. Each
patient is unique, and results may vary. Please contact us if you
have questions or wish to schedule an appointment.)