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.

 

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 • Crowns (Caps)

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.

 

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• 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.

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Cosmetic Dentistry

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One hour in-office whitening brightens teeth an average of 6 shades lighter!

 

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 • 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. 

 

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• Porcelain Crowns (Caps)

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.

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• 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).

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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.

 

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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

 

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Endodontics

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• Root Canal Therapy

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.

 

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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.

 

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• Root Canal Retreatment

 

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.

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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.

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Oral & Maxillofacial Surgery

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• Dental Implants

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).

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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.

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• Cosmetic Tissue Recontouring

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.

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(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.)