Fixing a deteriorated dentition
Initial photos show generalized deterioration. As an architect would study the requirements for the restoration of a deteriorated building a dentist basically does the same thing. Continue reading
Category: Case Studies
All procedures are performed with high powered magnification. This allows for better vision, more precise execution of restorative and surgical procedures and ultimately better results for the patient. By Designs For Vision Tel: 1.800. 345.4009
In the real world ( private practice ) doing dental procedures on a regular basis, being reimbursed a fair fee and expecting successful outcomes is a stressful and challenging goal.
A dentist must learn to be a businessman, psychologist and humanitarian along with an expert diagnostician and therapist.
These case studies are designed to present in an unedited manner the real world situations that are routinely encountered in private practice. Please realize that limited time documentation of a case may not be a fair appraisal of the long term success of certain procedures ( and guarantees of success in medical procedures are rarely given ).
Hopefully, by exposing and analyzing these cases the practitioner will be comforted in knowing that we are not infallible and as human beings, pursuing noble goals is a worthwhile endeavor.
Implant supported temporary crown
March 8, 2017. Initial appearance of patient with chief complaint of implant supported temporary crown and anterior aesthetics. A surgeon had placed this Nobel Active implant 3.5 x 13 mm. The implant is buried and a Maryland type bridge is in … Continue reading
Conservative restoration utilizing titanium pins
This upper right second bicuspid is asymptomatic. The radiograph shows no obvious pathology and the canals are not visible. It’s important to discuss the possibility of this tooth needing endodontic therapy in the future although I don’t believe this is … Continue reading
Hidden Deep Decay
This patient had what initially appeared as shallow occlusal grooves that we were going to treat with sealers. Local anesthesia was administered (topical plus septocaine… septocaine works really well on these lower posterior teeth. Prior to our using this anesthetic … Continue reading
Can This Tooth Be Salvaged?
This emergency patient was referred by the concierge at the South Beach Ritz Carlton Hotel. He presented with pain from the lower right area. The clinical and radiographic exam showed the lower right distal molar bridge abutment having been endodontically … Continue reading
Molar Root Canals are not easy…
… and other clinical discussion This patient, a physician, came to me with an asymptomatic upper right first molar. Following administration of local anesthesia (topical plus xylocaine with 1:50,000 epinephrine) the defective restoration was removed. Extensive bleeding came from the … Continue reading
To Crown or Not to Crown
This gentleman presented with an asymptomatic tooth with a fractured amalgam restoration. This tooth was also supporting a partial denture clasp. At first I thought that the only successful treatment would be to prepare this tooth for a crown restoration … Continue reading
Bad implant dentistry
This emergency patient came to me because the upper left central incisor post/crown dislodged The restoration was useless and I recommended placing a carbon fiber post/core and fabricating a temporary crown. Unfortunately this gentleman from Argentina could not afford my … Continue reading
Restoring a very damaged dentition
The idea here was to attempt to restore these teeth without extensive periodontal surgery. Saving natural teeth is a better option than extractions with subsequent implant therapy. Proper utilization of implants is fine when conservative therapy is not possible. The … Continue reading
A Quick and Durable Alternative to Orthodontics
This very nice cosmetic dermatologist came to my office wondering what could be done to close the spaces between her teeth. She had been to an orthodontist but didn’t want to go through the time and expense of orthodontic therapy. … Continue reading