During the initial work up assessment of dealing with an orthodontic case, considerations must be made for physiologic growth status of patient in order to adequately manipulate bone and tooth structures to bring about a good occlusion and a nice aesthetic smile. Technicalities aside, a practitioner is dealing with aesthetics, which is subjective to the patient…
When placing implants in the esthetic zone, the response of the peri-implant soft tissue is just as important as the final restoration. What creates a pleasing smile is not only the size and shape of the teeth, but also the frame that they’re held in – the gingiva. The margin, color, texture, and height of…
Clinical Case Report A 30-year-old woman presented to the dental clinic to improve her smile, because of multiple spaces between her anterior teeth. The patient is a heavy grinder, leading to generalized attrition and uneven anterior incisal edges. The patient had discolored cervical bonding on multiple anterior teeth. The patient did not report any medical…
Dealing with dental fluorosis is tricky. Depending on the severity of the hypomineralization, there are many different treatment options. Sometimes the issue is solved with simple bleaching, yet sometimes veneers/ or crowns are needed to mask the unappealing “white spots.” Unfortunately, many times the treatment of choice presents itself through trial and error, after exhausting…
A 16-year-old girl presented to the clinic with a fistula on the apical third of her upper left central incisor. During clinical examination, a tubercle was seen on the buccal cervical third of the tooth. Radiographic and clinical examinations provided a diagnosis of apical chronic supurative periodontitis. Root canal therapy (RCT) of the upper left…
A patient comes to your office for crown or veneer preparations of multiple teeth. You have spent many hours perfecting the preparations. You’ve looked at them at every possible angle, and your neck/back pain is starting to tell you that the preperations are perfect. You’ve packed cord, and taken the final impression (probably more than…
Following the extraction of a tooth, we can expect short-term and long-term resorption of the hard and soft tissues. Even with bone grafting of the extraction socket, there is still 1-2 mm loss of volume. This loss of volume is increased when we delay implant placement or socket preservation, leading to more invasive procedures being needed…
Immediate implant placement following tooth extraction is a predictable treatment with a high success rate. However, when it is done in the anterior esthetic zone, bone and gingival recession can be expected following extraction of the natural tooth. It has even been shown that this soft and hard tissue remodeling takes place, irrespective of if an implant…
Case Presentation A 35-year-old woman presents to the office due to a spontaneous avulsion of her upper left central incisor. Her chief concern is to replace the missing tooth. Medical history shows that the patient is pregnant in the first trimester and she also has uncontrolled Diabetes Type II. Clinical exam shows generalized moderate periodontitis,…
The final esthetic outcome and longevity of veneers depends on the tooth preparation. Excessive reduction can compromise bond strength (due to exposed dentin), cause sensitivity and limit possible treatment options for the patient in the future. The goal of veneer preparations is to be maintained within the enamel layer. Conservative tooth preparation can give high…