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…
Ectodermal dysplasia can present with a variety of manifestations. 1/10,000 people are affected in different ways. Patients can show up with signs of sparse hair, malformed sweat glands, abnormally developing nails, skin diseases, vision disturbances, hypo or anodontia. Considering that this is a hereditary condition present at birth, the psychosocial effects on the patient are…
Case Presentation A 19-year-old woman was referred to the clinic with acute pain on the upper left central incisor, as she experienced a sports injury the day prior. The patient had fractured the coronal aspect the tooth. Periapical radiographs showed previous root canal treatment and no signs of root fractures. The upper right central and left…
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…
The market for e-cigarettes and vapes has boomed. First developed in China in 2003, e-cigarettes made their way to Europe and North America in 2006. They gained popularity by being branded as a safer alternative to regular cigarettes and even a way for smoking cessation. By introducing different designs and flavors, young people became the market’s…
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…
As endodontic systems and methods of disinfection advance, most endodontic failures are due to root or crown fractures, instead of re-infections. As clinicians we tend to make a significant compromise when doing root canal treatments. To gain straight-line (less than conservative) access in order to achieve close to complete disinfection, we compromise the rigidity of…
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,…