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A Comprehensive Color Photo Atlas of Dentistry
Click on image thumbnail(s) below to enlarge image.
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Dental Reconstruction of a phobic Wall Street executive. Total treatment time was about nine hours in two visits during one business week: Monday (four hours) and Friday (five hours). This patient hid his dental condition for over a decade by never smiling.
In the first row of photos, note that the bite was over-closed due to a prior history of an eating disorder, now controlled, and a current tooth grinding habit.
An Oral Surgery consultation with panoramic x-ray (second row) was performed prior to treatment to evaluate opening the bite.
The third row shows x-rays taken after the Endodontist completed eight root canals on the first day on tooth #’s: 6 – 11 and 14, 15.
The fourth row shows the lab-processed 11 unit (11 tooth) temporary bridge and the cast gold post/cores (with Katilyn loops) for the root canal treated teeth.
The fifth row shows the cast gold post/cores cemented.
The sixth row shows the lab-processed temporary bridge in place after the surgeon extracted tooth #’s: 3 – 5 and 12, crown lengthening gum surgery was performed on tooth #’s: 6 – 11, and a distal wedge was performed on #15.
The patient will have a final porcelain-metal bridge made after the gums heal. Implants may also be placed in the upper right posterior. A bite plate is also necessary to try to mitigate the force of tooth grinding. Referral for pharmacological management of anxiety is also worthwhile. |
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Full mouth reconstruction on a phobic patient. Note that the patient had been wearing a very old, broken temporary bridge; she had been recementing it herself daily for years. The "after" photo shows a new lab processed temporary bridge placed later that same day.
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Diagnosis: phobic
You need to restore occlusion (mount study models). |
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Reconstruction for a Phobic patient.
First, conquer the fear, then fixing the teeth is easy!
20 temporary caps, 14 root canals and 6 extractions.
Treatment time: one visit |
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Reconstruction.
20 temporary caps, 14 root canals and 6 extractions.
Treatment time: 1 visit.
Diagnosis: phobic |
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