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Our practice is located in NYC. Click below to find a local dentist in another City or State: |
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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 Kaitlyn 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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Single tooth implant placement after extracting a fractured (and non-infected) lower left first premolar. The lower left second premolar position already has a dental implant as well. 1) - 2). Pre-op showing the fractured tooth, clinically and radiographically. 3) Socket exposed and ready for implantation. 4) The extracted tooth. 5) A Replace titanium threaded implant ready for insertion.
6) The implant was inserted into mandible using a slow speed handpiece.
7) Implant covered and surrounding tissue sutured using 3-0 chromic gut dissolvable sutures. 8) Post-op x-ray. |
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Extraction of the root of a hopeless tooth #26 and splinting the coronal portion to the adjacent teeth in a 40 year-old female. 1) - 3) Initial views. 4) The wire used for the splint next to a perio probe. The wire is doubled to prevent the tooth from rotating around it after placement. 5) The splint bonded to the lingual surfaces of teeth #’s 25 and 27. 6) Initial preparation through the mid-length of the tooth. 7) Following extraction of the root. 8) The extracted tooth root. This patient has already been through two rounds of root planning and scaling. After healing of this extraction site she will then have an apically positioned flap periodontal surgery and then possibly a graft to build up this area. It is expected that some other method for tooth replacement will be utilized following this periodontal therapy. |
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Technique for root resection from under a porcelain fused to metal bridge.
1) Labial view of an abutment with an endo-perio lesion. 2) & 3) Initial preparation into porcelain with a diamond bur. 4) Labial view showing preparation. The metal portion of the bridge is prepared with a steel bur. 5) Palatal view showing preparation. 6) Labial view showing the tooth root under the porcelain (gutta percha is visible in the tooth root). 7) Tooth root being extracted. The occlusal height of this root must first be reduced to allow it to exit. 8) The extracted tooth root.
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Root resection from under a porcelain fused to metal bridge. 1) Radiograph showing the distal abutment with an endo-perio lesion. 2) Labial view of the same tooth. 3) Radiograph following resection (the metal chad in the area of the extracted abutment was later removed). 4) Labial view following extraction. This area could be filled in with bonding after healing. The occlusion on the distal cantilever was reduced. It opposed a lower full arch bridge so that supra-eruption was not a concern. Treatment options include: i) sectioning and removal of the distal cantilever, ii) implants, or iii) reevaluate over time with the patient informed to reduce function in this area. |
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The Center For
Special Dentistry
425 Madison Ave - Suite 500
(at 49th Street)
New York, NY 10017
Tel 212-758-1000
©2001 - 2009 1dentist, LLC
About 1dentist, LLC
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Tenta Corp
We design & build beautiful dental & medical offices in NYC metro area.
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Now Hiring
Our NYC office is now hiring College Grad pre-Dental Interns.
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