This afternoon I continued the treatment of a patient’s #3 PFM crown. The crown came back from the lab with a Kaitlyn Loop on the lingual side of it for floss to keep a better hold of the crown. The crown was tried in, margins and contacts were checked, and occlusion was adjusted. The patient was satisfied with the esthetics and fit of the crown and signed a consent form for final cementation. The crown was cemented in with RelyX cement and the Kaitlyn Loop was removed.

The patient then complained of a chipped filling on the lower left. The patient is not currently in any pain. Tooth #19 was examined and the restoration was chipped on the buccal portion of the occlusal surface. A periapical and bitewing radiograph was taken of tooth #19. A periapical pathology was seen on the mesial root as well as a widening of the periodontal ligament on the distal root. Caries was found on the distal portion of the tooth. There is a possible fracture on the mesial root. The patient was given the information and treatment options and will return at the next visit to further explore the treatment options for this tooth.

N.S., New York University College of Dentistry

Wishing you and your family a blessed holiday season. You have been one of the best doctors I have ever met. It is always such a pleasure coming for my appointments and sharing a laugh with you.
Love, L.L.

The patient had porcelain tooth veneers and noticed craze lines or small cracks on her two maxillary canines. The patient was previously informed that she should wear a bite plate in order to prevent fracture of the veneers (since she was a grinder) but the patient declined. Alginate impressions and photos were taken. The veneers on the maxillary canines were carefully removed and the teeth were cleaned. Impressions were taken and sent to the lab to fabricate new veneers for this case. The patient was concerned about how the temporaries would look and if they would be the right shade. Temporaries were made with Luxatemp directly added to the facial surface of the canines. The patient was satisfied with the shade and shape of the temporaries. Her new veneers will be completed and inserted in 5 days.
N.S., New York University College of Dentistry

Thank you so much. Your dentistry has made me the happiest person alive! My smile was worth the trip from Europe!
Lots of Hugs and Kisses, J.B.

My dentist is awesome! I’m a Broadway actor and my smile is my living. Dr. D bleached my teeth, then used “bonding material” to close several gaps and change the shape of my smile. Now I look like a Hollywood star. Thanks Dr. D!
-Anonymous

Thank you for the great kindness you have shown me this past year. It is always a pleasure to get my dentistry done in your office. Plus thank you to your staff, they are always courteous and professional.
K.H.

43 year old male a broken upper right tooth. The patient was initially seen two days prior as an emergency. Intraoral revealed tooth #3 was fractured lingually. Previously the patient had had root canal therapy on #3 and had a composite MOD restoration.

Nitrous oxide delivered – 1:3 (liter nitrous:liter oxygen) for 1 hr. Local anesthesia ½ carpule lido 2% Hcl Epi 1:100,000 locally. Lingual portion of tooth #3 extracted without complications.

 

The remainder of #3 was prepared for a crown and temporized. The patient will return for root canal re-treatment at the next visit.  Subsequent visits will include conservative crown lengthening, a cast gold post and core and fabrication of a crown. 

N.D., New York University College of Dentistry 

30 year old male from Israel presents for emergency visit. Chief complaint “I broke my bottom front tooth eating a bagel.” Intraoral exam revealed tooth #25 fractured above the gingival tissue.

Patient was told that esthetically bonding could be done until post & core and crown could be completed upon return to Israel. Tooth #25 was beveled, etched, bonded surfaces MIDLF with bonding shade A2. The tooth was shaped and occlusion adjusted. The patient was very happy with the esthetic results.

N.D., New York University College of Dentistry

Patient presented with multiple caries and restorations that needed treatment. When I arrived at the clinic, the dentist was just beginning to restore the patient’s heavily worn incisal/mesial edge of #9. His tooth was restored with a simple composite placed after etching (placing an etching gel for approximately 30 seconds, washing, and lightly air drying), priming, and bonding (priming and bonding with achieved with a single solution that was cured for about 20-30 seconds after placement). Composite chosen to match the patient’s tooth shade was A4.

After the composite restoration, the dentist proceeded to complete the TPS, evaluating each tooth and restoration for caries and defective restoration. Multiple defects were found in the patient’s dentition, but the patient decided to restore only the four of the defective restorations at this time. Furthermore, the patient was recommended to receive a bite guard in order to prevent supra-eruption (which Dr. Dorfman explained to the patient).

To address the proliferation of decay present throughout the patient’s dentition, the dentist discussed the effects of high sugar levels on the enamel, and the precautions that the patient could take in order to reduce detrimental effects of sugar on the teeth (ie. avoiding sugar, rinsing the mouth with water immediately after heavy sugar consumption). Next Visit: Patient has agreed to receive bonding treatment on the four teeth shown above as well as a bite guard.

H.C., Columbia University School of Dental Medicine

Today I observed a case where final porcelain crowns for teeth # 6-11 on a 53 year old female. First the patient was shown the crowns out of mouth, and she found them to be esthetically pleasing. The patient was given nitrous for several minutes and local anesthesia in the maxillary anterior region.

The temporaries were carefully removed, first by separating each temporary into individual units, and then sectioning each individual unit to allow the most comfortable way to remove the temporary. The final porcelain crowns were tried in, and the patient was given a mirror.

Initially the patient was satisfied with the appearance of the teeth when shown outside the mouth, however she wanted to make changes once the teeth were placed in her mouth. I learned that it is important to allow the patient to make the final decision on accepting the final product, and to be careful not to make up their mind for them. The patient made several requests to a lab technician that was available in office, including but not limited to a darker shade, shortening of the incisal edges, and squaring off the rounded incisal edges. The crowns were sent back to the lab for refinement and returned in one hour for final insertion.

N.D., New York University College of Dentistry