Dental Photos

Thousands of Dental Photos have been created by Dr. Jeffrey Dorfman, Director of The Center for Special Dentistry®.

Fremitus, tooth mobility, traumatic teeth vibration upon closing or biting

front tooth longer loose teeth mobility mobile fremitus diastema vibration bite occlusion centric

Fremitus is occlusal bite trauma that occurs when closing in centric relation. Tooth vibration can be felt on the tooth with an index finger when the mouth is opened and then closed. These pictures show the treatment of a periodontally involved - gum disease - upper left central incisor tooth #9. 1) & 2) Pre operative picture and xray. Note the angular bony defect in the radiograph. The patient reported that the tooth was getting longer and that he never previously had the tooth gap space between his two front teeth. 3) Palatal photo of the teeth splint placed between teeth #'s 8 & 9. 4) Post-operative image one hour later. Tooth bonding placed between the teeth to close the gap tooth space also hides the palatal wire splint. The incisal edge of #9 was shortened and the occlusion bite was checked and adjusted for fremitus. Scaling and root planing was next performed and the patient was placed on a three-month periodontal reevaluation with the periodontist.

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