Pictures of Dentistry
and Dental Procedures

Oral rehabilitation of a Wall Street executive who was afraid scared of the dentist. 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 ten years by never smiling. In the first row of photos, note that the occlusion teeth bite was over-closed due to a prior history of an eating disorder, now controlled, and a current teeth grinding habit. An Oral Surgery consultation with panoramic x-ray (second row) was performed prior to treatment to evaluate opening the dental 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. This was accomplished with just enough dental sedation to keep the patient comfortable but he was awake the whole time. The fourth row shows the dental laboratory processed 11 teeth temporary dental bridge and the cast gold post and cores - with Katilyn loops - for the root canal treated teeth. The fifth row shows the cast gold post and cores cemented. The sixth row shows the lab-processed temporary bridge in place after the oral surgeon extracted tooth #'s: 3 - 5 and 12, crown lengthening gum surgery was performed on tooth #'s: 6 - 11, and a distal wedge gum surgery was performed on #15. The patient was not nervous or anxious during these dental procedures either. He did not feel helpless due to appropriate behavior modification during his office visit. He just felt emotionally comfortable during his smile makeover. The patient will have a final porcelain metal teeth bridge made after the gums heal. Dental 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. Before and after pictures