Pictures of Dentistry and Dental Procedures

The thousands of pictures on NYCdentist.com have been created for educational purposes
by Dr. Jeffrey Dorfman, Director of The Center for Special Dentistry.

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Splint teeth, tooth splints, extracoronal dental splinting, intracoronal

Click on the small photos below to enlarge.
Image Photo Description
splint teeth for gum disease, periodontal splinting, bonding, false tooth, pontic The lower front tooth had extruded because of severe gum disease. A wire and bonding splint was placed behind these lower front teeth and then the incisal edge of this tooth was reduced to make it level with the adjacent teeth. Then the apical half of this tooth was resected and then extracted, leaving the coronal half intact within the splint (see x-ray). Bonding was then placed interproximally (between the teeth) to hide the wire from a labial view. Lastly, the broken two upper front teeth were bonded.
Splint teeth tooth splints dental splinting  loose fremitus extracoronal intracoronal stabilization Pictures show how to place an extracoronal teeth splint. Photo 1) Upper right central incisor (#8) has grown out from the gums resulting in a tooth gap space that has increased over time. 2) Radiograph x-ray shows severe bone loss from periodontal gum disease. This patient wanted to save this tooth for as long as possible. The black dotted line shows the location of a potential root resection if necessary. Root planing was performed after the dental splint was placed. The patient will return in three months to reevaluate periodontal healing with the Periodontist and the potential need for the root resection. 3) Palatal photo of the splint between teeth #'s 7 - 9. 4) Post-op picture taken on the same day. Notice the diastema tooth gap was closed with dental bonding to hide the tooth splint which provides the stabilization and stops the tooth mobility. The incisal edge of #8 was also reduced; this tooth had previously exhibited fremitus.
Splint teeth tooth splints dental splinting   loose tooth mobility extracoronal bridge intracoronal Extraction of the root of a hopeless tooth #26 and dental splinting the coronal portion to the adjacent teeth in a 40 year-old female. 1) - 3) Initial photos and x-ray before placement of the teeth splint. 4) The wire used for the tooth splint next to a periodontal probe. The wire is doubled to prevent the tooth from rotating around it after placement. 5) This extracoronal splint is 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 tooth root. 8) The extracted tooth root. This patient has already been through two rounds of scaling and root planing. After wound healing of this tooth extraction site she will then have an apically positioned flap periodontal surgery and then possibly a gum graft to build up this area. It is expected that some other method for tooth replacement will be utilized following this periodontal therapy.
Splint teeth tooth splints dental splinting extracoronal intracoronal diastema space gap loose Placement of an extracoronal teeth splint on a periodontally involved upper left central incisor tooth #9. 1) & 2) Pre-operative photograph and radiograph. Note the angular bony defect in the x-ray. The patient reported that the tooth was getting longer and that he never previously had the gap space between his two front teeth. 3) Palatal photo of the tooth splint stabilization placed between teeth #'s 8 & 9. 4) Post-operative image one hour later. Teeth bonding was placed to close the gap space and hide the palatal dental splint. The incisal edge of #9 was shortened and the occlusion teeth bite was checked and adjusted for fremitus. Root planing was next performed and the patient placed on a three-month periodontal reevaluation.
Splint teeth tooth splints dental splinting extracoronal intracoronal stabilization  loose mobility Maxillary extracoronal teeth splint stabilization shown in a class 5 periodontal gum disease patient. After scaling and root planing but before open clean out periodontal gum surgery. Tooth #8 needs to be extracted but patient is resistant at this time since many of these teeth are similarly involved. The plan is to reduce the infection and support the patient emotionally with dental splint therapy until he's ready for more active treatment.

 

 Information about these dental photos

     In medicine and dentistry "left" and "right" are based upon the orientation of the patient's body and not how they appear in a photograph of a smile.  For example, a reference to the upper left teeth will actually appear to be on the right side when viewing a picture of the face and similarly an upper right tooth will appear to be on the left side.

     Many words in dentistry like oral and mouth have a similar meaning and are frequently used together to help our readers find specific words they best understand.  This is particularly important because a majority of our visitors are from countries where English is not their primary language.  Maxilla or maxillary refer to the upper jaw.  Mandible or mandibular refer to the lower jaw.

     There are many other similar word combinations used throughout this website because our pages are read by patients and dentists.  A few of the most common are discussed here.  Tooth decay, tooth cavity and dental caries all mean the same thing.  Tooth, teeth and dental are also frequently interchanged as in teeth veneers or dental veneer laminate.  Oral rehabilitation and dental reconstruction mean smile makeover.  The word for x-ray may be used with or without a hyphen (this is true for other words too) and can also be called a radiograph.