Monday, July 21, 2014

Failing Root Canal?

Root Canals are like any other medical procedure. 
Sometimes they don't work.

So what do you do then?
One option is an Apicoectomy.

If you have no idea what that is then you are not alone.
In this day and age of implants this procedure has fallen out of favor.
But it should still be a very viable option in some cases.

Here is an apicoectomy we did just this morning. 
The tooth in the middle of the screen has the root canal.
You can tell by the white line running down the center of the root.
The white line isn't to the end of the root, and that may have lead to 
the continuous pain and discomfort that this patient was feeling.




You can tell from this photo that the root looks much shorter.
We surgically removed it.
We then cleaned out the infected area, placed a bone graft, 
and threw in a few stitches.
This procedure should allow the patient to maintain her 
original tooth while also getting rid of her pain.





Wednesday, July 9, 2014

Cosmetic Bonding - Closing the Gap.

Fantastic case of Gap Closure with Cosmetic Bonding.
Young man from Saudi Arabia, about 25.
Didn't like gap in front teeth. 
Also thought that they were too long.


Before

About 30 minutes. 
No shots.
The same cost as a couple of fillings.
Added material to the sides of both and shortened them.

After

Wednesday, July 2, 2014

Thursday, June 19, 2014

Dental Tooth Implants

This is a great case to show. 
First of all it shows a before and after of an extraction then an implant.
But it also shows the longevity of an existing implant.

The before picture shows a failing root canal on the right.


The after picture shows the tooth extracted and an implant placed.
We were able to place a nice 10mm long and 4.7mm wide implant.

What both of these pictures also show is an older implant on the left.
This implant has already had the crown placed on it.
The bone levels show that although this implant was placed several
years ago that it continues to be very strong.

Implants are a fantastic way to deal with the loss of one,
or several, of your natural teeth.






Wednesday, June 18, 2014

Gum Recession Fix

Many people deal with gum recession. 
For some it is a mild irritation but for others 
it can be very painful and effect the way you eat.

The enamel (white stuff) that covers your teeth only
goes as for as the gum line. 
If/when the gum line ever moves away from the enamel 
then root surface of the tooth is exposed.
Root surface is mush more sensitive to hot, cold, sweet, sour, etc 
then any other part of the tooth.

Sensitivity toothpastes can help.
But those must be used for the rest of your life and
if they are discontinued the sensitivity can return almost immediately. 
Toothpastes will also not cover up the discoloration that
can occur with recession.

A more permanent fix is to get a filling placed where the gums
have moved away from the enamel.

Here is a tooth experiencing recession.
The enamel is no longer going all the way to the gums.
The brown portion between the enamel and the gums
is the root structure.


Here we have the same tooth after a filling has been placed.
There is no longer a brown line. 
The filling will now isolate the root structure.
The sensitivity should now be gone and the aesthetics is much better as well.




Monday, May 19, 2014

I don't if anything can be done about this one.

There is a statement I hear a lot in my office. 
It goes something like this, "Doctor, I don't think you will be able to do 
anything with this tooth. It REALLY bad. You'll probably just have to pull it."

Sometimes the patient is right. I lay them back, look in their mouth, and 
have no other option then to pull out the damaged tooth. 

But more often then not, the patient is incorrect in their analyses. 
Working with teeth everyday means that we see A LOT of bad teeth.
So chances are what you are bringing in has been seen MANY times before.

Take this case for instance. 
Patient thought for sure that this tooth was in really bad shape. 
Well, it wasn't.
To fix this tooth didn't require a crown or a root canal.
A simple filling and the patient was on his way.

(Before)

(After)

So next time you have something that, you think, is beyond hope,
get into your dentist and see what he/she says.
It might just be that its a really quick fix.






Monday, April 28, 2014