All On 4

Pre-treatment: fully edentulous arches, "no removable dentures anymore, please"

Final: Upper arch with 4 implants
All On 4

Pre-treatment: "People tell me I never smile, well I can't"

Final: All-on-4 final upper porcelain fixed bridge close-up view
All on 4

Pre-treatment: Upper four implants strategically placed

Final: All-on-4 final upper porcelain fixed bridge close-up view
Bleaching

Pre-treatment

Final: After Bleach
Bleaching

Pre-treatment

Final: After Bleach
Bleaching

Pre-treatment

Final: After Bleach
Bleaching

Pre-treatment

Final: After Bleach
Bone Grafting

Pre-treatment: close-up showing considerable bone and gum loss around a mistreated crown on her right central incisor tooth

Final: After treatment of bone and gum graft on implant right central incisor
Bone Grafting

Pre-treatment: Boney ridge too narrow to receive implants

Final: After bone graft wide enough to receive implants
Bridges

Pre-treatment: "I just had these front bridges done, something went terribly wrong"

Final: porcelain bridges replacing lateral incisors. "This feels right!"
Bridges

Pre-treatment: "These bridges are old and ugly, I need help"

Final: porcelain fuses to metal bridges replacing lateral incisors "feeling good!"
Bridges

Pre-treatment: missing upper right lateral incisor with cuspid prepared for crown

Final: All-ceramic fixed cantilever (1 tooth) bridge for missing right lateral incisor. Note harmony with opposing sides creating a pleasing smile
Bridges

Pre-treatment: Tooth preparations for 3 unit back fixed bridge

Final: all-ceramic bridge cemented. Note no "gray gums" around the bridge due to no metal in the bridge
Bridges

Pre-treatment: missing upper right lateral incisor in teenager too young for a dental implant

Final: MD. bridge upper right lateral incisor. Conservative, without preparing good adjacent teeth for a fixed solution
Bridges

Pre-treatment: A teenager in braces needing a fixed solution for missing lateral incisors but too young for dental implants

Final: fixed MD bridges for lateral incisors which will maintain the space for dental implants in the future
Bridges

Pre-treatment: Adult missing central incisors and not enough bone for dental implants

Final: All-ceramic MD Bridge close-up. Note tooth contour, texture, and color harmony with adjacent teeth
Composite Fillings

Pre-treatment: right after braces removed. Patient too young for dental implants

Final: All gaps filled in with composite resin to stabilize tooth position and allow further growth and maturation for future porcelain replacement
Composite Fillings

Pre-treatment: "I want a conservative enhancement"

Final: composite fillings and esthetic recontouring of four front teeth
Dental Crowns

Pre-treatment: Fractured and severely worn central incisors, "preventing me from smiling comfortably"

Final: All-ceramic crowns 2 front central incisors smiling again
Dental Crowns

Pre-treatment: High smile line and "embarrassed to smile"

Final: All-ceramic crowns 6 front teeth "smiling all day long"
Dental Crowns

Pre-treatment: Old, unaesthetic crowns on front teeth. Note red, irritated gums and poor tooth contours

Final: All-ceramic crowns 8 upper front teeth close-up, fitting beautifully into her smile, note pink healthy gums, and detailed tooth contours
Dental Crowns

Pre-treatment: "It's time I do something for myself"

Final: All-ceramic crowns 10 front teeth, taking care of herself and her smile
Full Arch Dental Implants

Upper arch without teeth and six dental implants

Upper six dental implants with full arch upper fixed bridge with pink porcelain gums
Full Arch Dental Implants

Upper six implants with fixed porcelain bridge cemented, note merger of pink porcelain high above the smile line

Upper six dental implant bridge with natural emergence of pink porcelain, note detail in artistry of tooth surfaces and contours
Full Arch Dental Implants

Upper & lower full arch implant fixed hybrid bridges final smile

Upper & lower full arch implant fixed hybrid bridges close-up
Gum Contouring

Pre-treatment: gum contours around "gummy" front teeth

Final: gum contours around front teeth with porcelain veneers
Gum Contouring

Pre-treatment: gum contours around front teeth with poor composite resin veneers

Final: gum contours around front teeth with porcelain veneers
Gum Contouring

pre-treatment: gum contours side view

Final: contours around front teeth side view
Gum Contouring

2-Dimensional Drawing

Proposed Outcomes

Before

After
Gum Grafting

Pre-treatment: Inadequate gum around upper cuspids and on upper missing lateral incisor ridges

Final: all-ceramic front bridge with gum grafts
Gum Grafting

Pre-treatment: recession on lower cuspids

Final: treatment with gum grafts on cuspids
Gum Grafting

Pre-treatment: close up reveals colapsed gum tissue under false teeth of front bridge

Final: smile after gum graft in front with new fixed bridge
Gum Grafting

Before: Gum grafting was completed on the upper left central incisors, lateral incisors and canines to cover the exposed roots.

After: Teeth were bleached, A ceramic veneer was completed on the upper right lateral incisor and composite bonding on the upper right canine.
Immediate Tooth Replacement

Pre-treatment: Upper left lateral incisor with poor temporary that falls off every week. "I can't keep doing this!"

Pre-treatment: Upper left lateral incisor with fractured root
Immediate Tooth Replacement

Final: smile of replaced upper left lateral incisor

Final: Close up view of final immediately replaced left lateral incisor with stable implant
Immediate Tooth Replacement

Pre-treatment: failing four front teeth

Final: result of immediately replaced four front teeth
Immediate Tooth Replacement

Pre-treatment: four front teeth - profile with "buck tooth appearance"

Final: four front teeth - "normal straight tooth" profile
Immediate Tooth Replacement

Pre-treatment: upper right central incisor root fracture during school sport activity

Final: upper right central incisor with immediate placed implant, followed with teeth whitening
Immediate Tooth Replacement

Pre-treatment: of hopeless lower 4 front incisors

Final: lower four incisors immediately replaced with implants
Immediate Tooth Replacement

Pre-treatment: "I've had it and I want a fast solution"

Final: immediate lower implant fixed bridge
Immediate Tooth Replacement

Pre-treatment: hopeless lower teeth

Final: immediate implant full lower fixed implant bridge
Implant Supported Dentures

Lower 2 implants to support a removable full lower denture

Lower final implant supported full denture on 2 implants
Implant Supported Dentures

Upper metal snap attachments on 4 implants

Upper implant supported denture very stable in function
Implant Supported Dentures

Upper 4 implant metal bar attachment for maximum stability

Upper final implant supported denture smile
Implant Supported Dentures

Upper metal reinforced over denture without palate for comfort along with very stable function

Upper metal reinforced over denture without palate, maximum strength and great for "gaggers"
Multiple Dental Implants

Pre-treatment: with removalbe partial denture with unsightly metal clasps

Final: treatment implant fixed bridges for back teeth with pink porcelain gum
Multiple Dental Implants

Pre-treatment: periodontally hopeless 4 lower incisors

Final: with 2 implants supporting 4 tooth fixed porcelain bridge, note natural symmetry of gums and customization of procelain to natural adjacent teeth
Porcelain Veneers

Pre-treatment: discolored left central in braces

Final: porcelain veneer left central incisor. Note gum harmony and porcelain contour and textures matching adjacent teeth
Porcelain Veneers

Pre-treatment: "I don't like my gummy smile and disfigured teeth"

Final: 8 upper porcelain veneers after gum trimming to reduce her "gummy smile"
Porcelain Veneers

Pre-treatment: Old composite resin facings on front teeth

Final: upper 10 porcelain veneers. Gum tissue slightly trimmed to create proper tooth proportions
Porcelain Veneers

Pre-treatment: "I don't like the gaps between my teeth and their color"

Final: porcelain veneers upper 12 teeth with esthetic proportions and colors
Reconstruction and Implants

Pre-treatment: of patient who felt her smile was not as youthful as she felt

Final: porcelain reconstruction displaying a more youthful smile
Reconstruction and Implants

Pre-treatment: close up view of years of "patch up" dentistry

Final: porcelain reconstruction close up detail
Reconstruction and Implants

Pre-treatment: with unesthetic old crowns

Final: with all-ceramic crowns
Reconstruction and Implants

Pre-treatment: with unesthetic old crowns

Final: reconstruction side view with all-ceramic crowns
Reconstruction and Implants

Pre-treatment: of "not enough time for the dentist"

Final: reconstruction efficiently performed with digital technology
Reconstruction and Implants

The patient presented with severe gum recession.

Dental Implant solution with final porcelain fused to zirconia implant bridge.
Removable Dentures

Pre-treatment: denture unacceptable for "new social life"

Final: full upper denture natural looking for social engagement comfortably
Removable Dentures

Pre-treatment: old fracturing & tooth breakage full denture

Final: full upper denture with strong and secure teeth
Single Tooth Implants

Pre-treatment: failing central incisors

Final: 2 front teeth with whitening smile
Single Tooth Implants

Pre-treatment: close-up view of irritated gums

Final: 2 front teeth close-up detail, note healthy gums
Single Tooth Implants

Pre-treatment: missing left central incisor with unacceptable bonded tooth

Final: First all ceramic dental implant abutment and crown in the world
Single Tooth Implants

Pre-treatment: close-up of missing tooth

Final: Close up of final implant detail with all ceramic tooth 1989