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