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After

Porcelain Crowns (Dan P)
Sedation Dentistry (Clara)
Very complex case Clara M.
Failing 4 unit anterior bridge and multiple old silver fillings requiring
Required coordination between Orthodontist – to Correct Malocclusion
Oral Surgeon to extract teeth and placement of two implants to fabricate an implant-supported 4 unit fixed bridge
Laboratory technician to create ideal wax-up, surgical guides, and final fabrication of porcelain bridge
The restorative dentist (me)
The patient cried uncontrollably when she just walked into the office for her first visit
In the end, we were being super silly and she cried again because of how we were able to help her navigate this seemingly impossible journey from start to finish – always by her side.
Crown Work on Anterior Teeth
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After

The patient who is a trombone musician was concerned about the new crown work affecting the way her teeth/mouth fit the mouthpiece of the instrument. She wanted her teeth to be shaped exactly the same so that it did not change the way the teeth/lips fit into the instrument’s mouthpiece.
The patient had a removable partial to replace several missing teeth. Due to a number of factors, the rest of the teeth on the upper arch needed to be removed. We added 3 more implants to his maxillary jaw to provide support for a removable prosthesis. Compared to the pre-treatment smile photos, the post-treatment smile changes are remarkable. Our patient is extremely satisfied with the results.
Cracks in enamel are often associated with an older silver filling. Over time there are countless “thermal cycles” that our mouth is subject to when we eat hot foods or hot drinks followed by cold foods or cold drinks. The metal in the silver filling will undergo expansion with heat and contraction with cold. Our teeth have very similar structural properties to glass, in that glass does not expand with the expanding metal filling, it will break (crack). Over time these thermal cycles will lead to cracks in the tooth and if not addressed, can lead to significant tooth damage. Typically, if the cracks are small then a conservative composite restoration can be placed to “slow” further damage. If the cracks appear to be deeper once the silver filling is removed, then a protective crown is recommended to prevent the crack from continuing further.
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Before

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Crown Work on the Entire Maxillary (TOP) Arch
Locator Attachments
An open palate prosthesis design for maxillary (upper) denture using locator attachments