Creating beautiful smiles to last a lifetime.
Dental Implant Placement Completes Broken Smile
- Tony Before
For someone who has had a broken smile for a number of years, today has been a long time in coming. We met Tony in the beginning of 2007 and began soon after to restore his smile. A titanium implant and bone graft were placed where tooth #7 used to be.
If a tooth is missing, the gums and bone it was attached to are no longer stimulated by the blood supply and activity of that tooth. Therefore, with the tooth gone, the surrounding bone and gums may resorb or melt away. Furthermore, the opposing tooth (on the opposite jaw) no longer has something to bite against, and may grow towards the space created by the missing tooth. Implants not only stabilize the restoration that sits on top of it, but also stimulate bone growth around the implant.
Tony with Complete Smile
The implant was placed during a surgical procedure, directly in the jawbone and under the gums. The surgical site with the implant was then left (under the gums) to allow the bone to grow around the implant and “osseo-integrate”. Six months after the first surgery, the implant was uncovered from under the gums. An “abutment” or implant post was then connected to it, and the gums were given time to heal around this abutment. About a month later, a final tooth restoration is custom-made to fit onto the abutment. Today was that day. After waiting patiently, Tony was able to come in today and have his custom-made crown permanently fitted and left with his mouth restored. Today we completed a smile.
Tags: boulder, Colorado, cosmetic dentist, Cosmetic Dentistry, dental implant
Cosmetic and Emergency Dental Treatment Restores Smile After Traumatic Accident
- Ryan after the accident
Ryan suffered a traumatic fall that severely damaged his front teeth. Tooth #8 (his upper front tooth on the right) had sustained the most damage and had had a third of the tooth broken off. Ryan was suffering pain and sensitivity due to the fracture. Tooth #9 (located to the left of #8) was also fractured but not to the same extent.
Dr. Adler performed a root canal on tooth #8 as part of his emergency treatment to get the patient out of pain. The teeth were temporarily bonded to make the teeth look normal while Ryan was completing his treatment. The root canal was necessary because the severe fracture exposed the pulp of the tooth to bacteria that live in the saliva. If left untreated, the tooth would continue to be a source of infection and eventually weaken the body’s immune system. The pulp is contained within an inner chamber of the tooth called the pulp chamber. Pulp is commonly referred to as the nerve but is actually a soft tissue make up of nerves, arteries, and veins. The pulp extends from the pulp chamber down through narrow channels, called the root canals, to the tips of the roots. The fear and pain associated with root canals are over rated. For most patients, getting a root canal is no more traumatic that having a filling done. During the process of the root canal, the doctor goes into the tooth and removes the pulp, cleaning the cavity.
Once a root canal has been performed, the tooth is structurally weakened and prone to fractures and breaking if left as is. Crowns are a common option for a root canalled tooth. In Ryan’s case, both tooth #8 and 9 were both crowned not only because of the root canal but because of the fractures caused by the accident. The teeth are prepared for the crown by removing any damaged areas and/or decay. In the case of tooth #8 a carbon fiber post was placed to adequately support the crown so the bite force would be properly distributed so that the tooth did no fracture. The tooth is then shaped to securely hold the crown. The crown is either custom fabricated in the office using CAD/CAM Cerec system or sent to a laboratory. Ryan’s was sent to a laboratory and an impression of the tooth was taken so the dental lab could make an accurate model of his mouth, and then created a crown that precisely fit his mouth and bite. Ryan received all porcelain crowns on #8 and 9. Unlike porcelain fused to metal crowns, all porcelain crowns are translucent and allow light to pass through the tooth like a natural tooth opposed to reflecting all the light which can make the tooth appear dark. Porcelain fused to metal crowns can also have a dark ring near the gum line which is not present with all porcelain crowns. The shade of the teeth is also very important to maintain the natural appearance. An underlying shade is taken of the prepared tooth, known as a stump shade, to better match the natural and subtle hues of the tooth. The shade of the crown is also determined by the adjacent teeth. Whitening is done before this outer shade is taken to make sure the crown closely matched the other teeth and because crowns are not effected by the whitening process and so will remain the same color as they are made.
Prior to the crowns being custom made, Ryan had his teeth whitened using our in-office ZOOM laser whitening. The main ingredient in Zoom is hydrogen peroxide, which works by oxygen enter the enamel and dentin was it breaks down. The oxygen bleaches colored substances and doesn’t harm the tooth structure.
Ryan After
The Zoom light aids in activating the hydrogen peroxide and helps it penetrate the surface of the tooth. It is a simple procedure that can produce great results. With this new brighter smile, Ryan was ready to have the shade taken and the crowns seated.
Tags: boulder, Colorado, cosmetic dentist, Cosmetic Dentistry
Full Mouth Reconstruction Creates Beautiful New Smile
Richard
Richard originally came to Adler Cosmetic & Family Dentistry because he was unhappy with his smile. He was concerned that his bite had been changing over the years including changing color, crowding, and problems with his gums. He wanted to keep his teeth and gums healthy and get an updated smile. He had spent a lot of time in the dental chair at other offices just fixing one tooth at time without getting the overall results that he wanted. At the time Dr. Adler had recently begun studying at the Las Vegas Instituted (LVI) expanding his knowledge of both cosmetic and neuromuscular dentistry. Instead of just evaluating Richard’s problems as individual teeth to be fixed independently, he looked at Richard’s mouth as a whole and addressed all the issues together. Dr. Adler realized that the training he had received at LVI was just the solution that Richard was looking for.
Richard Before
The first step to a healthy smile is healthy gums. Richard had periodontal disease, a chronic bacterial infection that affects the gums and the bone supporting the teeth. If left untreated, a serious infection can lead to bone loss and tooth loss. To treat his periodontal disease, Richard had scaling and root planning done. During this procedure, the hygienist, Susan, numbed quadrants of Richard’s mouth, since the gum tissue was inflamed and sensitive, and then scaled out the bacteria and calculus (tartar) that had built up under the gum tissue. After the procedure, Richard had to make sure to get his regular cleanings done every three months (as opposed to the usual recommendation of every 6 months) in order to maintain healthy gums and manage his periodontal disease.
Once Richard’s gums were healthy, then Dr. Adler focused on his bite problems. A K7 evaluation was performed to determine exactly what was happening with Richard’s bite and the best way to approach fixing the problem. The K7 evaluation consisted of running a series of test using non-invasive computerized electronic instrumentation. It began with taking diagnostic cast so we have an accurate model of his mouth and bite. The K7 produces scans that measure the muscles, range of motion, and joint noise among other things. EMG or electromyography measures the muscles at rest and during function-clench. CMS (computerized mandibular scan) measures joint function, habitual freeway space, swallowing, and range of motion. Sonography measures joint sounds. TENS or Transcutaneous Neural Stimulation relaxes the muscles in the face and neck to find their true resting state and establish the occlusion at that position. Material is then placed in the patient’s mouth to capture that ideal position, known as the bite registration. Based upon the information gather during the K7 evaluation, it was determined that the best course of treatment would be for Richard to be fitted with a fixed orthotic that would be bonded to his lower teeth that would reposition his bite and jaw into its ideal position. Once his bite had settled into the proper position to then do a full mouth reconstruction where all of his teeth would be crowned to rebuild his bite into the correct place permanently without the continued use of an orthotic.
Richard is Smiling Now!
Richard After
Richard, who was Dr. Adler’s first full mouth reconstruction case, met Dr. Adler and his assistants in Las Vegas at the Las Vegas Institution to do the final restorations under the guidance of LVI’s highly trained instructors. During the first procedure, the fixed lower orthotic was removed and all of Richard’s teeth were prepared for the crowns. Temporary crowns were then placed while the impressions were sent to Aurum Ceramic Dental Laboratory where Richard’s crowns would be custom fabricated into his new bite and better looking smile. Once fabrication on the crowns was complete, Richard returned to LVI with Dr. Adler to have the case seated. The temporary crowns were removed and Richard’s amazing new crowns were cemented into his ideal bite with strong clear cement. Now Richard is smiling all the time and is proud to show off his teeth.
Tags: boulder, Colorado, cosmetic dentist, Cosmetic Dentistry, full mouth reconstruction
LVI Dentist Boulder Colorado | Dr. Michael Adler Brings Top LVI Fellowship Credentials to Area
The Las Vegas Institute of Advanced Dental Studies (LVI) Fellowship recently awarded to Boulder Colorado dentist Dr. Michael Adler ensures the availability of the most advanced dental treatments for area residents.
Boulder, Colorado, September 27, 2009 – Boulder, Colorado-based dentist Dr. Michael Adler today released additional information concerning his recent designation as a Las Vegas Institute for Advanced Dental Studies (LVI) Fellowship recipient. The LVI Fellowship distinction is significant for area residents and dental patients of Adler Cosmetic and Family Dentistry as it ensures the availability of the most advanced dental care and treatment. Current and prospective patients are invited to contact Dr. Adler’s office for additional information concerning available services or to schedule an appointment or consultation.
The requirements for receiving the LVI Fellowship are extensive and confirm Dr. Adler’s completion of a series of studies on the clinical skills and knowledge necessary to provide comprehensive aesthetic treatment for dental patients. The Fellowship distinction is awarded only to select doctors who successfully complete studies and a comprehensive exam covering the skills and techniques taught at LVI.
In attaining this level of distinction Dr. Adler has made a commitment to offering a high level of Aesthetic Neuromuscular Dentistry. Neuromuscular dentistry is evaluation/diagnosis, and healing of the relationship between teeth, jaw joints, jaw posture, head muscles, neck muscles, back muscles, head posture, and body posture. These factors combine to impact a person’s bite and can cause a variety of symptoms affecting long term health and well being.
Adler Cosmetic and Family Dentistry is open weekdays by appointment. Additional information about the practice and services offered is available at www.adlerdentistry.com.
About Adler Cosmetic and Family Dentistry
The cosmetic and family dental practice of Dr. Michael Adler is based in the Colorado community of Boulder, a convenient and scenic drive from most locations in the Denver and Front Range areas. Boulder, Colorado is also an inviting destination location for visiting out-of-state patients seeking Dr. Adler’s specialized attention. Dr. Adler is nationally recognized for his work and is committed to providing his patients with the highest level of care in both cosmetic and family dentistry. The practice maintains a website at www.adlerdentistry.com and regularly publishes information on its blog at www.adlerdentistry.com/blog.
Contact
Name: Heather Ramsey
Email: heather@adlerdentistry.com
Phone: (303) 449-1119
http://www.adlerdentistry.com
Adler Cosmetic and Family Dentistry
1810 30th Street
Boulder, CO 80301
Tags: boulder, Colorado, dentist, dentistry, Las Vegas Institute for Advanced Dental Studies, LVI
Porcelain Crowns | Inlay Onlay
Jamie's Amalgum Filling - Note the discoloration
Inlay/Onlay
The Other White Crown
It is a common myth that silver amalgam fillings last forever. They are very durable but are not indestructible. There are several reasons why a silver filling can fail. Fillings have to endure an incredible amount of biting force and over time, they become worn and turn black, and their edges wear away. Moisture and temperature changes can also cause the filling to expand and contract. This expansion can create a wedging effect in the tooth, which can fracture or break off tooth structure. The expansion can also lift the surface of the filling slightly creating a gap where the filling meets the tooth and allow bacteria into the tooth.
Jamie had begun to have sensitivity when flossing in her lower right molar, which had a large silver amalgam filling. Dr. Adler diagnosed recurrent decay in the tooth and recommended that an inlay be placed.
An inlay is similar to a filling and lies in between the cusps of the tooth. They are custom-made to fit the prepared cavity and are then cemented into place. An onlay is a more extensive reconstruction that replaces one or more cusps of a tooth. Onlays are indicated in situations where a substantial reconstruction is required. However, more of the tooth structure can be conserved compared to the placement of a crown. To repair damage to the tooth’s biting surface, rather than using a simple filling, or a crown, Dr. Adler will often use an inlay, or an onlay. Inlays and onlays are made from porcelain because of its strength and ability to match the natural color of the tooth.
Jamie's Almost Invisable Inlay
Dr. Adler prepared Jamie’s tooth by removing the old amalgam filling and the underlying decay. He then painted a reflective powder over the prepared tooth. Using a special camera, he took an accurate picture of the tooth which was then displayed on a computer screen, where he designed the inlay. Then CEREC took over and automatically fabricated and shaped the restoration. CEREC is an acronym for Chairside Economical Restoration of Esthetic Ceramics. With CEREC there was no need for us to make an impression and send it to a lab. The inlay was then permanently bonded to Jamie’s tooth. The whole process took about an hour and Jamie was able to leave with a beautiful and healthy white tooth verses the discolored and decayed one that she came in with.
Tags: boulder, Colorado, cosmetic dentist, porcelain crown
Repairing Broken Tooth | Fractured Tooth
- Katie after the accident
With just a slip of the foot, Katie’s appearance was instantly changed. After slipping on ice and falling face first, Katie was left with at least two of her upper front teeth broken. A large portion of her upper left middle tooth was fractured off and her upper right tooth next to the middle was also chipped. She immediately sought treatment from Dr. Adler of Adler Cosmetic & Family Dentistry. Dr. Adler examined the damaged area using the aid of both x-rays and an interoral camera to help diagnose the multiple fractures that were not apparent to the naked eye and to determine the extent of the damage. Teeth #7 and 9 were visibly broken so Dr. Adler placed composite bond on the teeth as a temporary solution to restore the aesthetic look of the teeth until permanent restorations could be completed. Tooth #8 did not appear visibly damaged but the interoral camera did reveal that the tooth was fractured. Dr. Adler suspected that the tooth was more heavily damaged than it appeared since the teeth on both sided had visible damage due to the impact. A week after the fall, a portion of tooth #8 broke off due to the trauma it sustained during the accident. Dr. Adler determined that porcelain veneers should be placed on teeth #7-10 to restore the patient’s smile to its original brilliance.
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- Katie after the accident
Tooth #10 (upper left tooth, second from the middle) did not have any visible fractures but needed to be restored partly as a precaution since not all damage from a fall is immediately apparent and mostly for aesthetics. It is recommended that front teeth especially should be restored in sets of two to insure that the patient’s smile remains symmetrical. Tooth #10 was already shorter than its counter part #7, so if Dr. Adler was to only restore the teeth that had visible fractures (# 7-9), then tooth #10 would appear short and out of place, giving the patient an uneven smile.
A veneer is a thin shell of porcelain that is bonded to a tooth to improve its color or shape. A veneer generally covers only the front and top of a tooth. Veneers can be used to close spaces between teeth, lengthen small or misshapen teeth, or whiten stained or dark teeth. When teeth are chipped, as in Katie’s case, or beginning to wear, veneers can protect them from damage and restore their original appearance.
Katie's Teeth After
Katie’s four upper front teeth were first shaped and roughened to prepare them for the veneers. Impressions were then taken of the teeth and sent to Aurum Ceramic Dental Laboratory, where the veneers were artistically custom crafted. Once the veneers had returned from the lab, they were cemented onto Katie’s teeth using a durable adhesive bond. The bond was then cured with a harmless high-intensity light. The pain Katie initial experienced from the accident was relieved after the veneers were placed. The final results were a beautiful and natural looking smile.
Trauma cause to a tooth in a fall can take several months before all the damage is known. A root can be fractured but not cause symptoms for several months after the accident. Dr. Adler was concerned that Katie might eventually need a root canal for that very reason. With this in mind, Dr. Adler specifically designed the veneers to allow an access opening for a root canal without damaging the porcelain restorations if one was needed at a later time.
Katie's Beautiful Smile After
Four months after the fall, Katie did begin to have symptoms in tooth #8 that warranted a root canal. The blood supply to the tooth was likely damaged in the accident but was not symptomatic until several months later. Dr. Adler referred Katie to Dr. Joseph Parsons of Boulder Endodontics, P.C. for the root canal. Dr. Parsons successful performed the root canal and the veneer was not damaged in the procedure. Because symptoms can develop long after the accident continuous follow up is needed to monitor the tooth’s nerves.
Katie is good as new and now her brilliant smile is the best ice breaker of all.
Tags: boulder, Colorado, cosmetic dentist, Cosmetic Dentistry, dentistry
Colorado Invisalign | Boulder Dentist Dr. Michael Adler Announces Invisalign Special Offer
Nationally recognized Boulder Colorado based cosmetic dentist Dr. Michael Adler launches Invisalign invisible braces promotion beginning August 2009.
Boulder, Colorado, August 29, 2009 – Boulder, Colorado-based cosmetic dentist Dr. Michael Adler today announced a special limited time discount for Invisalign invisible braces treatment. Invisalign is the virtually invisible way to straighten your teeth without braces. The Invisalign system uses a series of clear, removable aligners to move your teeth over time to give you the smile you deserve.
Dr. Michael Adler specializes in Invisalign treatment. Actual patient cases studies with before and after pictures are available on the Adler Cosmetic and Family Dentistry website. Among the chief advantages of using Invisalign are:
- Absence of ugly, metal bands and brackets
- Results in months instead of years
- Aligners are virtually invisible, so it’s nearly imperceptible to others that you’re undergoing orthodontic treatment.
Among the conditions that are treatable using Invisalign are: 1) Overly crowded teeth. This occurs when there is simply a lack of room within your jaw for all of your teeth to fit normally, 2) Widely spaced teeth. This occurs with abnormal continued growth of the jaw bone, 3) Crossbite. This occurs when the upper and lower jaws are both misaligned, 4) Overbite. It occurs when the upper teeth bite over the lower teeth, and 5) Underbite. This occurs when the lower teeth protrude past the front teeth.
Adler Cosmetic and Family Dentistry is open weekdays by appointment. Additional information about the practice and services offered is available at www.adlerdentistry.com.
About Adler Cosmetic and Family Dentistry
The cosmetic and family dental practice of Dr. Michael Adler is based in the Colorado community of Boulder, a convenient and scenic drive from most locations in the Denver and Front Range areas. Boulder, Colorado is also an inviting destination location for visiting out-of-state patients seeking Dr. Adler’s specialized attention. Dr. Adler is nationally recognized for his work and is committed to providing his patients with the highest level of care in both cosmetic and family dentistry. The practice maintains a website at www.adlerdentistry.com and regularly publishes information on its blog at www.adlerdentistry.com/blog.
Contact
Name: Heather Ramsey
Email: heather@adlerdentistry.com
Phone: (303) 449-1119
Adler Cosmetic and Family Dentistry
1810 30th Street
Boulder, CO 80301
Tags: boulder, Colorado, cosmetic dentist, Invisalign
Getting Aligned with Invisalign – Invisible Braces
Jeff came to Dr. Adler of Adler Cosmetic & Family Dentistry seeking to brighten and straighten his smile. Dr. Adler sat down with Jeff and discussed exactly what Jeff’s expectations and goals were. He found that Jeff wanted his teeth to be healthy but also wanted them too look good and appear natural. Based on Dr. Adler’s thorough exam, he noted that Jeff had decay on several teeth and that one of his lateral teeth (#10 upper left next to middle front teeth) was peg shaped, under sized and out of proportion. He also saw that Jeff’s teeth were discolored and varied in shade, crowded, in an unhealthy bite, and had extreme wear and gum line problems. Dr. Adler recommended that Jeff first have fillings done to remove the decay and get his teeth healthy and then proceed with Invisalign and Zoom Whitening to straighten and brighten his teeth. He also recommended that Jeff restore his lateral teeth (#7 and 10, on either side of his upper front teeth) to their correct size and proportion with porcelain veneers. The fillings were important to do first not only to remove the decay before the cavity got worse but also because Jeff would not have been able to have any restorative work done once the Invisalign treatment had started until it was finished. This is because the trays that are used in the treatment are made all at once and progressively shift the teeth into position as the trays are changed out. If restorative work was done during treatment then the trays would not fit.
Jeff Before
For each tooth with a cavity, Dr. Adler removed the decay from the tooth and then placed tooth colored composite resin in the prepared tooth reshaping it to its original shape. A harmless curing light is used to harden and set the material. The tooth is then good as new and the filling is unnoticeable.
Once all the cavities had been restored with composite fillings, Dr. Adler was able to start the Invisalign. An impression of Jeff’s teeth and bite were taken and then sent to Invisalign labs. There a model of Jeff’s mouth was made and scanned as 3-D virtual image. They then made small incremental movements of the virtual teeth to simulate how the aligners would shift the teeth into their final position. Buttons, small tooth colored composite dots placed on selected teeth, were required to help certain teeth shift and rotate more. Once this virtual model was completed, it was sent to Dr. Adler for approval and/or modification. Once approved, the aligners were fabricated for the entire treatment phase and sent back to Dr. Adler. The buttons were places on the selected teeth and Jeff was given his first set of aligners. Each aligner was worn for about two weeks and each new aligner was slightly different to help slowly move the teeth into there proper position. The aligners were clear so it was hard for anyone to know that Jeff had “braces” on. They were removable for easy cleaning and were not worn when eating. Since Jeff had crowded teeth, IPR (inter proximal reduction) was required to give the teeth more room to move. IPR is a very simple and painless procedure that involves Dr. Adler filing a very minuscule portion between the teeth to create a small amount of space that the teeth will later move into. Treatment was completed in 6 month, much less time than traditional braces. The buttons were removed once treatment was done and clear aligner retainers were given to be worn at night to keep the teeth from shifting back.
Jeff had Zoom Whitening treatment done to brighten his new smile and remove the discoloration. The 
Zoom whitening gel was applied to each tooth and then cured with a high intensity curing light that activates the whitening gel. The Zoom light aids in activating the hydrogen peroxide and helps it penetrate the surface of the tooth. This procedure was repeated four times to maximize the whitening effect. After the treatment, Jeff had a noticeably brighter smile. He was given more whitening gel to use with his Invisalign retainers for any need touch up or maintenance bleaching.
Jeff After
Jeff’s two upper front teeth on either side of the middle teeth (#7 & 10) were first shaped and roughened to prepare them for the veneers. Impressions were then taken of the teeth and sent to Aurum Ceramic Dental Laboratory, where the veneers were artistically custom crafted. Once the veneers had returned from the lab, they were cemented onto Jeff’s teeth using a durable adhesive bond. The bond was then cured with a harmless high-intensity light. This final touch completed Jeff’s treatment and he now has exactly what he wanted, a straight and white natural looking smile. The results are stunning and Jeff loves showing off his smile now.
Tags: boulder, cosmetic dentist, Cosmetic Dentistry, dentistry, Invisalign
Full Mouth Reconstruction – Getting the Bite Right – Part 1
Peter before.
Peter was unhappy with his smile and was having trouble with crowns that he had done (and redone) in the past. Like many of us, Peter turned to the Internet to find his new dentist. Peter thought that Dr. Adler’s website was comprehensive and discussed several issues that he wanted addressed. When Peter came to our office, his teeth were fractured, worn, discolored, crowded and filled with metal fillings that were leaking. He also had bleeding and inflamed gums. His bite was over closed and he had alignment issues. Peter complained that he had pain in his front teeth constantly and had for many years. He also felt that his smile was crooked, discolored and felt stubbly. Peter had spent enough time in the dental chair fixing one tooth at a time. Peter wanted his teeth and gums to be healthy, look great and last a lifetime.
Peter’s fractured teeth, constant pain, over closure and alignment issues were all indications to Dr. Adler that Peter’s bite was not right and would continue to cause problems with his teeth until the issue was resolved. Dr. Adler recommended that Peter have a full mouth reconstruction that would consist of neuromuscular dentistry in conjunction with cosmetic dentistry to insure that his smile would not only look good but be functional and pain free. The phase 1 of Peter’s treatment was to find his ideal bite. The ideal bite places the patient’s plan of occlusion, which is an imaginary line that runs horizontally through the bite, at a 90 degree angel to the patient’s axis of gravity to insure that the forces of gravity and the bite force are distributed equally and don’t cause undue stress or stain on joints and muscles that can effect the entire body.
Before retracted view.
A bad bite caused Peter’s muscles to become overstressed and fatigued due to the constant strain of working in the wrong position. TENS or Transcutaneous Neural Stimulation was used to send electronic pulses to specific muscles in the face, neck, and back that allowed these overstressed muscles to elongate and come into their ideal resting positions. Peter had several TENS sessions during the course of his treatment to insure that the muscles were relaxing into their ideal positions for the best bite. In addition to the TENS, a K7 evaluation was used to help determine exactly where Peter’s ideal bite was and to monitor the progress of his treatment. The K7 evaluation entailed a) taking diagnostic casts of Peter’s mouth, b) running EMG (Electromyography) that measured his muscles at rest and during function-clench, c) CMS (Computerized Mandibular Scan) that displayed joint function, habitual freeway space, swallowing, and range of motion, d) Sonography measured joint sounds, and finally e) Myobite registration, which was an impression of Peter’s bite in its ideal position after TENS has been done. From the myobite, an orthotic was made to keep Peter in his ideal bite. TENS and any needed adjustments were made to the orthotic to make the bite as comfortable and functional as possible. Once Dr. Adler and Peter were satisfied with Peter’s bite, phase 2 of treatment began.
Cosmetic Dentistry | Complete Makeover | Sarah Part 2
After temps.
Sarah underwent a very dramatic change the day she came in and had all of her teeth prepared for restoration. Every tooth was fitted for all porcelain crowns. The procedure was completed in a single day, thereby reducing the number of visits the patient needed to make and insuring the correct bite. Due to the extensive nature of the case, the crowns were sent to a lab for fabrication. The lab was then able to custom craft the entire mouth instead of trying to piece together and match the teeth had they been done separately over a period of time. The lab insured that her smile was not only aesthetically beautiful but also functional and in the proper bite. While waiting for the porcelain crowns to be custom fabricated, Sarah was had temporary crowns placed that looked almost as good as the real thing and kept her in the correct bite. Once the case was returned from the lab, Sarah had all of her temporary crowns removed and had the new permanent crowns chemically bonded to her teeth with a strong clear cement. Now Sarah is pain free and has a beautiful smile that will last a lifetime.
Sarah after smile.
Sarah after face.
- Sarah after teeth.
Tags: Cosmetic Dentistry
Creating beautiful smiles to last a lifetime.