What about small fractures? Or is there more to the story?

Enjoy the before and after! Patient could tell something didn't feel right, it hurt initially, and a small piece broke off, but, then, the pain temporarily subsided. There was meaningful decay into the dentin in the area where the chipping occured. We removed the old amalgam, the caries (decay), and restored with a composite. Recurrent decay with associated fracture: #19 - DOB He wore through the cusp tips from grinding. I did not extend the outline of the filling into the areas of erosion on those cusp tips, as the patient's grinding was largely historic from having very large tonsils in his youth. He did not have his tonsils out until 18 or 19-years-old. The airway disturbance, akin to Obstructive Sleep Apnea, caused associated bruxism. If we did extend the outline of the filling into those… Read More »

Leaking Sealant

[caption id="attachment_547" align="alignnone" width="300"] Before and After of Leaking interface between filling and sealant.[/caption] In this case, we have a classic example of a leaking sealant. The interface between filling and sealant at the occluso-lingual groove of #3 has broken apart and been seeping with each day getting into the dentin beneath the filling and the tooth. The interface between the sealant and the filling breaks and starts leaking. I identified a small area of grayness at the marginal interface. These types of failures rarely show up on a radiograph, but, MUST be visually identified by the dentist. By the time it shows up on an x-ray, it would be very deep and very large. Luckily in this case we were able to identify it early and simply replace the failing restoration with a new… Read More »

In-Office Whitening Special 10-Year Anniversary

YEAR OF JUBILEE Special: Professional Whitening In-office $200 off The normal $510 for 1-hour In-office Whitening, we are running a quarterly special celebrating 10-years in practice, for $310. We ran this as a CYBERWEEK special last year, so I brought it back by popular demand as a way to say thank you to patients. Use the Pay Now. Enter the information for the person paying for it, under First Name Last Name Billing Address, City, State, Zip Code, Country, Phone Number, and Email, all of these top fields should match the credit card billing information. In the space for Invoice Number/ Chart Number, type “JUBILEE” Under the space for PO Number/ Patient Name, type the name of the person who will be receiving the in-office whitening. In the space for Amount, enter $310. This can be gifted for any special occasion to… Read More »

Minimally Invasive Dentistry

Patient presented with a small area of wear and chipping, and a microfracture on the incisal edge. In this case, a simple and conservative option is simply smoothing off the area with a very fine polishing disc. Because the reduction is less than 0.5mm, and the chipped tooth appears slightly longer, it makes a reductive approach the most minimal option. The reduction was completed with no anesthetic and done with a very fine ortho disc, and polished with the blue Sof-Lex discs. The patient was very happy and the cost is very small, since this is a simple and inexpensive method to improve the look and feel of the incisal edges. Read More »

Case Study – Drink Beer Out of a Can instead of a Bottle

Drink beer out of a can instead of a bottle. Click on the picture for the blown up view of today's before and after for the chipped tooth. I heard an all-to-familiar story today. A patient was relaxing with his friends and was enjoying a beer. But, he made the fateful mistake of drinking it out of a bottle. I have been practicing for 10-years and anterior chipped teeth are frequently caused by drinking beer out of a bottle. I have great advice... drink your beer out of a can. Sincerely, J. Russell McFarlane DDS Read More »