The patient has had a lower anterior tooth that had gradually lost all the attachment around it as a result of localized periodontal disease. This left the tooth mobile and hopeless and it was starting to become uncomfortable chewing with it. Once we determined that the tooth was hopeless, we set out to make the
read morePatient presented with a fractured off tooth, which we were able to repair in-office same day with an all ceramic crown. We used the laser to lower the gums, so there is some slight coloration in the gums (right now temporarily) from the use of the laser. That mild discoloration at the gumline will be
read moreEnjoy the before and after: On this case we completed today, we moved a patient from a A4/C4 to a B3. In-office whitening uses a process where we retract the lips and isolate the gum tissues using a soft light cured resin. The process takes about 1 hour. We do 3 applications of 38% H2O2
read moreI recently sat in a Hands-On course with Dr. Peter Harnois. We spent several hours discussing veneers. The primary topic was a discussion of prep design, tooth preparation in order to get the tooth ready to receive a veneer. Specifically, Dr. Harnois discussed Lumineers, which use strong lithium disilicate, and can be as thin as
read moreEnjoy 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
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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.
read morePatient 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
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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
read moreDr. McFarlane: “So, we came to deliver the TAP-3 appliance, today… to follow-up. We delivered it last week. And now, we’re following up to see, ‘How does it feel?’” Patient: “It’s great.” Dr. McFarlane: “OK. Now, tell me a little bit about what you were telling me earlier about sleep. How was your quality of
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See the uncensored version here.
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