|
 |
|
|
|
|
|
|
Our practice is located in NYC. Click below to find a local dentist in another City or State: |
|
|
|
|
|
|
|
|
|
|
|
|
A Comprehensive Color Photo Atlas of Dentistry
Click on image thumbnail(s) below to enlarge image.
 |
Dental Reconstruction of a phobic Wall Street executive. Total treatment time was about nine hours in two visits during one business week: Monday (four hours) and Friday (five hours). This patient hid his dental condition for over a decade by never smiling.
In the first row of photos, note that the bite was over-closed due to a prior history of an eating disorder, now controlled, and a current tooth grinding habit.
An Oral Surgery consultation with panoramic x-ray (second row) was performed prior to treatment to evaluate opening the bite.
The third row shows x-rays taken after the Endodontist completed eight root canals on the first day on tooth #’s: 6 – 11 and 14, 15.
The fourth row shows the lab-processed 11 unit (11 tooth) temporary bridge and the cast gold post/cores (with Kaitlyn loops) for the root canal treated teeth.
The fifth row shows the cast gold post/cores cemented.
The sixth row shows the lab-processed temporary bridge in place after the surgeon extracted tooth #’s: 3 – 5 and 12, crown lengthening gum surgery was performed on tooth #’s: 6 – 11, and a distal wedge was performed on #15.
The patient will have a final porcelain-metal bridge made after the gums heal. Implants may also be placed in the upper right posterior. A bite plate is also necessary to try to mitigate the force of tooth grinding. Referral for pharmacological management of anxiety is also worthwhile. |
 |
Full mouth reconstruction on a phobic patient. Note that the patient had been wearing a very old, broken temporary bridge; she had been recementing it herself daily for years. The "after" photo shows a new lab processed temporary bridge placed later that same day.
|
 |
Radiographs of a failing distal abutment in a one year old reconstruction. 1) Pre-operative. 2) Following root canal therapy, root planing and open debridement. 3) Gutta percha placed into a periodontal abscess one year later. 4) Following root planing, targeted antibiotics and extraction. The roots of this extracted tooth were fused. This patient was scheduled for a three month recall; she did not return for eight months following her first three month recall visit. The periodontal abscess was readily apparent at this time. It is suggested that reconstruction patients are treated, not cured, and that they must be closely supervised. Patients need to be acutely aware of the need for frequent recall visits. It is possible that earlier diagnosis and intervention might have prevented the loss of this tooth.
|
 |
Technique for removal of a failing distal abutment under a fixed, porcelain fused to metal reconstruction. 1) Upper first premolar with probing to the apex. 2) Horizontal sectioning through tooth to separate it from the bridge. You need to reduce enough of the remaining tooth root to elevate it while under the bridge. 3) Tooth socket after tooth removal. 4) Extracted tooth root. The gingival surface of the newly created pontic could be bonded after primary healing has occurred.
|
 |
Porcelain reconstruction.
30 year old female who had many missing adult teeth, retained baby teeth and a closed bite. See next photos for a view of the intermediate step.
photo #1 of 2. |
|
|
|
The Center For
Special Dentistry
425 Madison Ave - Suite 500
(at 49th Street)
New York, NY 10017
Tel 212-758-1000
©2001 - 2008 Dr. Jeffrey Dorfman
About 1dentist, LLC
Terms and conditions of use
|
|
Tenta Corp
We design & build beautiful dental & medical offices in NYC metro area.
|
|
|
|
Now Hiring
Our NYC office is now hiring College Grad pre-Dental Interns.
|
|
|
|
|
