This cases highlights the long term affects of early trauma to adult front teeth. The work was done for a young person who suffered a fracture to both front teeth in early childhood. Both teeth were restored with white fillings, which failed with disappointing regularity which lead to the decision to place a crown on the left front teeth. Ordinarily this is something we would strive to avoid as we … [Read more...]

This post is mainly of interest to dentists and shows the use of Fibre Reinforced Composite (Crown and Bridge fibres, from Stick Tech) to re-enforce a surgery made temporary bridge in a rather challenging case. The upper left central and lateral incisors were hopelessly mobile and, in the case of the UL1, likely to exfoliate in the impression. The bite is not ideal and leaves us with logistical … [Read more...]

This case shows a direct fibre FRC composite crown that I built up in a single appointment and then refined with an extra polish at a second visit a couple of days later. The tooth in question is actually a lateral incisor that is in the place of the central incisor that was knocked out in childhood. The lateral incisor had a conventional porcelain fused to metal crown that lasted very well for … [Read more...]

This is one of those cases I love resulting in a lovely smile- a simple 2 week home night guard whitening with 10% carbide peroxide gel followed by a couple of hours to redo the stained fillings and build up the worn incised edges.The smile looks younger, healthier and more vibrant, which is just how the happy patient now feels! The decision was made to leave the porcelain crown alone and the … [Read more...]

The case below shows two teeth that died off a couple of years apart with both showing extensive bone loss (the dark shadow around the tips of the root) as a result of the infection. On both occasions the patient experienced pain and swelling which developed into a draining sinus. On both occasions some dentists might have opted to remove the teeth as the bone loss was so severe but the patient … [Read more...]