This case was in this week for a routine hygiene review and I thought it was worth a mention. It is an example of a direct fibre reinforced composite bridge that was built in the mouth to replace the upper premolar. The xray shows that this tooth had had a great deal of dentistry, which had delayed its loss for many years but it was now loose and causing pain so needed to come out. As is always … [Read more...]

The above question is a very common, and entirely understandable, one that patients ask when root filled teeth are still giving them problems. The simple answer is -"the tooth may be dead, but you are not"! The tenderness they feel is coming from inflamed tissue surrounding the tips of the roots, all of which is still very much alive. The inflammation is caused buy bacteria within the canals, … [Read more...]

This case illustrates how simple changes to a couple of teeth can change a smile dramatically. The patient on this occasion was not happy with the gap in the right side of her smile caused by a diminutive lateral incisor and rotated canine. We discussed various options-braces to move the teeth or porcelain veneers but the patient did not want to wear braces and did not want any adjustment done to … [Read more...]

This case of Gingival Recontouring highlights the importance of getting the gums in the correct position if we want to get the best out of a smile. The patient did not like the veneer on the front tooth but actually the shade match was quite good, it was the position of the gums and the lack of symmetry that caused the problem here. Fortunately Russell Blanchard is an expert at dealing with this … [Read more...]