This case shows how we were able to get a patient out of pain and restore teeth that might easily have been extracted if we did not take the time to discuss all of the options first. The two teeth in this case area clearly very damaged teeth. When ever we begin treatment in a case like this it is important that we review all treatment options and give our patients time to understand the choices … [Read more...]
2 year review of direct build up
This case shows the results of a direct build up of some very damaged teeth two years after it was completed. The case shows the benefit of direct build ups as they can give an excellent aesthetic and functional result with no drilling of sound tooth tissue. The case was completed in one visit and did not involve any injections or impressions. The patient is delighted with the result but these … [Read more...]
SAF retreatmet in action
This case is an example of an endodontic retreatment, which means that we need to redo the root filling, prior to making a new crown. Although the root filling has been in place for several years and is not showing any obvious signs of infection there was decay present and this means there is a high risk that it will flare up during the decay removal and replacement of the crown. By redoing the … [Read more...]
Trauma Update
This rather sorry looking front tooth belongs to my nephew who took a smack in the mouth from a hockey stick 18 months ago. I am very pleased to see that it is still alive and symptom free and showing signs of continued growth on xray. The filling is a direct composite and was done without doing any adjustment to the damaged tooth as I felt it had had enough for one day. Always wear a … [Read more...]
When to extract and when to restore
This is a common dilemma for patients and dentists alike. When has a tooth had all the dentistry it can take and so should come out and when is it worth having one more go at restoring it. The answer is usually arrived at following a thorough examination and detailed discussion with tooth's owner regarding all the possible treatment options along with a list of possible outcomes, relative costs … [Read more...]
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