Clinical Cases
Crowning Dark Teeth After Trauma and Root Canal
I present you with a dental case dealing with traumatic injury causing discoloration of the teeth and how the issue was resolved. The patient has a history of trauma to her two teeth in the front. As a result the teeth have died off and become darkly stained. They had a root canal to prevent…
Read MoreOdd Case For Root Canal
I think most people would agree that the last thing they want to hear from their dentist is “that tooth needs a root canal”. Root canals have a history of being painful and uncomfortable and usually requiring multiple lengthy appointments to complete. The other problem with root canal treatment is that many people do not…
Read MoreWisdom Tooth Extraction Irregular Roots
Patients always ask “how long will my wisdom teeth extractions take?”. This depends on many factors. Such factors include age of patient, size of roots, density of bone, configuration of the roots, etc. Generally speaking, in young patients where the wisdom teeth are already erupted, these can take anywhere from 1-10 minutes per tooth, usually…
Read MoreReplace Composite Buildup with Porcelain Crowns
I am so happy for this patient of mine. She HATED her front teeth. They had old composite bonding that was discoloured and staining. She wanted to replace them with new composite buildups but they would end up stained again and the teeth would not shine like natural teeth. I recommended Porcelain crowns for her…and 2 appointments…
Read MoreCavity Masked as Wisdom Tooth Pain
This patient presented to my office with pain on his lower left wisdom tooth. The image below shows the upper and lower LEFT side of the jaw. On each arch you can see the bicuspid, 6 year molar, 12 year molar, and wisdom tooth. (Sometimes referred to as the 18year old molar) Can u see where…
Read MoreThe Importance of Crowning Teeth
Today’s post is all about the importance of crowning teeth that have been root canalled I will start off with a general rule of thumb. In a perfect world, any tooth that has had a root canal should be crowned. The the real world, all molars should be crowned no matter what, and other teeth should…
Read MoreWhen Fillings Alone Can Eliminate Pain
Patient presents with pain on his lower left molars. He only feels pain when he is eating or drinks something cold. We took X-rays of the teeth to confirm that there was some decay on the top surfaces of the teeth. I also tested the teeth with cold and they were sensitive but not overly painful. This is a…
Read MoreTongue Piercing Causes Recession
Just to add to my previous post on tongue piercings and the effects they can have on the gums. I see this too often in my clinic. Check out the photo below. It is taken of the lower front teeth from behind (tongue side of teeth). Notice the tooth in the middle of the picture;…
Read MoreVertical Sinus Lift and Implant
This patient presents to my office for an implant on the top left. As you can see from the xray below there is a missing tooth. I have labelled the picture next to it to illustrate the different structures. Because the tooth has been missing for a long time with this patient, the sinus (air…
Read MoreGingival Mask as a Cosmetic Solution For Periodontal Bone Loss
Do you have moderate to severe periodontal disease? The following patient has moderate to severe bone loss around all of her teeth. Periodontal surgery was not an option for her. She wanted something to wear when going out to fill in the missing gums. She is wearing a gingival mask. It is a removable silicone type appliance…
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