Treatment planning is based on multiple factors; expense, time and technical considerations. Here is an asymptomatic upper left second molar with no opposing dentition. The tooth has lost a lingual amalgam and has extensive mesial-buccal subgingival decay. The patient cannot … Continue reading
This emergency patient came to my office with a chief complaint that a portion of a crown had fractured off. Clinical exam showed no fractured crowns. There was a small white material that seemed to be excess resin cement. It … Continue reading
The upper left first bicuspid has had endodontic therapy. The radiograph shows a questionable obturation and an apical area with a slightly different bone density. This is a rather typical scenario and in an ideal world, prior to … Continue reading
This patient arrived in my office on a Friday afternoon referred from a Miami Beach 5-star hotel. Her New York Manhattan aesthetic dentist had recently replaced the two central incisors with feldspathic porcelain bonded new crowns. This was performed due … Continue reading
This patient came to my office having lost her lower bridge. Clinical and radiographic exam shows generalized recurrent decay, inflamed gingival tissues and other pathologies. I was surprised that she was in the process of implant therapy in her native … Continue reading
When most patients present for therapy they are concerned with two things… fixing what’s wrong and the cost. This presents a dilemma for most dentists who are taught to fix things only the right way. There are creative ways to … Continue reading
This 30 year old female presented to my office with signs and symptoms of nerve deterioration from the upper left lateral incisor. This tooth is sensitive to percussion and shows no response to an electric pulp test. There doesn’t appear … Continue reading
Local anesthesia is administered. Thanks to the potency of septicane it is not necessary to administer a mandibular block. The lesion is opened with a 556 cross cut fissure bur being careful to preserve as much natural tooth structure as … Continue reading
This attractive young lady appeared at my office with a broken filling. She recently had upper and lower porcelain veneers placed and I was very impressed with the result. However, when I requested a photo of the before shot I … Continue reading
The etiology in regards to dental decay is multifactorial, however in a simplified description, bacterial digestion of refined carbohydrates creates an acidic environment that “eats through” the enamel. Once the decay reaches the softer dentin, it can spread rapidly. Preventive … Continue reading