Crowns

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This patient is an ex-NBA Basketball Player, who had many years ago sustained a sports injury to his front teeth, leading to the 2-upper central incisors and the 2-lower central incisors requiring root canals and there unfortunate subsequent discoloration. These teeth were otherwise healthy and stable; they just stood out every time to spoke or smiled. Our patient desired to brighten his smile, and no longer have attention always drawn to these discolored front teeth. First we whitened his teeth using our in-Office Whitening System, and all the adjacent teeth brightened up by 4-shades. Then the 4-darker front teeth were prepared for 3/4 crowns, a more conservative preparation than a full crowns- that not only covered the front aspect of his teeth, but also, the incisal edges and in between his teeth. So I corrected the color, the chipped edges, and the alignment of those teeth.
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To achieve these results this case required: whitening, Implants on the 2 front teeth, crowns on the lateral incisors, and veneers on 6 other upper teeth, canines and bicuspids.
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This was an interesting case, where the patient presented with her remaining non-crowned teeth with advanced wear on the edges (you can see the transparency on the upper left lateral incisor), fracture lines, missing enamel and exposed dentin, and crowded lower teeth. She was interested in orthodontics to address the crowding and align her lower teeth, but that would not be able to correct the already advanced wear, fractures and thus weak nature of these teeth. Therefore, her treatment plan was for full to ¾ crowns, and as you can see in the final results we were able to give her the desired results with crowns on these teeth to optimal esthetics, form and function, giving her a healthier, stable and more youthful smile.
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Patient presented after years of dental neglect. Problems included rampant caries and teeth breakdown. The patient was very fearful of the dentist, of what to expect, the fear of potential pain from dental treatment both during and after and the fear of the cost.

Patient treatment was planned using digital technology, 3D CBCT, virtual impressions and then diagnostic wax-ups of the simulated new teeth and results. Patient approved the treatment plan and was treated under 2 separate sedation appointments and we were able to save the majority of her teeth with porcelain partial ¾ crowns to full crowns. The final results were spectacular, and she remains thrilled.
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Before - Active and healthy 60’s woman with 12 old failing crowns that had open margins, recurrent cavities. In her words she lived in constant fear of them falling out and breaking (as a few had already and had been patched).

After – 2 weeks later, old crowns removed, cavities removed and healthy teeth restored with new brighter, crowns that restored her smile back to optimal esthetics, health and function. All done in 2 quick visits under sedation.