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Cone Beam CT Scan

The in-office cone beam CT scanner is the state of the art from Imaging Sciences International. This brings the latest technology to dental diagnosis and treatment plans, yet the dose of radiation is extremely low. We can now measure exact bone width, thickness, height, and density for implant placement. Diagnosis of abnormalities in the bony structures is also possible to a degree not previously available. The relationship between the root of an impacted wisdom tooth or the exact location of any impacted tooth can now be determined instantly without guesswork.

The following images show the amazing 3-D visuals now routinely possible in our office.

 

Cone Beam CT
CT No Overlay
CT Overlay
CT Overview
CT Overview
CT Overview

 


 

Dental Implants

Case 1: This basic case restores a single missing tooth.

Before Implant
Single Implant Placed
Single Implant
(1) Pre-treatment: dead tooth (3) Implant placed after healing (5) Crown made on top of abutment
Tooth Implant Bridge Abutment Inserted Total Implant Bridge
(2) Hopeless tooth extracted (4) Abutment inserted into implant (6) Final appearance in mouth

 


 

Case 2: Multiple missing teeth are restored by implants. Orthodontics are first used to align the teeth properly. Dentures over the implants are used to replace the missing teeth.

Braces Before Implants
Braces Implants Placed
Braces Implant After
Braces around missing teeth Implants placed after orthodontics Implant-supported fixed dentures

 


 

Case 3: An implant replaces a missing tooth and treats a super-erupted tooth.

Super-eruption Before
Super-eruption After
Molar (top) has super-erupted due to missing opposing tooth (bottom) Super-erupted molar intruded after implant placed

 


 

Orthodontics

Case 1: This rather complex case shows multiple defects to be corrected in this child.

 

Cast Before
Alignment Before
Cast: severe overbite and crowding Alignment before intervention
Appliance in Place Alignment After
Appliances in place for 1 month Removal of appliances after 18 months

 


 

Case 2: Sectional orthodontics refers to a quick, smaller scale intervention, as shown in this adult case.

 

Gap Before 4 Brackets
Prominent gap before intervention Placement of only 4 brackets
Gap After Removal Gap
Status of our patient after 1 month Removal of appliances after 3 months

 


 

Case 3: Here is a case showing repair of a severe underbite in a child.

 

Underbite Before Underbite After
Profile showing protruding lower jaw Improved profile after 15 months
Anterior Before Anterior After
Pre-treatment underbite Our orthodontic treatment result
Tilt Before Tilt After
Severely misaligned bottom molars Correction of underbite without surgery

 

Case 4: Orthodontic treatment can improve narrow airway spaces, as shown in this teenager.
The patient played tennis but was limited by fatigue prior to orthodontic treatment.
After correction she was able to last longer in tennis and play her full game.

 

Airway Before Volume Before
Severe overbite with narrow airway before orthodontics Volume analysis confirms anatomical limitation
Airway After Volume After
Normal bite achieved in fewer than 2 years Blue/green confirm improved airway


 

Implant Bridges

Case 1: Implant bridge is placed for 2 or more missing teeth.

Before Implant
Single Implant
2 missing teeth (before implant) Single implant placed
Tooth Implant Bridge Total Implant Bridge
Bridge supported by natural tooth and implant Total implant-supported bridge
(different case)

 


 

Case 2: A pair of implant bridges replace 6 missing teeth.

Implant Bridge Before
Implants Placed
Missing teeth (bottom jaw) Implants placed (bottom jaw)
Implant Bridge After Implant Bridge Placed
Implant bridge in place Restored appearance and function

 


 

Case 3: A complex case involves a single tooth implant replacement, implant–natural tooth supported bridge, and left + right implant–implant supported bridges.

The Works
1 patient, multiple approaches

 


 

Implant Bridges

Before Root Canal
After Root Canal
Dark shadow is infection in the bone around the 2 roots After root canal, the surrounding bone has healed

 


 

Minor Oral Surgery

Frenectomy (removal of excess tissue that can pull on the gums, lips, or tongue) is an excellent example of a minor surgical procedure that can be done in our office. This case shows a child’s teeth.

 

Frenum Before
Frenum Removed
Frenum Final
Tight frenum pulling on lips and teeth Frenectomy to remove excess tissue Corrected appearance and function

 


 

Implant Dentures

Case 1: This shows how all the components of an implant denture work together.

 

Implants Placed
Denture Attachment
Implants placed in toothless lower jaw Completed attachment ready for denture
Denture Prosthesis Implant Dentures After
Inside of denture prosthesis with cushions Implant dentures in place (lower jaw)

 


 

Case 2: Gum grafts are also important tools to cover exposed tooth roots.

 

Dentures Before Attachment for Dentures
Edentulous except for 1 tooth Implants with locking ball attachments
X-Ray Denture Appliance
Implants in areas of severe bone loss Appliance locks securely with 2 rings

 


 

Dentures

Case 1: Simple but important set of full dentures improves function but also appearance.

 

Without Dentures
Full Dentures
Edentulous mouth Full dentures in place
Dentures Before Face Dentures After Face
Puckered mouth, causing elderly appearance Restored facial appearance
Dentures Before Profile Dentures After Profile
Profile without dentures Normal profile with full dentures

 


 

Case 2: Partial dentures are another basic but important tool.

 

Upper Teeth Before
Upper Partial Dentures
Upper teeth before fitting Upper removable partial denture
Lower Teeth Before Lower Partial Dentures
Lower teeth before fitting Lower removable partial denture
Partial Dentures After
Total appearance with upper and lower partials in place

 


 

Gum Graft

Case 1: This shows a soft tissue graft to correct a gum defect.

 

Gum Defect Before
Gum Defect After
Initial distorted gums with tissue defect Corrected appearance 5 days after graft
Gum Harvest Gum Healing
Graft harvest site (roof of mouth) Site will continue to heal fully

 


 

Case 2: Gum grafts are also important tools to cover exposed tooth roots.

 

Exposed Root
Receded gumline has left dangerously exposed tooth root
Graft Donor Graft Take
Graft donor site after 1 week Graft takes at 1 week
Donor Site Healed Graft After
Donor site healed at 2 weeks Final appearance after 2 weeks

 


 

Case 3: Here is a case showing repairing one (on the left) out of multiple exposed roots. The other root (the one on the right) was repaired later.

 

Exposed Roots Before Exposed Roots After
2 severely exposed tooth roots Exposure repaired by gum graft

 


 

Cosmetics

Cosmetics can rely on combinations of crowns, cleaning, botulinum toxin (Botox®), and bleaching to achieve overall results. Sometimes simple teeth cleaning will make a dramatic improvement (second case below).

 

Cosmetics Before
Cosmetics After
Pre-treatment: hopeless case? Completion of the front teeth
Cleaning Before Cleaning After
Prior to deep cleaning (bottom teeth) After much-needed deep cleaning

 


 

Bonding

Bonding is a quick solution to problems such as gapped teeth. This case shows a dark-skinned individual.

 

Bonding Before
Bonding After
Significant gap between front teeth Direct bonding completed in same office visit

 


 

Crowns

Conventional crowns are one of the most basic procedures we do. The following patient is a basic example. (Note that the bottom teeth could benefit from better alignment.)

 

Crown Before
Crown After
Teeth prior to crown placement After crowns (and cleaning).

 


 

Bleaching

This frequently requested procedure is simple and effective. Note that temporarily even the surrounding gums can take some bleaching effect. This case shows a dark-skinned individual.

 

Bleaching Before
Bleaching After
Unsightly stains prior to bleaching Same teeth after short period of bleaching

 


 

Tooth-colored Fillings

Tooth-colored fillings are routine but can also be used to replace older fillings.

 

Filling Before
Filling After
Unsightly old filling before replacing Same tooth with tooth-colored filling

 


 

Oral Cancer

Sometimes suspicious lesions are discovered on dental exams. This is another important reason to have routine exams done.

 

Oral Lesion
Squamous Carcinoma
Lesion we discovered on a routine check-up Diagnosis: squamous carcinoma (oral cancer)

 


 

Oral Cancer

This is a normal patient who does not suffer from snoring or sleep apnea. The 3-D volume calculation shows normal volumes of the upper airway (white, at the far right of the color scale).

 

Normal View
Squamous Carcinoma
Image slice showing mouth and airway White 3-D volume is normal

 


 

This patient suffers from loud snoring and has been diagnosed with obstructive sleep apnea. The 3-D volume calculation shows severe narrowing of the upper airway, which is causing these problems. The middle of the calculated volume (an extremely important area!) shows the color gradient going all the way to black. Innovative oral devices can then be applied to solve the airway problem, including the snoring and drop in blood oxygen.

 

Normal View
Squamous Carcinoma
Image shows apparent narrowing Black volume confirms extreme narrowing

Be sure to view examples of our dental spa using the Our Work menu above.