May 13, 2012 at 8:14 pm by Ian Kerr
Filed under Clinical Cases
This is one of those cases I love- a simple 2 week home night guard whitening with 10% carbemide peroxide gel followed by a couple of hours to redo the stained fillings and build up the worn incisal edges.The smile looks younger, healthier and more vibrant, which is just how the happy patient now feels!
The decision was made to leave the porcelain crown alone and the patient was aware that it would appear darker but this was an acceptable compromise to them as the tooth has weak foundations and they did not want to risk any complications with it.
If you would like to know if we can help you build a younger healthier looking smile please do not hesitate to call us on 01580 752202 and we will be happy to help
May 13, 2012 at 8:03 pm by Ian Kerr
Filed under Clinical Cases
The case below shows two teeth that died off a couple of years apart with both showing extensive bone loss (the dark shadow around the tips of the roots) as a result of the infection. On both occasions the patient experienced pain and swelling which developed into a draining sinus. On both occasions some dentists might have opted to remove the teeth as the bone loss was so severe but the patient was keen to avoid this if possible and I felt that the teeth stood a chance if we were able to access the canals fully and provide optimal root fillings. The treatment was carried out as a basic two stage procedure each time which the patient found to be pain free (they fell a sleep during each treatment visit) and cast restorations (crowns or overlays) were provided to both teeth once the infection had resolved.
The first tooth to abscess shows extensive bone loss
Two years later the first infection has almost fully resolved but the next tooth has died off
6 months after root treatment the infection has almost fully healed
If you have suffered an abscess from a tooth and would like to know if it can be treated with a root canal filling then please call the surgery on 01580 752202 and we will be happy to help
April 18, 2012 at 8:06 pm by Ian Kerr
Filed under General
Just thought I’d show you this tooth. It is a fully formed supernumerary tooth that are a not uncommon occurrence in the adult dentition. This one is a distomolar example and formed behind the wisdom tooth, perhaps as result of the original tooth germ for the wisdom tooth splitting in two.Despite its diminutive stature it has all the features of a normal tooth and managed to last well into middle age. It finally became so mobile it was at risk of accidental ingestion so was removed. It was not a challenge to remove it!
April 12, 2012 at 9:12 pm by Ian Kerr
Filed under Clinical Cases
This case was in this week for a routine hygiene review and I thought it was worth a mention. It is an example of a direct fibre reinforced composite bridge that was built in the mouth to replace the upper premolar. The xray shows that this tooth had had a great deal of dentistry, which had delayed its loss for many years but it was now loose and causing pain so needed to come out. As is always the case we look at all replacement options and considered the use of simple unilateral denture made with flexible acrylic (Valplast) or an implant retained crown but the patient wanted something quick and simple that did not need to be taken out at night and did not involve any drilling to the support tooth. The fibre bridge matched her requirements and was made once the gum had healed over following the extraction. The second photo shows the bridge after three years of use and the first photo shows why you should never take photos immediately after finishing the work as the other teeth are dehydrated and look much whiter than they usually do.
Xray showing damaged root and failing apicectomy
Bridge on the day of fitting (the false tooth is the last one in the row on the upper jaw)
Same bridge after 3 years of use
As ever if you would like more information about the techniques discussed in this site please call us on 01580752202 and we will he happy to help.
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