Procedure Details
The patient presented for an emergency appointment due to a broken tooth. He was beginning to have pain and the tooth was sharp. During an exam we were able to see a large piece of the existing crown had broken off and the tooth behind was discolored around an old filling . After taking an x-ray we were able to diagnose current decay under the crown and filling, so a treatment plan was presented for replacing both. The teeth were excavated (decay cleaned out) a new filling was placed in one and the other tooth was scanned using digital impressions to design and make a same day crown. The crown was placed, bite was checked and adjustments were made for a correct fit. The patient was encouraged to continue proper hygiene care at home and scheduled for his routine care in our office.
Procedure Details
The patient presented to us after having a wisdom tooth extracted at an oral surgeon's office. The tooth in front of the one she just had removed appeared to have a black spot on the side surface and the biting surface was worn. The gum tissue surrounding the tooth appeared inflamed and overgrown. Upon examination, there appeared to be a "flap" of tissue between the extraction site and existing tooth where a drainage of pus had developed and an x-ray confirmed that decay was present as well. Dr. Patel prescribed antibiotics and drained the infection site. The decay was cleaned out of the tooth and a composite "tooth-colored" filling was placed. The patient returned a few days later for laser treatment. Dr. Patel used our Waterlase laser to remove the overgrowth of tissue surrounding her tooth as well as all remaining infection inside and around the bone. The patient returned regularly for follow up appointments to monitor the area and was able to continue with her regular hygiene schedule in our office.
Procedure Details
The patient presented with inflammation and a loose implant abutment and crown, due to an overgrowth of gum tissue and Peri-Implantitis. The gum tissue had become so overgrown and inflamed that it had essentially "pushed" the abutment and crown out of the implant. Using the WaterLase laser, Dr. Patel removed the overgrown tissue and bacteria around the implant surface. He was able to decontaminate and re-contour the bone that was lost due to the peri-implantitis. Finishing the treatment process with the WaterLase, Dr. Patel disinfected the original abutment and crown, so the patient was able to utilize them once again.
Procedure Details
The patient presented in pain for an emergency appointment. A tooth on her upper left had become loose and an x-ray revealed a large infection. Upon examination, Dr. Patel diagnosed that the tooth was decayed, fractured and had become periodontally involved. The significant bone loss resulted in unrestorable mobility and required extraction. Once the tooth was removed, Dr. Patel used the laser for infectious tissue removal and bone disinfection. A bone graft was placed to support a replacement restoration and once the site had fully healed four months later, an implant was placed. The patient returned at a later date for the implant crown and she continued on a regular hygiene schedule that included implant maintenance.
Procedure Details
The patient presented with jaw pain and his lower right area was painful to touch; with hot/cold/sweets and when biting or chewing. At times he experienced shooting pain level of 10. Dr. Patel noted that the gum around a lower right tooth was inflamed and an x-ray revealed an infection with a necrotic pulp. The pulp is the soft area within the tooth that contains the nerve, blood vessels and connective tissue. When the nerve looses blood flow it essentially "dies", causing the entire pulp to die and need root canal treatment. Dr. Patel excavated (removed all decay and cleaned out), disinfected and irrigated the tooth's canals. A material called Gutta Percha was placed to fill the canals and then they were sealed off. The patient was seen for a follow up appointment one week later and cleared for a crown as the final restoration.
Procedure Details
While in town visiting, the patient broke a tooth that had recently been filled back home. She was having pain and needed to be seen right away. The tooth was broken, fractured and endodontically involved, meaning there was decay into the nerve. Dr. Patel's diagnosis provided the patient with two different treatment options to either save the tooth with a root canal and crown, or extract it. She decided to save it. Dr. Patel excavated the tooth and removed all decay with the help of our Waterlase laser. The Waterlase was used to access decay below the gum line, as well as disinfect the area. Once the canals were cleaned out, they were filled with a material called "gutta percha" and then sealed off. A post was placed inside for stability and then the tooth structure was built up to support placement of a crown. Using our CEREC computer Dr. Patel took a digital scan of the tooth and a crown was made in our CEREC milling chamber the same day. Once cemented, any necessary adjustments were made to ensure a correct fit and bite.
Procedure Details
The patient presented for an emergency appointment to address pain. The tooth previously had a root canal completed, so there should not have been a feeling of pain in the actual tooth. A digital x-ray was taken and showed a PARL (Periapical Radiolucency, a change indicating bacteria and infection at the tip of the tooth root.) A periodontal (gum) and endodontic abscess was diagnosed as well as minimal bone loss. An incision and drainage along with antibiotics were recommended as treatment. Using the Waterlase laser, Dr. Patel accessed the infection, cleaned out the bacteria and diseased tissue below the gum line and around the bone. We continued to monitor the patient at follow up appointments. Another digital x-ray, shown here, was taken 15 months later and bone regeneration was noted. She was able to continue with her routine care in our office.
Procedure Details
The patient was seen in our office for a dental emergency. She was experiencing pain and sensitivity when biting and chewing. The pain woke her up in the middle of the night, prompting her to request an emergency appointment. An exam and xray revealed that a tooth on her lower right was abscessed and due to bone loss, was now non restorable. Dr. Patel diagnosed that the tooth needed to be extracted. After discussing replacement options, the patient decided that she wanted to replace the tooth with an implant. The tooth was extracted and due to insufficient bone structure, a bone graft was placed in the site. A few months later once the site healed, an implant was placed and subsequent appointments were made to check the healing and implant stability. The implant was restored about three months later with a same day crown. (Depending on the patient's healing time and regeneration of bone, the entire implant process usually takes between 5-12 months.) Once her treatment was completed, the patient was instructed to continue with her routine care in our office.
Procedure Details
The patient presented for an emergency appointment for a broken tooth. He arrived in "excruciating pain" and was unable to eat or sleep. The tooth had broken off at the gumline and a digital radiograph revealed that an infection was present. Due to the active infection and condition of the remaining tooth structure, Dr. Patel diagnosed it as unrestorable and recommended an extraction. He was able to remove the tooth the same day and prescribed antibiotics to help clear any remaining infection. The patient's healing was monitored at a follow up appointment and he was able to resume his normal hygiene maintenance.
Procedure Details
This patient was seen for an emergency appointment to address pain and a loose crown. A digital x-ray revealed there was decay present and the tooth was cracked. Due to the mobility and condition of the tooth, Dr. Patel recommended an extraction. To relieve the patient's pain, the extraction was performed during his emergency visit. Dr. Patel monitored the patient's healing and he was able to continue his routine hygiene appointments in our office.
Procedure Details
The patient presented for an emergency visit due to a broken tooth. During an exam with Dr. Patel, digital x-rays revealed a vertical crack, requiring a root canal. The tooth was excavated and evaluated, while an intraoral camera was used to record diagnostic photos of the treatment process. The canals were cleaned and disinfected with the help of our Biolase laser and then filled with a material called "gutta percha". Dr. Patel placed a temporary filling at the access until the patient returned a week later for her permanent crown. The temporary filling was taken out and once all decay was removed, the remaining tooth structure was insufficient to support a crown. A post was placed and the tooth was built up to provide stability. Using our CEREC computer and milling chamber, Dr. Patel designed a crown that was then cemented the same day.
Procedure Details
The patient presented with a broken tooth and missing crown. A digital x-ray and CBCT (cone beam catscan) were taken. They revealed a fracture within the tooth, deep decay and an active infection. Dr. Patel diagnosed the tooth as unrestorable and recommended an extraction. Over the next several weeks, the patient was seen for follow up appointments to monitor healing of the extraction site. To replace the tooth, the patient chose to have a bridge placed, as the adjacent teeth had also presented with decay and required crowns. Using our Waterlase laser, Dr. Patel was able to access the...
Procedure Details
The patient presented with a cracked crown on an upper right tooth. An emergency exam and digital x-ray revealed deep decay and a fractured root, resulting in the tooth being un-restorable. Due to insufficient bone in the area and the patient's desire to eventually replace the missing tooth, Dr. Patel recommended an extraction and bone graft to help support a future implant. The patient was seen for follow up visits to monitor his healing and eventually began the implant process.
Procedure Details
The patient presented for an emergency appointment to address a tooth on the upper left that had broken off at the gum line. During an exam with Dr. Patel, a digital x-ray revealed the tooth had decay into the nerve and was not salvageable. An extraction was recommended, along with a bone graft, due to insufficient remaining bone structure to support an implant as replacement. The patient's healing was monitored and two months later the implant was placed. Dr. Patel continued to monitor the patient's progress and one month later, the implant was stable with zero mobility noted. A same day CEREC crown was provided as the final implant restoration.