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Jessica, 27, was on vacation in Mexico when she accidentally slipped and fell. Her mouth hit the floor and cracked a few teeth, including one front tooth that cracked all the way to the root. When a tooth root fractures, it can no longer be saved.
The fractured tooth was removed and an implant was placed at the same visit. Although her front tooth could not be saved, Jessica never went a day without teeth. We fixed her fractured teeth with composite bonding and also created a temporary tooth in place of her missing tooth that is attached to her existing teeth, while we waited for her bone to grow around the implant. She went on her daily life functioning normally, with teeth that felt like her teeth – nothing removable.
When the implant was ready, we placed a connector on her implant, and then made crowns for the 2 front teeth at the same time in order to match the color better. Everyone’s treatment time differs depending on their general health and their oral health. Typically, treatment like Jessica’s takes anywhere from 4-8 months to perform from start to finish.
Emily, 30, was a nursing student who came in wanting a better smile. She has been very frustrated with her dental health and had numerous cavities that kept occurring throughout the years. Her upper right lateral incisor (the tooth to the right of the front tooth), never grew in which made her smile look uneven. She was also missing a tooth on the right side, which made her smile look even more lopsided.
Our first task was to control her cavities utilizing CAMBRA (Caries Management By Risk Assessment) to give Emily her dental health back. It is not safe to build new crowns and veneers if cavities are a problem because the new crowns or veneers will be more likely to develop cavities also. In conjunction with controlling her cavities, we also had to do some gum therapy. Once the cavities and gum health were better, we could then turn our attention to creating her beautiful smile through our Smile Design Program. We discussed with Emily what she likes about her smile and what she’d like to change. Together, we came up with a list of goals for her cosmetic treatment.