Before and After Photos (The Smile Gallery)
Browse before and after photos from some of our customers.
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This porcelain to metal crown definitely does not look right. It is bigger than the tooth next to it; it is whiter, and more opaque.
This charming lady has porcelain crowns that are outdated. In their day they were good, but today we have so much better. Then it was metal crowns with porcelain baked on. Today it is no metal all, porcelain beautiful crowns. You can see the dark gums around the crowns reflecting the dark metal that the porcelain is baked on, and possibly a reaction to the metal. The crowns also don’t look real, they are opaque, not lifelike and translucent.
This business man, who has an engaging smile and personality, wants to restore his teeth to better health. Time has worn the teeth down, and they are darker than he would like and slightly crooked.
This older gentleman in his 80’s knew that he didn’t need to go around with teeth that looked like this. He made, what was for him, a simple decision to not make these teeth part of his smile, as he was still active in presenting himself to others at social occasions.
Our patient has had health problems, which included gum problems, which allowed the teeth to drift crooked. She has been doing everything to restore her health, and wants to restore her smile.
Our patient is unhappy with her teeth because because her smile looks narrow. She would like a broader smile. I call it a ‘Beauty Queen smile’. Her front teeth are different colors, and she would like them uniform in color and whiter. And of course we want them to look natural.
History; A broken mercury filling led to such decay that the pulp of the tooth died and “root canal therapy” was done. The patient presented for restoration with this temporary filling in the tooth placed by the root canal specialist after he had completed his work.
The tooth was restored with a composite crown. Root canal teeth are dead teeth that have been carefully filled to the root tip in an attempt to stop them from causing infection in the bone. Over time, they become very brittle, and so must be strengthened by a crown, or will break and have to be pulled.
What we are looking at here in the back tooth is a very decayed tooth. The decay went through the dark enamel area and turned the once hard dentin tooth under it into a rotten leather texture. The undermined enamel broke away leaving the very decayed dentin visible.
We have here mercury, gold, and porcelain baked a metal crown, and more mercury, a veritable museum of dental natural history.
A large mercury filling broke away all of the tooth on the tongue side, and has put deep fractures in what enamel is left on the cheek side of this lower left 1st molar.
In the top photo there is a broken mercury in the biscupid, mercury under the gold crown, and mercury cracking the last molar. In the lower photo we see the teeth with the mercury removed. The dark areas are hard tooth, not decay, just stained by the metals. Click on the photo and notice the fracture line that runs clear across the bottom of the last molar.
The exposed roots of these canine and front lateral incisors have led to root sensitivity and decay.
There are 2 problems here; the mercury fillings are breaking down and breaking the teeth, and the two dissimilar metals are causing corrosion.
This lower left molar had a large decay, and part of the tooth has broken away. Cavities can go undetected like this until they completely undermine the tooth and it crumbles.
the teeth are darkening, which means the fillings are leaking and corroding, and they are fracturing.
These are typical medium sized mercury fillings. Click on the photo to enlarge it and notice the fractures in the teeth from the mercury fillings.
Look close and you will see in the middle tooth, the 1st molar, that the whole inside wall of enamel has been pushed out and broken off by the mercury filling. This is a very common sight to dentists and usually requires a crown to save the tooth. Luckily the tooth didn’t break down the middle or it would have been lost.
This is a view few people see but the dentist. The dangerous mercury above, and the teeth cleaned of the mercury below. The dark colors in the cleaned teeth are stain from previous decay and the fillings.
These are the upper teeth of the same person from the previous photos (of his lower teeth). To avoid more broken teeth and more crowns and possible tooth loss, the mercury was safely removed and,
This is a nice close up of a broken mercury filling. Notice how the mercury had expanded and pushed out of the tooth, between the teeth, and decayed under the filling.
Upper photo, these teeth are threatened by the corroding expanding mercury fillings. Lower photo, after the mercury is removed we have a good view of decay through the enamel beween the teeth.
Here we have nice healthy lower teeth, with two teeth threatened by the old corroding and expanding mercury fillings.
We see two mercury fillings and a little decay in the bicuspid (the grey shadow in the third tooth from the left is decay).
Four different colors of mercury fillings, a result of 4 different mixes, or formulations of mercury filling. A mercury filling is approximately 55% mercury, 35% silver, and the rest copper, zinc, etc. The different formulations can exhibit different electronegative potentials and corrode among themselves.
Gold is an excellent material to restore teeth with. Gold is cemented to the tooth and can be very long lasting. Here it has failed because the cement has washed out and the teeth have decayed under the gold.
Here 3 teeth will get composite fillings, two because of mercury replacement, and the last molar, the wisdom tooth, because of the large decay in it.
We see a lot of mercury in this upper left 1st molar . It is corroding and chipping, and if left to its course will fracture the tooth and it will be lost or crowned to save it.
the enamel is fracturing around the mercury filling of the 1st molar, and leaking is causing the tooth to darken. Click on the photo to enlarge.
What we see here is two different mercury fillings in the same back tooth. They are leaking, and the tooth is decaying under the fillings. The tooth in front of it has a fractured porcelain crown, notice the piece missing between the teeth.
Here we see an all metal crown on a molar, a virgin bicuspid tooth, and a metal crown with porcelain baked on the outer surface that is most visible.
So, here the teeth are restored with bonded porcelain composite inlays. Since the inlays are manufactured on dies, which means that each tooth model can be held in the technicians hand, the restorations between the teeth can be contoured perfectly, achieving a normal contact between the teeth and an excellent smooth fit where the inlay meets the tooth.
These mercury fillings are in relatively good condition. They are not too corroded. Yet you can already see fracture lines in the front and back of the back tooth.
These two back upper left molars were restored with direct fillings. That is, the fillings were bonded directly into the teeth versus making them on a die in the laboratory, as inlays, onlays, and crowns are made. Fillings placed directly in the teeth are less expensive than lab fabricated restorations by a third.
Mother nature sometimes puts little pits in the back of front teeth. Here, mercury was used to fill them. Even little mercury fillings like these will crack the teeth.
In this upper dental arch, note the mercury fillings that extend down between the teeth These are usually best restored with an ‘inlay’ that is made in a lab. The reason is that it is difficult to make an excellent quality restoration, in the mouth, between the teeth. In the lab it can be make perfectly on a die of the tooth and then carried to the mouth and bonded in.
The front teeth we see here are old porcelain crowns. The natural teeth have been whitened but the crowns don’t whiten and have been left looking yellow. The patient is very unhappy with her smile. The teeth look short, and stubby and roundish, slightly crooked and uneven.
This next to the last tooth is a metal crown with porcelain baked to it. Decay at the gum line required it to be replaced. There was old mercury filling under the crown.
Here the gold restorations on the lower left back molars have failed because the cement that secured them to the teeth washed out and the teeth are decayed up under the gold. There were also old mercury fillings under the gold crowns.