Tag Archives: tooth bonding

Thank you letter from one of my patients last week :-)))

For 44 years, I have been practicing dental hygiene in Virginia.  Recently I had to have a crown prep done on #8 and a replacement crown on #9.  My first crown on #9 was stainless steel, placed at age 7 in 1958.  Since then this tooth has had 14 replacement crowns that improved the appearance as dental materials progressed over the years.
 
My new ones though are the best I’ve ever had made.  The contacts, size, shape, color & occlusion are perfect and needed no adjustments when they were delivered.  I experienced no discomfort during the procedure, even while wearing the temporaries.
 
I have seen thousands of crowns & fillings by hundreds of dentists over my long career and Dr. Gentry’s work surpasses them all.  He is extremely attentive to detail.  The perfect fit and aesthetics are evident in every restoration he does.  I have no reservations in recommending his work to family, friends & current patients.  His sensitivity and approach while interacting with patients is a model for all individuals interested in entering the profession.
 
I truly feel he is deserving of the recognition equal to his daily accomplishments in the field of dentistry. As a dental hygienist with 44 years of private practice experience, I know who the best dentists are, and Dr. Gentry is one of the best!
I highly recommend Dr. Gentry. His dental work is the best I have seen. 
 

Sincerely,

Alicia Woodall, RDH
Williamsburg, Va. 23185
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Before
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After

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Fractured molar

This patient fractured the lingual side of his first molar tooth biting down on a Skittle candy. Dr. Gentry was able to restore the tooth with a porcelain crown and was able to avoid a root canal and crown lengthening periodontal surgery.

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Fractured molar tooth.
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Tooth immediately following crown placement.

Porcelain Veneers

Porcelain Veneers

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Porcelain veneers are thin pieces of porcelain used to recreate the natural look of teeth, while also providing strength and resilience comparable to natural tooth enamel. It is often the material of choice for those looking to make slight position alterations, or to change tooth shape, size, and/or color.

VENEER CONSULTATION

The first step is to schedule an appointment with Dr. Gentry to determine if veneers are the right option for you, or if there are alternate solutions available. Communication about what you want corrected is critical for a successful result. Spend time clearly identifying what cosmetic improvements you want to accomplish.

You’ll often hear people say that celebrities have veneers and this may seem like the best way to replicate picture-perfect teeth, but each mouth is different and veneers need to be carefully researched. We begin with a smile analysis and diagnostic wax mock-up that will allow you to see if the final result is actually what you’re looking for. Deciding that porcelain veneers will create the look you want is only one step in the process. There is much more to learn before proceeding further.

THE HOWS AND WHYS OF PORCELAIN VENEERS

Porcelain laminate veneers consist of a compilation of several thin ceramic layers which replace original tooth enamel, and an adhesive layer. To apply a veneer, a very small amount of the original tooth enamel must be removed, usually about a millimeter. This is essential as it creates room for the porcelain veneer to fit within the mouth and most accurately restore natural tooth function while creating an even better appearance than the original tooth.

The bond between original tooth and porcelain veneer is critical as it not only provides the esthetic perfection desired, but also a strong bond which is essential for correct veneer function. Light-sensitive resin is placed between the original tooth and the veneer and then hardened using a special curing light.

Porcelain veneers are a very successful option in many situations where the original tooth has developed poor color, shape, and contours. It is also a good choice for fractured teeth, gaps between teeth, and in some situations where the tooth position is compromised and there are minor bite-related problems. For some people, superficial stains do not respond well to tooth whitening or bleaching. In these situations, a porcelain veneer may be the best option.

THE BENEFITS OF VENEERS

Since veneers are individually sculpted for each patient, it is nearly impossible to tell the difference between a veneer and a natural tooth. Unlike natural teeth, custom-made veneers resist coffee and tea stains, and cigarette smoke because they are made of high-tech materials.

With veneers—as opposed to crowns—your natural teeth remain largely intact with only a minimal amount being altered to fit the veneer.

For teeth that resist whitening, veneers can make even the darkest teeth appear bright white.

Dentists may also recommend veneers to quickly fix minor twists, overlaps, and small gaps.

POTENTIAL VENEER DOWNSIDES

Because a portion of the original tooth enamel is reduced, a veneer is not considered a reversible treatment. Although adjustments and even new veneers can be made, you can never reliably return to the original condition of the tooth.

Creating porcelain veneers requires some laboratory time, so expect at least a week before they’re ready to be applied.

After the porcelain veneers are attached you will probably have some sensitivity to hot and cold temperatures due to the removal of that thin layer of enamel. This typically disappears within a few days. In a healthy mouth properly treated with porcelain veneers—and where destructive forces are minimized or eliminated—a patient should be able to use porcelain veneers like his or her own teeth. Although they’re very strong, veneers are also brittle. You should avoid the same excessive stresses you would avoid with non-veneered teeth: don’t bite your fingernails, chew ice, or open beer bottles with your veneers!

MAINTENANCE OF A PORCELAIN VENEER

Maintaining porcelain veneers is actually quite simple: Treat them as you would your original teeth, with routine brushing and flossing. Using non-abrasive fluoride toothpaste will typically be suggested by your dental professional.

One week after your veneers are placed, you will be required to return to the office for a follow-up visit and evaluation so the dentist can see how your mouth is reacting to the veneers. Even if you feel the veneers are a success, this appointment is vital to your future oral health.

If you have a habit of grinding or clenching your teeth, we will make you a nighttime bite guard so you do not damage your veneers.

You should also return for regular professional maintenance because porcelain veneers should be polished with a specially formulated, non-abrasive paste, and because we need to inspect your dentistry for any sign of potential failure.

One of Dr. Gentry’s Veneer Patients from last week

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Before
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After. She is numb so it’s difficult to smile.
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After

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Cracked teeth/tooth fractures.

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Cracks on back molars.

If when you bite down, you feel a sharp pain you may have a cracked tooth. A tooth crack may have been caused by:

  • Chewing on a hard object or food such as ice, nuts, candy, or popcorn.
  • An accident, like a blow to the mouth.
  • Grinding or clenching your teeth.
  • Weak tooth caused by wear or large old fillings, or root canal.

If you feel pain when you bite down on a tooth please let Dr. Gentry know and he will evaluate the tooth and discuss the best treatment protocol for you. If treated early, the cracked tooth possibly can be treated with a bonded filling or a crown. If the crack is deeper the tooth may require a root canal or even extraction.

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Cracked molar. Teeth weak due to large old fillings and tooth broke biting down on an almond.
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Dr. Gentry was able to save the tooth with a large bonded composite restoration. A crown will be placed on top.
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Fractured front tooth caused by an accident.
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Emergency tooth bonding to temporarily repair the fractured front tooth.

If the crack is deep or extends down the root, the tooth may need to be extracted.

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Cracked tooth caused from grinding teeth.
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Abscess
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Vertical root fracture. Dr. Gentry had to extract the tooth.
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Cracked back molar.
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Crack extended under the gums along root. Dr. Gentry had to extract the molar.

Restoration of a large carious lesions using the Garrison Interproximal Matrix System

When deep decay that is close to the tooth pulp is present in a tooth, many times it requires a root canal. In this 35 year old patient, Dr. Gentry restores her upper bicuspid tooth without a root canal or crown. Gentry cleans out the decay, places a Vitrabond glass ionomer pulp cap, and places a Herculite composite restoration, using the Garrison Matrix System.

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decay

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3D XR Ring

 

 

Cavities

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Cavities are permanently damaged areas in the hard surface of your teeth that develop into tiny openings or holes. Cavities, also called tooth decay or caries, are caused by a combination of factors, including bacteria in your mouth, frequent snacking, sipping sugary drinks, and not cleaning your teeth well. Cavities and tooth decay are among the world’s most common health problems.

If cavities aren’t treated, they get larger and affect deeper layers of your teeth. They can lead to severe toothache, infection and tooth loss. Regular dental visits and good brushing and flossing habits are your best protection against cavities and tooth decay.

dental decay process

Some examples of Dr. Gentry fixing  patient’s dental cavities:

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Decay, upper back molar
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Decay cleaned out
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Composite restoration placed
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Decayed premolar tooth
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Opened up to reveal deep decay
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Decay removed
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Matrix band placed
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Finished restorations
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Decay on sides of teeth extending under the gums
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Decay removed and teeth restored

Smile and be happy and confident!

Why is a smile important?

When you have a nice smile, it helps you get noticed, makes you more attractive, decreases your stress level and helps to make you healthier. Laughter really is the best medicine! Here are 10 reasons to smile:
1. Smiling makes others want to be around you.
2. Smiling can elevate your mood and make you happy.
3. Smiling makes others around you happy too.
4. Smiling relieves stress and makes you look relaxed and younger.
5. Smiling lowers your blood pressure.
6. By releasing endorphins and serotonin, smiling is a natural feel good drug.
7. Smiling lifts your face and makes you look younger.
8. Smiling makes you more relaxed and boosts your immune system.
9. Smiling makes you appear confident, trustworthy, and successful.
10. Smiling even boosts your productivity and helps you stay positive.
So smile and be popular, healthy, productive and happy!

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Article by Dr. Gentry published in Arlington Magazine May 2015

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