This patient has decay on her molars caused by dry mouth from her medication Spironolactone, which she takes for acne. It clears up her face nicely, but with less saliva to clean off and protect her teeth, cavities form.


This patient I saw today, grinds and clenches his teeth, and as a result he has broken and worn down all his teeth. After discussing options for restoring his lower right quadrant, he elected to have me restore his teeth with a 4 unit fixed bridge. I made 3 teeth with porcelain and did the last molar in metal. Since the last tooth doesn’t show, I did it in metal because there was not much space and if I used porcelain he would fracture the porcelain off with his clenching and grinding. This bridge looks great and is strong and will last.
This patient takes a medicine called atenolol, which is a beta blocker, used to treat high blood pressure. It’s great at lowering blood pressure, but also causes dry mouth. She also loves to eat Reese’s Peanut Butter Cups. The decreased saliva and frequent consumption of sugar caused these teeth to decay and the cavities to form. I was able to remove the decay and restore the teeth with ceramic cosmetic fillings. These before and after pictures were taken 15 minutes apart. Looks great!!!
This patient is a 47 year old man who used to drink a lot of Coke and eat lots of M&M’s. He had extensive decay along the gum line and extending under his gums on all his back teeth. These photos are of his upper right and left quadrant teeth before and immediately after. I was able to restore all these teeth without gum surgery or root canals. And his smile looks so much better now.



