| My Portfolio of: Before and After Case Photos |
Please feel free to <click> on any image below for a closer look. The image will enlarge into a new window automatically. Just <click> the "X" located on the upper right corner of the enlarged photo to close this window. Warning: some of the images towards the bottom of this portfolio are un-touched and rather graphic.
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| A finished case sometimes looks best with small teeth that are slightly crooked, but in a "Natural" way. Here the teeth are only 1/2 the size of the originals, but proportional to the size of the lips. This patient had teeth that were "Bucked" forward so much that she could not close her mouth completely without showing her central incisors. |
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| Guess which are the crowns? |
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| CLICK The image above for the answer. |
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| Before Laminates |
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| After Porcelain Laminates |
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| Click on any image for Close-Up |
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| Laminates from Canine to Canine |
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| Before Cosmetics |
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| ....and after Dental Cosmetics |
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| Try Cosmetic Bonding (a low budget alternative) |
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| 1 1/2 hours later (Not perfect, but a good compromise) |
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| Excessively crooked and bucked |
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| Porcelain Laminates afterwards |
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| Before: Ortho would cost thousands |
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| After: Minor bonding on Canines and Lateral Incisors |
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| Minor corrections can make a world of difference as to how one feels about their smile. |
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| Advanced Cases requiring more extensive asethetics... |
Warning: the following is un-touched, and rather graphic but demonstrates reconstruction in extreme cases. I am among the few Dentist in New York City who takes the time to do some of my own labwork. This is not common as most Dentists send out all of their work for a technician to do. But in certain cases I find the results to be much more rewarding when I work the problem out myself. Any work that is still sent out of my office is carefully monitored directly at the lab by myself or my personal in-house Lab Technician. In this way I hope to maintain the highest standards of quality.
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| Click the image above for enlarged details |
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| In this case the patient received emergency extractions of the two central and left lateral incisors to prevent the spread of infection. By taking an impression of her mouth before the procedure, I was able to make a temporary removable Denture to replace the missing teeth as soon as the surgery was over. Once in place, the patient reported that no one (including another Dentist) could tell that the Denture was not her natural teeth.
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| Making an Emergency Temporary |
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Emergency Restorations on Short Notice: With my Hospital Emergency Room training I became use to handling traumatic injuries. It was during this time at Our Lady of Mercey Medical Center that I became interested in forming my public service program for Victims of Domestic Abuse. Below are examples where I was able to give the patient teeth within only a couple of hours of chair time.
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| A Motorcycle Accident |
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| Sporting Accidents are Common, and Can Happen Without Notice: In this case my patient damaged his teeth during a motorcycle accident while speed racing at over 100 miles an hour. The resulting trauma lead to infection and later required an extraction of another tooth. For cosmetic reasons I immediately hand carved an initial temporary bridge to cover the surgical site. As acrylic temporaries tend to get darker with age I purposely made them slightly whiter than his natural color. This was also done as a trial period in anticipation of later bleaching his teeth. I always present different options to the patient when making any final restoration. In addition the temporary helps you to get use to how the final restoration may be. The temporary can also be modified to match closer to your ideal of what you want. You should never feel that you where forced into accepting just "what the Doctor wanted." In the end the final cosmetic result is determined by both of us. Communication is the key. You will tell me what you want, and I will tell you what is possible. Although there may always be a need for compromises, I will try my best to meet your expectations. The final shape of this bridge was determined to have long and narrow teeth so as to match the general contours of the patient's face.
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| Acrylic Temporary Hand Carved in the office by Dr. Wayne... |
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| The Finished Case. Bleaching of the left side will follow to match both sides to the whiter shade of the bridge. |
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______________________________________________________________________ Straightening Teeth Without Orthodontics: A Photo Case Study from Beginning to End.
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| Pre-Operative Diagnostic Photo lighted at an angle to highlight crooked teeth. |
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| 1. BEFORE: Treatment of the Upper Anterior Teeth. Crooked teeth can be "straightened" quickly using a combination of crowns, laminates and bonding. Initial appearance as shown above was changed in about 3 hours using no orthodontics. The final position of the teeth will not be perfect, but used in lieu of comprehensive orthodontic treatment. |
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| 2. IN-HOUSE FABRICATION OF DIAGNOSTIC WAX-UP: (Click To Enlarge) A model of the patient's teeth are modified to study the possible ways of straighting them in the most conservative manner. Some teeth are still allowing to look slightly crooked so as to remain natural in appearance. |
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| 3. AFTER TEMPORARY PLACED: Completion of the intial temporary. The upper temporary is hand carved in the office by Dr. Wayne using the Diagnostic Wax-up model as a guide. Impressions are taken at this time. The final laminates/crowns will have even more translucency and therefore appear even more natrual. |
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| 4. WORKING TRIAL MODEL: The temporary is used as a working trial model to determine the final shape of the teeth. In this case the patient requests that the upper right lateral incisor is moved futher back away from the lips. This procedure will be completed the following day after placement of the initial temporary. During the next week the patient is given the opportunity to test out and change the shape of the teeth in anyway that he chooses prior to making the final Laminates & Crowns. The modified shape of the temporary is then copied with an impression and used as a guide to complete the case. |
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