KOR 1-hour In-Office Deep Bleaching

Treatment Report

Patient: S.M.

There are many in-office bleaching products currently available on the market. Some require use of special light sources and some do not. The use of a light source is controversial as numerous studies have shown the presence of a light source is inconsequential in the overall effectiveness of whitening. It has been shown that all a light source contributes to the bleaching process is heat, which results in dehydration of the enamel and further tooth sensitivity. KOR deep bleaching technique does not require light and is the only available bleaching method which uses patented Hyremaide Peroxide to remove the most stubborn stains such as tetracycline and smoking related staining.    

Treatment: 1 hour of KOR whitening (with continued at home maintenance whitening).  Note that blanching of the edges of the gums is normal with all in-office whitening procedures as gingival return to their normal color within several hours.

  

Two dental implants in the esthetic zone to replace a failing dental bridge.

Treatment Report

Patient: G.B.

Chief Concern: Dental bridge has been in place for more than 10 years and has repeatedly been coming loose

Treatment: Two 3I Biomet dental implants places and restored with zirconia abutments and E.max crowns over a span of 6 months.

  

Before:

Interim phase with zirconia abutments:

 After placement of E.max crowns:

Dentistry by
Syamack Ganjavian, DDS

ClearCorrect Invisible Orthodontics

Treatment Report

Patient: K.B.

Chief Concern: Cosmetic smile enhancement, Crowded upper and lower teeth

Treatment: ClearCorrect clear aligner orthodontics for 12 months with simultaneous dental bleaching using the aligners

Before:                           
                   

After: 

Dentistry by
Syamack Ganjavian, DDS     

E.Max Veneers and Bridge

Porcelain Veneers and Dental Bridge

Treatment Report

Patient: Mr. Charles Linwood Jackson.  Host of "From The Heart" on Comcast local channel 28 and actor on the show "North Philly Billies".

Chief Concerns: Broken porcelain on existing dental bridge on the front teeth, dull and unnatural look to the bridge, other worn down and discolored front teeth. 

Treatment: E.Max (stacked and pressed) all porcelain dental bridge and veneers for harmonious and uniform look all front teeth in the smile zone. 

Length of Treatment: 3 hours total.

Before:

After:

Dentistry by

Syamack Ganjavian, DDS

Extreme Acid Tooth Erosion Due to Lemon Sucking Habit

Case Report

Patient: T.B.

Chief Concern: Severe enamel and tooth structure loss.

Diagnosis: Chemical erosion resulting from acid exposure due to long term habit of sucking on lemons.  Lemon juice is saturated with Ascorbic acid and much like other acids can dissolve the calcified structure of teeth.  Short duration exposure to acids (such as drinking soda or eating foods with vinegar) usually does not result in net loss of  tooth structure because minerals in saliva will replace the minerals lost in contact with the acid.  However repeated and long term exposure to acids will result in tooth erosion.

Treatment: Endodontic (Root Canal) therapy to treat exposed dental nerves followed by composite resin restorations. 


Before:

After:

Dentistry by

Syamack Ganjavian, DDS

Composite Resin Veneers

Treatment Report

Patient: F.I.

Chief Concerns: Old composite restorations on front teeth, spaces between teeth not resolved completely after Invisalign orthodontics, discolored teeth not whitened to satisfaction after bleaching treatments.

Treatment: Gradia Direct X composite resin veneers in XBW shade.
Length of Treatment: 2 hours.

Before:

After:

Dentistry by

Zahra Ashrafi, DDS 

Single Dental Implant in the Esthetic Zone

Treatment Report

Patient: M.D.

Chief Concern: Missing tooth in the front due to a severe abscess from failed root canal procedure.  

Diagnosis:  Missing tooth for more than 2 years.  Loss of surrounding bone structure because of the abscess.

Treatment: Stage 1 surgery to augment the width of the bone structure with particulate graft.  Stage 2 surgery 5 months later to place a root form dental implant and restoring the implant 6 months later with Zirconium abutment and a porcelain fused to Zirconium (PFZ) crown. Overall length of treatment was about 12 months.  Patient was wearing a temporary single tooth denture in the meantime.  

Before (with implant healing cap in place): 

After (crown in place): 

Dentistry by

Syamack Ganjavian, DDS

   

Extreme Makeover in less than 5 Hours!

Treatment Report

Patient: C.M.

Chief Concern: Severely decayed and stained teeth in the smile zone. 

Diagnosis: Rampant decay and severe staining due to decay and long time tobacco use.  

Treatment: Decayed teeth structures were cleaned and composite resins placed for restorations.  An abscessed tooth was also extracted at the same time in the back of the mouth and another infected tooth in the front was treated with root canal therapy.  A slightly whiter shade of composite resin was placed to leave room for patient to whiten his teeth over time with home bleaching.   

Before:

After: 

Porcelain crowns are the optimal choice for dentition so severely damaged.  Also they are more resistant to staining and retain their original shade and luster very well compared to composite fillings or natural tooth enamel, specially in smokers.  In this case patient requested composite resins and was very pleased with instantaneous results in just 5 hours of treatment time and only 1 visit.  

Dentistry by

Syamack Ganjavian, DDS 

Conventional Orthodontics and Cosmetic Bonding

Treatment Report

Patient: T.P.

Chief Concern: Crowding on lower teeth, Spacing on upper teeth.

Diagnosis: Constricted lower dental arch resulting severe crowding, Small upper teeth resulting in generalized spacing (tooth size discrepancy).

Treatment: Conventional orthodontics for 12 months along with dental whitening, followed by cosmetic bonding on upper teeth to address leftover spaces due to tooth size discrepancy.

Before: 

After 12 Months of Orthodontic Treatment 
and Cosmetic Bonding on Upper Front Teeth:

Porcelain veneers would have been ideal in this case, however great results can also be achieved with cosmetic composite bonding.  Further dental bleaching will be carried out at home on the upper teeth for even better final outcome.  

Dentistry by: Syamack Ganjavian, DDS 

Dental Implants in the Esthetic Zone continued

Dental Implants for Hopeless Front Lower Teeth

Continuation of treatment six months later for bottom teeth.


Lower hopeless teeth extracted:

Implants with healing caps in place:

 A brand new smile ! (retracted view)

 

A brand new man almost 12 months later!

                                                                                           
Notice how we created an over lap on the lower implant teeth (on the right side in the picture) to satisfy patient's desire for a more natural smile, the same as it was on his natural teeth before they were removed. 

Dentistry by:
Syamack Ganjavian, DDS