Empress Porcelain Crowns and Veneers

Treatment Report

Patient: C.K.

Chief Concerns: Porcelain fused to metal crowns on front teeth with poor esthetics. Patient was not satisfied with their color and shape.  Old metal partial denture on the bottom teeth with metal clasps showing in smile.

Treatment: Empress crowns and veneers on front upper teeth, in office whitening of lower front teeth, fabrication of a new cosmetic Valplast/Vitallium lower partial denture with no visible metal parts upon smiling.

Before:

After:

Dentistry by

Syamack Ganjavian, DDS 

Lava Porcelain / Zirconia Crowns

Treatment Report

Patient: A.B.

Chief Concerns: Severe decay throughout the mouth. Pain in several teeth. 

Diagnosis: Rampant dental decay resulting in discoloration and fracture of most teeth.  Multiple infected teeth requiring endodontic (root canal) therapy.

Treatment:  Root canal therapy on total of 6 teeth.  Composite restorations (white fillings) in the back teeth.  Lava PFZ (porcelain fused to zirconia) crowns for the front teeth.

Length of treatment time: 2 months


Photos after completion of treatment:

* Patient preferred photos taken at the start of treatment not to be published.

Dentistry by

Syamack Ganjavian, DDS

 

Severe Enamel Wear Due to Acid and Mechanical Erosion

Case Report

Patient: D.H.

Chief Concern: Continuous wear down of teeth

Diagnosis: Loss of tooth enamel and underlying dentin because of severe clenching and grinding habit.  The wear down is also exacerbated by acid erosion (from stomach) due to under-treatment of GERD (Gastro-Esophageal Reflux Disorder).

Treatment: Fabrication of Night Guard appliance to protect teeth against the destructive effects of night time clenching and grinding to be worn at night during sleep.  Fabrication of Fluoride trays to immerse teeth in Fluoride gel during the day to strengthen tooth enamel and combat acid erosion.  Prescription for MI Paste (additional measure to strengthen tooth structure).  Referral to GI specialist to possibly start patient of a proton pump inhibitor medication.  

The ideal follow up treatment for this case would be restoration of the lost teeth structures with either porcelain veneers or full coverage crowns.  However patient was happy about finding out the reason for his condition and preventing further erosion of his teeth and did not want to pursue any reconstructive dental work.

Case Report by

Syamack Ganjavian, DDS  

Lumineers Porcelain Veneers

Treatment Report


Patient: A.C.

Chief Concern: Small teeth, worn out and yellowish color teeth.

Diagnosis: Excessive spacing between teeth, loss of dental enamel and tooth height due to excessive grinding, discolored teeth.

Treatment: Lumineers porcelain veneers to enhance smile by improving individual tooth shape, fill the spaces in between teeth and whiten teeth almost permanently (porcelain veneers are extremely resistant to staining and retain their original color very well).
 
Length of treatment: 3 weeks from start.

Before:

Lumineers Before Cementation:

After:

Dentistry by

Syamack Ganjavian, DDS 

Invisalign Orthodontics

Treatment Report

Patient: M.B.

Chief Concern: Cosmetic smile enhancement, did not want porcelain veneers

Diagnosis: Constricted dental arches, mild crowding, midline shift

Treatment: Invisalign orthodontics for 8 months along with dental bleaching using the Invisalign trays

Before:                                                                                                                        

After: 

 
Dentistry by
Syamack Ganjavian, DDS