results you'll love

Accident, grinding, tooth fracture or just improving your smile....we have extensive experience restoring teeth no matter the cause. Below are just a few of the many cases we've rehabilitated and reconstructed to revive a healthy smile.

 

adding missing teeth using invisalign and dental implants

This patient was missing his lateral incisors.   He wanted to correct the gaps and add the missing teeth.   We utilized invisalign to create the necessary space to added the teeth with dental implants.  The total treatment time was 18 months.   All work was performed by Dr. Zervas.

 

Replacing a Failing 3 tooth Bridge with Dental Implants

(Utilizing the Teeth in a Day Technique)

This patient had an existing 3 tooth bridge replacing a missing lateral incisor.  The supporting central incisor suffered irreparable damage from root decay.   The bridge was separated and the affected root was removed.  Two dental implants were surgically placed at the time of the root extraction.  Two temporary crowns were fabricated at the time of the extraction and implant placement (teeth in a day).   The patient was awake and comfortable during the 1 hour surgical appointment.  

After 4 months of healing (osseointegration of dental implants), the temporary crowns were removed and custom zirconia abutments (tooth colored posts) and permanent crowns were fabricated and installed.   Total treatment time was 4 months.   All work was performed by Dr. Zervas. 

 

replacing missing front teeth in the absence of vertical space

utilizing dental implants and comprehensive application of composite resin to increase vertical space

This patient presented to my office with freshly extracted upper central incisors due to excessive wear.   The previous dentist didn't consider the lack of existing space to fit new front teeth.   That dentist informed the patient that he couldn't replace the teeth, and the patient came to me for a second opinion.  

We placed two dental implants in the missing tooth spaces, and let them heal for 3 months without placing temporary teeth on them.   While the implants were healing (osseointegrating) we systematically restored and built up the worn surfaces of his teeth with composite resin (tooth colored filling material) to gain the necessary vertical space for his future implant crown front teeth.  After we finished building up all his teeth with composite resin, we fabricated custom implant abutments and implant crowns to give him new front teeth!   All work was performed by Dr. Zervas.

 
 
 
 
 
 
 

restore worn dentition

Before treatment Young female with chronic history of bruxism (teeth grinding). She had significant wear on her maxillary incisors and canines. Her main concern was regaining her full smile for her wedding.

Before treatment
Young female with chronic history of bruxism (teeth grinding). She had significant wear on her maxillary incisors and canines. Her main concern was regaining her full smile for her wedding.

After treatment After carefully considering her bite and bruxism, a combination of aesthetic all porcelain crowns on the incisors coupled with tooth colored bonding on the canines to restore proper canine guidance and protect the new porcelain crowns from fracture (not to mention her back molars from future wear).

After treatment
After carefully considering her bite and bruxism, a combination of aesthetic all porcelain crowns on the incisors coupled with tooth colored bonding on the canines to restore proper canine guidance and protect the new porcelain crowns from fracture (not to mention her back molars from future wear).

 

esthetic crown lenghtening

Before treatment Patient presented with unusual gum recession upper left incisor that was undesirable to the patient. Also, the patient’s previous crowns were low and not in line with her other teeth. She wanted to address both the gum recession and the asymmetrical crowns on her top four teeth.

Before treatment
Patient presented with unusual gum recession upper left incisor that was undesirable to the patient. Also, the patient’s previous crowns were low and not in line with her other teeth. She wanted to address both the gum recession and the asymmetrical crowns on her top four teeth.

During treatment: To achieve optimal esthetics, crown lengthening, or raising the gum tissue on the upper incisors was necessary. The removal of the existing crowns and placement of temporary crowns was necessary to visualize the final crown/gum height.

During treatment: To achieve optimal esthetics, crown lengthening, or raising the gum tissue on the upper incisors was necessary. The removal of the existing crowns and placement of temporary crowns was necessary to visualize the final crown/gum height.

After treatment The definitive aesthetic porcelain crowns align her teeth properly, giving the patient an improved smile.

After treatment
The definitive aesthetic porcelain crowns align her teeth properly, giving the patient an improved smile.

 

full mouth rehabilitation

Before All maxillary (upper) teeth and most mandibular (lower) teeth presented with severe decay. Patient was young (20's) and desperately wanted to keep his teeth. Treatment involved several appointments of decay removal, root canals, periodontal (gum) surgery to lengthen his teeth, and the extraction of the second molars (non restorable, too much decay). All the maxillary teeth and mandibular posterior (back) teeth were prepared for aesthetic porcelain fused to metal crowns.

Before
All maxillary (upper) teeth and most mandibular (lower) teeth presented with severe decay. Patient was young (20's) and desperately wanted to keep his teeth. Treatment involved several appointments of decay removal, root canals, periodontal (gum) surgery to lengthen his teeth, and the extraction of the second molars (non restorable, too much decay). All the maxillary teeth and mandibular posterior (back) teeth were prepared for aesthetic porcelain fused to metal crowns.

After The delivery of the crowns followed by dietetic counseling and a 3 month periodontal cleaning protocol. This picture was taken two years after the placement of the definitive aesthetic crown restorations, and he remains cavity free.

After
The delivery of the crowns followed by dietetic counseling and a 3 month periodontal cleaning protocol. This picture was taken two years after the placement of the definitive aesthetic crown restorations, and he remains cavity free.

 

replacement of missing front tooth and deteriorated upper crowns

Before treatment Patient experienced isolated periodontal bone loss to her upper right central incisor. Also noted were improperly shaped and ill fitting anterior crowns.

Before treatment
Patient experienced isolated periodontal bone loss to her upper right central incisor. Also noted were improperly shaped and ill fitting anterior crowns.

During treatment After the affected tooth was extracted and the dental implant was placed, a temporary cemented bridge was fabricated to avoid wearing anything removable during the course of treatment. Esthetic crown (gum) lengthening was performed on the incisors to allow a better match of the incisal crowns to the canines

During treatment
After the affected tooth was extracted and the dental implant was placed, a temporary cemented bridge was fabricated to avoid wearing anything removable during the course of treatment. Esthetic crown (gum) lengthening was performed on the incisors to allow a better match of the incisal crowns to the canines

After treatment Once the gums had healed to their definitive gum height, and the implant achieved full osseous integration, three aesthetic all porcelain crowns were fabricated and cemented on the incisors, and a custom porcelain abutment and all porcelain crown was fabricated for the dental implant.

After treatment
Once the gums had healed to their definitive gum height, and the implant achieved full osseous integration, three aesthetic all porcelain crowns were fabricated and cemented on the incisors, and a custom porcelain abutment and all porcelain crown was fabricated for the dental implant.

 

porcelain veneer therapy to increase tooth size and shape

Before treatment Patient wished to have the shape and color of his teeth restored to their more youthful form.

Before treatment
Patient wished to have the shape and color of his teeth restored to their more youthful form.