Cosmetic Dentistry

• The patient presented to our office, Bloomfield Dental Center in Cerritos, seeking Dental Treatment for the Lower Right Molar tooth # 31.
• After examining the tooth Clinically & Radiographically, presented to patient different restoration options. Patient chose the Full Porcelain Onlay, which is more conservative than full coverage crowns and is the option of choice in this case.
• All the Silver (Amalgam) filling & recurrent decay was removed, tooth was shaped & an impression of the tooth was taken, sent to the Lab for fabrication of the Porcelain Onlay.
• The following visit the Porcelain Onlay was fitted, patient approved it, an X-Ray was taken before final cementation, occlusion checked then the Onlay was permanently cemented.
• Patient was happy & impressed with the final outcome.

Cosmetic Dentistry

• The patient presented to our office, Bloomfield Dental Center in Cerritos, seeking Cosmetic Dental Treatment for the 2 Lower Right Premolars # 28 & # 29.
• Both teeth had very old tarnished, leaking, dark black Silver (Amalgam) filling with Recurrent Decay under the fillings.
• Patient was looking for a Cosmetic Restoration for both teeth. After giving patient different restoration options, patient decided to have the Cosmetic filling (Tooth Colored Filling) on tooth # 28 & the Cosmetic Full Porcelain Crown on # 29.
• All the Silver (Amalgam) filling & recurrent decay was removed, teeth was shaped & an impression of the teeth was taken, sent to the Lab for fabrication of the Porcelain Onlay & the Full Porcelain Crown (Cap). The following visit the Porcelain Onlay & the Full Porcelain Crown were fitted, patient approved them, an X-Ray was taken before final cementation, occlusion checked then the Porcelain Onlay & the Full Porcelain Crown were permanently cemented.
• After both Restorations were placed, patient was very impressed & happy with the outcome.

Cosmetic Dentistry

• Patient came to Bloomfield Dental Center seeking major help with her teeth.
• Patient presented with number of missing teeth and badly abraded teeth.
• Patient wanted a new mouth. We started by Deep Cleaning the teeth (the foundation), extracting all broken & un-restorable teeth, buildup broken teeth & restorations.
• Then we prepared the teeth and took impressions for Full Arch Porcelain Cosmetic Bridges.
• Temporary crowns were placed until the Porcelain Cosmetic Bridges arrive from the lab.
• The Porcelain Cosmetic Bridges are placed in the patient's mouth, to check the look, the bite, then X-Rays are taken to how they fit on the teeth.

If everything looks good and patient likes the Porcelain Cosmetic Bridges in their mouth, we cement the Bridges permanently.

Crowns and Bridges

• The patient presented to the office with crowded Lower Anterior Teeth creating gum diseease & poor oral hygien.
• The Lower 4 middle teeth were extracted in one visit. Patient wear a temproray removable appliance replacing the 4 extracted teeth fo 4-6 weeks, for healing.
• The following visit the two teeth on the sides (the lower canines) were prepared and impression was taken and sent to the lab for the Cosmatic Porcelain Bridge to be fabricated.
• Two weeks later the 6 unit Bridge was cemented permenantly in patient's mouth. The placement of this Bridge changed completely the cosmatic appearance of the patient improved her Oral Hygien by 100%.

Crowns and Bridges

• The patient presented to the office with a Removable Partial Upper Denture replacing 50% of his Natural Teeth, causing the patient continuous discomfort, gum inflammation from food accumulating under Partial Denture, also Tooth looseness from the continuous movement of the Partial denture while eating.
• We recommended a Full Mouth Fixed Permanent Bridge instead of the removable partial lower denture
• A Full Arch Reconstrution was started, involving needed treatment and building up of some teeth to be able to support the Long Span Bridge.
• A 12 unit Fixed Bridge was cemented permenantly in patient's mouth replacing the removable partial denture.
• The New Fixed Bridge, tremendously improved patient's cosmatic appearance, Oral Hygien and gum condition. Ability of chewing food inproved by 100%. The Full Upper Arch Reconstruction from start to finish took 10 weeks.The outcome was extremly impressive.

Crown and Bridges

• Patient presented to our office, Bloomfield Dental Center, with the Lower Front 6 teeth (Lower 6 Anterior Incisors) very short as a result of severe teeth attrition. After examining the teeth Clinically, Radiographic X-Rays & Intra-Oral Photographs, had a consultation with the patient explaining in detail the teeth condition & different options of treatment.
• The treatment of choice for this case was Full Coverage; Crowns. Patient agreed to have 6 Full Porcelain Esthetic Crowns. After numbing the patient, the 6 Lower Anterior Incisors; #22,#23,#24,#25,#26, & #27 were reduced all around to have the Crowns cemented on top to completely cover each tooth.
• An Impression is taken, the Crowns Shade is selected and sent to the Lab for fabrication of the 6 Full Porcelain Esthetic Crowns. Provisionals (temporary crowns) are placed till next visit when the Permanent Full Porcelain Esthetic Crowns are tried in for fit. X-Ray is taken to check fitting of the Crowns on the teeth. If Fit is acceptable, the Crowns are cemented on the teeth permanently. Excess cement is removed & occlusion is adjusted to a comfortable bite. Then the Full Porcelain Esthetic Crowns are finished & Polished.
• The After Picture is the final product of the 6 Anterior Full Porcelain Esthetic Crowns.

Implants

• This is a case of a 50 year old, that needed to replace a broken bridge in 2010, after careful evaluation and examination, it was determined that the bridge will be removed and replaced by two implants.
• The implants were placed, a ridge augmentation procedure was done, patient was given written post operative instructions and she left in good condition and spirit.
• After 3 months, the implants were exposed, abutments were placed and new Zarconia crowns made, Patient kept coming back for routine hygiene, she is still till today enjoying her new front teeth.

Implants

• Patient came in with pain, discomfort, swelling and gingivitis around 18,19,20 and 21, after careful evaluation , a CBCT scan was ordered, patient then came back for surgery, the failed endo on 18,19, failed bridge and #20 were all surgically removed, mineralized cortical Allograft mixed with local antibiotics was placed for ultimate healing.
• The patient came back in 3 months and two ankylos implants were placed.
• After 3 months implants were exposed, healing abutments placed followed by permanent abutments and impression for a Zarconia bridge. bridge was then cemented, and patient was very happy.

Implants

• Patient had tooth #5 extracted due to failed endo, mineralized cortical allograft with Implant was placed immediately, After 4 months when healing was completed, an abutment was placed and impression was taken, two weeks later a zirconia crown was cemented and patient was very happy.

Implants

• Patient came in with severe swelling and pain on 18 and 19, after careful examination it was determined that 19 is fractured and 18 have severe and advanced periodontitis.
• The decision was made to surgically extract both teeth, clean irrigate, medicate the sockets and augment the ridge with mineralized allograft 8o% cortical and 20% cancellous. CBCT scan was ordered, and surgery was successfully completed.
• Three months after healing, two Ankylos implants were placed and covered by a healing caps.
• Patient came back in 3 months for abutment placements, impressions were taken, and two weeks later, porcelain fused to gold crowns were cemented on.

Root Canal Treatment

• 33 year old female with swelling and pain to chewing in the upper left despite root canal retreatment.
• Apical surgery, bone grafting, and biopsy were performed on tooth #14.
• The patient's chronic apical abscess completely resolved, her pain is gone, and she is able to chew normally again.

Root Canal Treatment

• 48 year old female with spontaneous severe dull pain especially to cold, hot, and sweets for several weeks, increasing intensity and frequency in the past week after treatment for a deep cavity.
• Tooth #17 had a deep filling and extremely curved roots. Root canal treatment was performed, and the patient's pain went away.

Root Canal Treatment

• 45 year old male planning a new crown on tooth #30 due to a new deep cavity. The original root canal treatment was done 20 years ago.
• The root fillings are short, and the canals are blocked. Retreatment of tooth #19 was done to prior to crown replacement. Using a microscope and specialized tools, we were able to clean all the way down the root.

Orthodontics

• Female age 44
• Class !
• Mild spaces upper
• Mild crowding lower

Treatment:

• Full braces upper and lower
• Elasics
• Upper and lower retainers

Orthodontics

• Male Age15
• Class II left
• Posterior cross-bite left side
• Mild upper & lower crowding

Treatment:

• Full upper and lower braces
• Elastics
• Upper and lower retainers

Veneers

• Patient presented to our office, Bloomfield Dental Center with; Spacing & Discoloration of the 6 Front teeth (Anterior Incisors #6,#7,#8,#9,#10 & #11). After examination of the teeth Clinically, the Radiographic X-Rays & the Intra-Oral Photographs. A consultation was done with the patient, explaining the teeth condition and the treatments of choice, which include;
• Option 1: Ortho Treatment (having Braces) to close the space and then Teeth Whitening after completion of Ortho treatment.
• Option 2: Placement of 6 Porcelain Veneers.
• Patient was given time to decide on which option would be patient’s choice. On the next visit, patient decided to go for the 2nd Option; Porcelain Veneers.
• Teeth were minimally reduced, impression taken & sent to the Lad for fabrication of the 6 Porcelain Veneers. The following visit, the 6 Porcelain Veneers were cemented on the 6 Anterior teeth with a bonding, Light Cured cement. Then the Veneers are finished & polished. The final product is the After Picture.
• Porcelain Veneers; are replica of Ideal Natural Teeth.

Veneers

• Patient presented to Bloomfield Dental Center seeking treatment for his 2 Front teeth (Central Incisors #8 & #9). After examining the teeth Clinically, reviewing the X-Rays & Intra-oral Photographs, both teeth revealed; Attrition (wearing off of the enamel surface) & Teeth Chipping due to teeth thinning as a result of attrition. Patient was informed about the teeth condition and the treatment of choice; which is Porcelain Veneers.
• Porcelain Veneers; are porcelain facings (they are not crowns) mainly performed on Anterior teeth and they are more conservative (less tooth reduction) than Crowns.
• We minimally reduce the front surface(Facial), the Incisal 1/3 of the inside surface (Lingual) & minimally shorten the tooth, then an impression is taken and sent to the Lab for fabrication of the Porcelain Veneer. In most cases, there is no need to place provessionals due to minimum reduction. Another appointment is reserved for the patient, to place the Porcelain Veneers. The Veneers are cemented on the teeth by a bonding cement, then finished & polished. The Veneers are replica of Ideal Natural teeth.