Multiple Cause and Effect

Bad teeth is something that just about everyone can appreciate at one time or other during their years of practicing oral health care. Patients who have the resources to be diligent and mindful of the recommendations of their dentist tend to experience the bad teeth phenomenon at least temporarily.

For the rest of us… who have, due to multiple reasons, have had to forestall treatments for a period of time have had varying degrees of experience with the dental conditions that are graphically depicted in the Picture Gallery.

Multiple Treatment Choices

A unique gallery.. it is an index of before photos only… with complete descriptions of the reasons causing the dental problem. After photos are not provided, replaced instead with suggested or recommended treatment solutions.

Treatment plans recommended by dentists typically vary from dentist to dentist. The treatment choices offered to a patient for a particular oral health need are substantially a function of the doctors training, access to technologies and cumulative experience of treating different types of conditions.

The treatment suggestions are provided as a tool for investigating the availability of treatment options rather than a singular treatment recommendation. Patients may discover that finding the best dental solution for them … may require a search for proven talent and skill that oftentimes may only be located through regional or state wide dental practices (usually in metropolitan areas).

All On Four Candidates: Comprehensive Teeth Replacement

Nobel Biocare are the originators of the All On 4 and Teeth In An Hour concept. Many variations and re-definitions of the popular protocol are now marketed that can involve varying degrees of tissue needs/requirements and produce degrees of cosmetic and functional outcomes for patients who demand an efficent plan for replacing bad teeth.Candidates for All On 4 Dentistry.

Baby Boomer Teeth

The Boomer population is an older adult patient group that have similar patterns of delaying treatments for almost the same reasons, nationwide. Child rearing, raising a family, prioritizing health care dollars for children and educational expenses (not to mention today’s economy) have prompted these adults to delay their own treatment needs. See several examples of how many functional needs (cosmetic is secondary) seem to accrue to Boomer Dentistry.

Gummy Smiles

Gummy smiles can be caused by any number of events or conditions. Reactions from medications, developmental events, tooth eruption abnormalities, orthodontic treatments and even congenital factors can create the Gummy Smile lool. Treatments however can be quite different from patient to patient. See specific examples of how differently Gummy Smile Treatments can be developed for each type of patient.

Bone Loss

Bone loss is most common with gum disease, which is featured below. Bone loss also occurs with excessive extractions and/or untreated extractions. It is common for many of us, as patients, to prefer having an extraction … for convenience reasons and sometimes economic reasons. The long term results can be devastating and eventually affect adjacent healthy tooth structures. See more examples of Bone Loss Tooth Failures

Excess Bone – Tori Exostosis

For some patients it is the accumulation of unwanted, soft bone tissue that may require eventual treatment to remove it. Those bumpy ridges in the floor of the mandible consists of soft, porous bone tissue that is “deposited” by mother nature in response to bite pressures operating on the teeth. See more examples of Extreme Tori and a video demonstrating the removal of the unwanted tissue.

Too Many Extractions

Extractions are a preferred treatment by those patients who have either delayed treatment too long or decide that removing a tooth is more cost effective than treating it. Over the years, untreated extraction sites have a tendency to wreak havoc for adjacent teeth, due mainly to bone loss and resultant shifting or loosening of the adjacent tooth. Excessive extractions will typically lead to unusual occlusal situations that can easily destroy remaining teeth for some patients. See more examples of Too Many Extractions

Porcelain Crown Leakage – Bond Failures

Severe porcelain crown leakage. The tell tale signs, including significant black line effects at the gingival margins are quite evident. See more examples of Crown Failure

Bad Veneers: Falling Slipping Pop Off – Fractured – Cracked – Broken

Bonding surfaces prepared for veneer and crown treatments can easily fail if proper diligence and oral health care habits, as taught by the dentist, are not routinely practiced by the patient. See more examples of Veneer Failure

Invisalign Candidates: Orthodontic Treatment Possibilities for Adults

Many adult patients, young and old, have made Invisalign orthodontic treatments a popular choice for resolving a variety of bite correction needs… from minor to severe. Our photo gallery provides a glimpse of some common and uncommon treatment possibilities. See more examples of Invisalign Treatment Possibilities.

Bridgework Failures: Cracked, Broken, Leakage and Decay

Cemented bridgework and even implant supported bridges can fail… for numerous reasons. For bondedBonding surfaces prepared for veneer and crown treatments can easily fail if proper diligence and oral health care habits, as taught by the dentist, are not routinely practiced by the patient. See more examples of Bridges gone bad

Failed Implants: Long Term – Short Term

Dental implants now come in all different sizes with design features that define specificity of function, use and placement within upper and lower jawbones. Most require special site preparation while others may require minimal preparation. From immediate load to traditional that should not be used (loaded) until osseointegration is fully completed. See examples of implants gone bad… for multiple reasons. See more examples of Dental Implant Failures

Birth Defects: Small – Missing Teeth – Extra Tooth

Congenitally missing incisors is perhaps one of the most common forms of genetic defects in dentistry. While the cause is practically identical for all affected patients…. the possibilities for tooth damage are substantially different. See more examples of Congenital Teeth Defects.

Acid Erosion of Dental Enamel

Certain food products and common stomach acid can destroy the enamel of our teeth. Bulimia, purging, GERD and other causes of stomach acid coming in contact with natural teeth produce cumulative effects of damage. Popular soda pop beverages and energy drinks can also have acidic properties. Lastly, certain strengths of critic acid, as found in lemons, can cause similar irreversible damage. See more examples of Acid Damage.

Deteriorating Teeth Enamel

The development of tooth enamel begins very early in life. Disturbances in developmental issues, antibiotic treatments and dietary habits affect the formation of tooth enamel. There are substantially more ways of destroying enamel that can require intervention by a talented and creative dentist. See more examples of Tooth Enamel Problems.

Transparent – Translucent Teeth

Unusual transparency or translucency problem associated with lower anterior teeth. Most of the remaining natural tooth structures have varying degrees of abnormal or unnatural tooth coloration. Treatment needs are complicated by certain neurological dentistry factors that are causing occlusal problems. See more examples of Transparent Enamel.

Advanced Gum Disease – Periodontitis Gingivitis

Advanced Periodontal Disease, Lost dental papilla, Periodontal Pockets, Drifting Teeth, Gum Recession, Bone Loss, Tooth Abrasion, Tooth Erosion, inadequate attached gingiva, diastema, bad bite, bad occlusion. See more examples of Destructive Gum Disease

Supereruptions: Moving Teeth

Supereruption of lower anterior teeth, decay under the old crowns. Resulting in bite collapse, deep overbite, additional tooth loss. Decay under bonded composite fillings, bone loss in edentulous areas. See more examples of Maxillary Mandibular Supereruptions

Severe Breakage: Broken Teeth

Severe breakage of tooth structures accelerates the destruction or disruption of the bite and occlusion (occlusal relationship) that creates a visicious cyle of worsening dental health. The intitial causes can be minor… but left untreated can develop into what is seen here. See more examples of Broken Teeth

Diastema: Large and Small Tooth Gaps

An unusually large diastema that was developmental. Patient did not seek treatment until adulthood. Some flaring and malocclusion (overbite) is developing with the anterior teeth. Lower teeth below the diastema are beginning to supererupt. See more examples of Diastemas

Congenital – Developmental Tooth Positioning Abnormality

The upper arch jaw structure and numerous tooth structures have seemingly developed in a haphazard pattern. As a result, occlusion is severely disrupted. See more examples of Tooth Positioning Abnormalities

Oral Lesions

Severe tobacco smoking induced Leukoplakia creating unwanted tissue growth behind anterior tooth structures. See more examples of Oral Lesions

Denture Prosthesis Failures

Denture products can fail for a number of reasons including fabrication errors and failures in monitoring initial try-in periods. Unmanaged and even normal wear and tear of denture products can lead to increased risk in hard and soft tissue loss, along with unwanted changes in bite and occlusion. See more examples of Bad Denture Teeth

Bad Bite – Occlusal Plane Abnormalities

Bite disturbances can have multiple causes. For developmental cases, children and young teens are typically treated during certain growth milestones to bring about a nicely balanced orthodontic result, both cosmetically in in terms of function. Untreated, these conditions can worsen. Bite problems can also occur during adulthood but for different reasons (history of dental treatments, disease, trauma, etc). See examples of cumulative dental problems that can develop from Bad Bite and Occlusion.


Pediatric Ortho Failure

Some of the more common reasons for orthodontic treatment failures can be patient noncompliance, interruptions in treatment or the inability to complete treatment, especially during difficult economic times. Because of the expense of treatment, ortho patients shouldn’t assume they can stop treatment and begin again later. Interrupted treatments can cause even more problems. See more examples of Pediatric Orthodontics Gone Bad

Orthodontic Failures

Orthodontic abnormalities combined with periodontitis leading to more complex issues with bone structures and supportive – connective tissue require unique combinations of treatment to normalize function and overall health for adults. See more examples of Orthodontic Problems