Surgical Portfolio

Everyone starts somewhere! Check out these humble beginnings of restoring smiles!

Deidentified images shared with patient permission.

Pain on biting

Patient presented with pain on biting/percussion isolated to #15, CBCT revealed PARL--four months later, the ridge is ready for implant placement.

Preservation of the buccal plate in the esthetic zone

Patient presented with #10 broken at the gumline and non-restorable. Same-day surgical EXT preserved the thin buccal plate for future restoration.

A big decision!

Patient presented with #9 broken off at gumline, non-restorable. The same thing had happened to #10 two years ago and was replaced with an implant at another office. #8 is mobile and #7 has significant bone loss compromising its stability. Implant #10 is not circumferentially in bone beyond the first few threads. #6 and #11 are sound.

The decision was made to extract and graft #7-#9 and implant #10, provisionalize with #6-11 FPD, and restore with an implant bridge #7-#10. Great care was taken to preserve the thin buccal plate. 4 months later sites are prepared for implant placement with maxillary expansion technique on site #7

Yikes!

Patient presented with a toothache, tenderness and some swelling that "started over the weekend." Surgical extraction and aggressive curettage later, bone graft and PRF membrane placed--four months later and the site is well on its way to being ready for an implant!

Root fracture

Patient presented with draining fistula buccal of #13 and increased probing depths. Surgical extraction, bone graft and PRP therapy--and in four months we have a single implant site with minimal bone loss.

"I bit down and heard a pop!"

Patient presented after biting down and hearing a pop on the upper right a few weeks ago. #4 was split right down the middle. The tooth was extracted and grafted and the ridge was preserved with minimal bone loss before #3 was negatively impacted.

Catching food

Gross buccal decay made #30 non-restorable. Extraction and graft healed well and minimized bone loss.

Out of pain same-day

Apicoectomy may have helped #30 last longer, but it ultimately needed to be replaced. Same-day surgical EXT, bone graft and PRF got the patient out of pain and on their way to an implant restoration.

"This tooth has always been a problem."

This patient spent countless hours in the chair trying to save #19--multiple RCT's, apicoectomy surgeries, multiple crowns--and now there's a sinus tract draining on the buccal. Next-stop--implant!

It's time.

Swelling and pain finally prompted this patient to see the dentist. Extraction, bone graft, PRP--and conversion from a limited eval to a new patient comprehensive exam.