So we cleaned the cavity out of both, filling the front tooth and placing a porcelain crown on the one next to it. The resulting change was dramatic! And our patient was VERY happy to get both of these teeth fixed….and looking MUCH better! (Again, for reference, the old porcelain crown- with the obvious margin where the tooth and crown meet-is located directly behind our new crown).

Crown and filling-after
So to review: A wakeboard accident cracked this tooth:

Cracked tooth
His mom was concerned about fixing the tooth and making it look ‘natural’……but I think we were really successful, don’t you??

Repaired tooth

Repaired tooth
So a few minutes later we had bonded some composite onto the tooth, replacing the fractured corner. This was accomplished by layering different shades of the material to simulate the internal colors of the tooth, then covering it with a different shade that was more like the patient’s own enamel. The result was a repaired tooth that looked and felt like the original.

Repaired tooth
Here’s a closer look at these two cavities. You can see that they extend slightly under the gumline:

This pretty patient had been very happy with the crowns on her front teeth for MANY years. But recently they started to show signs of aging, and we decided it was time to replace them. When you look closely, they seem to be angled slightly to one side and there are spaces that have developed between them.

So again, the question begs to be asked….what would you want done with YOUR front tooth if it looked like this one. It was not sensitive to hot or cold and was really just a cosmetic concern for the patient. But the proposed solution by another dentist (a porcelain crown) seemed rather extreme, so she left the tooth in this condition for weeks.

We cleaned off a good portion of the old filling and then added to the lower corner of both teeth to change the contour and appearance. An easy, quick fix that looks great!


After all the old filling and cavity were cleaned from the inside of the tooth, we placed a large, bonded foundation filling. This ensured that everything inside the tooth was clean, decay free, and sealed tight. Next we smoothed around the outside of the tooth and took a mold, or impression, to make the porcelain crown. About 4 weeks later, the crown was secured onto the tooth. Look at the great result!!

A little while ago I posted some pretty scary photos of my office as it was being renovated, including this one:

After only a few months a new computer can really slow down. Here’s a good article to help speed things up again. Many of these suggestions are easy and really do help! Read here.