Wooddell & Passaro | Restorative and Esthetic Dentistry
WOODDEL
L
Restorative and Esthetic Dentistry
PASSARO
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(410) 956-5555
3102 Davidsonville Rd.
Davidsonville, MD 21035
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Dental Implants
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Challenge:
A recurrent infection of an apicoectomy on #10 and resultant buccal fistula. The buccal cortical plate had been destroyed from both surgery and infection. There had been loss of papilla and alveolar bone height, particularly on the distal. The challenge was to rebuild what had been lost through grafting and prosthetic technique. The goal of treatment was to have dental and gingival contours that were indistinguishable from the natural teeth.
Treatment Plan:
An atraumatic extraction and socket preservation with bone and soft tissue grafting. After healing a dental implant was placed with secondary soft tissue grafting. The implant was uncovered after osseointegration and immediately provisionalized to promote and support the new gingival architecture. A custom milled Zirconia abutment and crown were fabricated. Note the dental and soft tissue contours that duplicate the patient’s natural dentition and are harmonious with the patient’s function and esthetics. Maxillary and Mandibular Anterior Teeth WearThis patient presented with wear of his maxillary and mandibular anterior teeth, primarily from acid erosion. A diagnostic wax-up was performed on mounted study casts from which provisional restorations were fabricated on teeth #’s 6-11 and 22-27. Gingival grafts were then performed on teeth #’s 5, 9, 12 and 28. After four months, final impressions were made for the definitive restorations. Once the case was inserted, a nighttime appliance was fabricated.
Laurie presented desiring to replace her existing maxillary crowns and at the same time improve the appearance of her smile. She refused orthodontics. Crown lengthening was performed on teeth #’s 3-14, and then provisional restorations were fabricated. Definitive crowns were delivered for teeth #’s 3-14 and veneers were fabricated for teeth #’s 23-26. The rest of the teeth were bleached.
Kathy presented with severe acid erosion of her maxillary teeth. She desired normal tooth proportions and she hated her gummy smile. Crown lengthening of all of her maxillary teeth was performed and teeth #’s 3-14 were restored. Her bite was opened to gain the restorative space in the anterior. Her mandibular teeth were bleached.
"I feel like I’ve received the best care and results that are available in dentistry…and the look and confidence that I have when I open my mouth is only half of the story!"
"This has been nothing short of life-altering. Today I smile, and even speak, with new-found confidence. My teeth look great. They feel great. I am a very happy and most grateful patient."
"Dr. Woody is a talented, caring and confident dentist, but I like to think of him as an artist who molded my smile into a work of art that is uniquely me!"
"As a patient and an employee, I have seen exactly how much hard work is put into each individual smile. Dr. Woody and Dr. Joe have a true passion for dentistry."
Nick, a 19 year old male, presented with microdontia and a chief complaint of limited to no display of maxillary teeth. We whitened his teeth using the Kor Whitening system and placed veneers on #’s 4-13.
Chloe, an 18 year old female patient fell and hit her teeth on the sidewalk. Patient brought in photos of her smile for reference. A stone model was made for a wax up to construct a matrix for placing direct composites utilizing the Newton Fahl layering technique on #’s 8 and 9.
Jeanette, a 65 year old female patient of record presented with throbbing pain with draining fistula #8. CT scan showed apical resorption and palatal abscess. Understanding that an implant was recommended, we discussed her anterior esthetics. The patient expressed a desire to correct her tooth position for a more attractive presentation. It was decided to perform orthodontic repositioning prior to implant placement in order to ensure proper gingival and dental symmetry.
Ann, a 64 year old female presented with worn and shifting teeth. Her desire was to have a more pleasant, full smile. After comprehensive evaluation it was determined that orthodontic repositioning would be utilized to optimize anterior tooth proportion and periodontal crown lengthening would be used in the posterior. The patient wore Invisalign trays to align the gingiva and optimize anterior relations. Full mouth crown extension was performed by the periodontist. Full mouth reconstruction with implant #18.
Gail presented with a maxillary complete denture. She wanted dental implants so she would not have to remove her teeth. Additionally, she desired a better smile. A new maxillary denture was fabricated, and upon delivery, the mandibular teeth were provisionalized to idealize the occlusal plane. Eight implants were placed in the maxillary arch relative to the new desired tooth position and an implant-supported prosthesis was fabricated. The mandibular definitive crowns were delivered.
This patient presented with severe wear of her maxillary anterior teeth. Orthodontics was utilized to align the gingival levels as well as to allow room for the definitive restorations. After orthodontics, bleaching was performed and teeth #’s 7-10 were prepared for porcelain veneers.
Challenge:
Worn teeth with an edge to edge occlusion, anterior crossbite, lack of canine guidance due to early loss of #6, periodontitis and localized recession.
Challenge:
Advanced wear and acid erosion involving all remaining teeth. Shifting of the remaining teeth resulted in the growth of bone that houses the teeth, subsequently when the teeth were brought together, the gums of the upper arch almost touched the lower arch. The teeth had short roots due to previous history of orthodontics.
“When I talked, I covered my mouth. When I smiled, I closed my lips. My restoration gave me back my smile – actually it gave me a much better smile than I had ever had. Along with that new smile came a projection of confidence that had been hidden – and the joy of sharing my smile once again!”
“I actually found Dr. Joe in the yellow pages after suffering from a dental emergency. Believe it or not, that was my lucky day. Once visiting with Dr. Joe and his team, I was completely hooked. They were patient, kind and completely understanding. After getting through my dental emergency, Dr. Joe worked diligently to transform my smile. I now get compliments from others on what a beautiful smile I have. I owe all my thanks to Dr. Joe and his great team!”
“What I can say about Dr. Joe- Unparalleled attention to detail resulting into a magnificent natural looking smile! He and his staff are an absolute pleasure to be around!”
“Dependable, exceptional, and professional – Dr. Woody and his team are tops.”
Kathy presented with severe acid erosion of her maxillary teeth. She desired normal tooth proportions and she hated her gummy smile. Crown lengthening of all of her maxillary teeth was performed and teeth #’s 3-14 were restored. Her bite was opened to gain the restorative space in the anterior. Her mandibular teeth were bleached.
