The Challenge
This patient came to us wanting to close the spacing in his upper front teeth. He was initially interested in a clear aligner therapy. His upper front teeth were proportionately small, creating a tooth-size discrepancy between his top and bottom teeth. His naturally broad lower arch and straight lower teeth created a scenario where moving teeth wouldn’t achieve his goal. 

The Solution
After thoroughly evaluating his bite, Dr. Glaser determined that the best course would be placing porcelain restorations on his upper front six teeth instead of closing the spaces orthodontically. 

The Result
By stabilizing his bite and working within the patient’s natural anatomy, we achieved a predictable long-term outcome and gave him the smile he had always dreamed of.

The Challenge
The patient came to Dr. Glaser’s office concerned about his worn front teeth. He was already most of the way through his orthodontic treatment with a local orthodontist. Through years of untreated bruxism, the patient experienced compensatory eruption, a process in which the teeth vertically shift as they try to “hit” something, mainly on his front teeth. This movement creates a scenario that is difficult to treat with just restorative dental care because the teeth become shorter over time.

The Solution
Moving the teeth back to their original position with the help of a very skilled orthodontist allowed Dr. Glaser the room to restore the teeth to their natural size. Dr. Glaser placed crowns on the front six top and bottom teeth. By creating harmony in the patient’s bite, Dr. Glaser was also able to mitigate the risk of the patient experiencing additional uneven tooth wear in the future.

The Result
Years later, this patient continues to sport a healthy smile and no longer worries about losing his front teeth due to severe tooth wear. He is enjoying his retirement with a healthy and rejuvenated smile!

The Challenge
After working for years in the dental industry, this patient understood the damaging effects untreated toothwear could have on her smile. A childhood accident left her with disproportionate and uneven crowns on her front teeth. As her smile shifted over time, years of clenching and grinding caused premature wear on her lower front teeth. The compensatory eruption, a process in which the teeth shift vertically as they try to “hit” something, also left this patient with uneven gum tissue height when she smiled.

The Solution
With the help of an excellent orthodontist, we balanced this patient’s gum tissue height and created space to restore her teeth to their natural size. Crowns were placed on the upper front four teeth and the lower front three teeth. An equilibration (creating harmony in bite forces on all teeth) was also completed to ensure uneven tooth wear doesn’t occur in the future.

The Result
Completing treatment has allowed this patient to move through life, sporting a healthy and beautiful new smile!

The Challenge
This patient had significant fracture lines in her upper front teeth as well as tooth wear on the biting surface of the teeth from years of clenching and grinding. Her teeth were shorter in size from the wear that had occurred. She also had some spacing in her upper front teeth. She didn’t want to end up in a situation where she would have to consider the options to replace her front teeth, so she decided it was time to invest in her smile. 

The Solution
Since the patient already had a good foundation, Dr. Glaser could even out the “hills and the valleys” of the teeth through an equilibration(bite adjustment) to ensure even pressure on all of her teeth. This helps mitigate the risk of future uneven tooth wear and fracture. Once her function was improved, crowns on her upper front six teeth were placed to restore them to their natural size and prevent additional vertical root fractures. 

The Result
With minimal dentistry, this patient was able to drastically reduce the risk of future tooth loss due to wear. She can now travel with her friends without worrying about unnecessary dental pain! 

The Challenge
This gentleman had been with us for a while when he decided it was time to dive deeper into why his teeth were wearing out. He had jagged, uneven, and thin front teeth.

The Solution
When reviewing his bite, it was discovered that the premature wear on his front teeth was caused by the imbalance of pressure on his teeth and the angulation and crowding he was experiencing. This led him into the hands of a very skilled orthodontist who realigned his teeth and created space for his new smile. After his teeth were shifted into the proper position, a bite adjustment was completed along with twelve crowns(six on top and six on bottom). 

The Result
By repositioning his teeth and creating room for his new smile, we could realign and rebalance all of his biting forces and give him back the smile he once had. He sailed into retirement without the worry of premature tooth wear. 

The Challenge
The patient had severe tooth wear from years of clenching and grinding that was exacerbated by his sleep apnea. To improve his sleep-disordered breathing, the patient underwent double jaw surgery to realign his upper and lower jaw with an oral surgeon. The result was a greatly enhanced airway and a poorly functioning bite. 

The Solution
With the amount of tooth wear present, Dr. Glaser had to create space to restore the patient’s teeth to their natural size. The amount of tooth wear created a situation where crowns were necessary on all teeth to provide harmony in his chewing system. 

The Result
Though the patient underwent full mouth rehabilitation, the result prevented the patient from worrying about eventual tooth loss due to severe tooth wear. 

The Challenge
This patient came to us because she didn’t like the look of her old bridges on her front teeth or the shading/staining of her natural teeth. The front bridges had been in place for about 20 years and were made from a material that no longer served their esthetic purpose. Her natural teeth were worn and discolored. 

The Solution
Dr. Glaser found that a severe imbalance in her bite caused her teeth to wear. By removing her remaining wisdom teeth and placing restorations on all of her top teeth, Dr. Glaser balanced out the bite discrepancy she was experiencing. Then, with in-office whitening on her lower teeth and resins on her lower front teeth, we brought her smile back to a more natural shade. 

The Result
By phasing out treatment for this patient and putting long-term temporary crowns on her back teeth, we were able to rejuvenate her smile using esthetically pleasing materials. Although she is only halfway through treatment, the transformation thus far is worth celebrating. This great gal is smiling now more than ever! We can’t wait to see the final product. Stay tuned!