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Pt#1. Before prophyjet stain removal and prophylaxis treatment

IMG_1982 IMG_1983 Calculus buildup and staining of the lingual aspect of the mandibular anterior teeth due to poor oral hygiene and smoking.

After prophy jet stain removal and prophylaxis

IMG_1993 IMG_1992  Patient was advised to follow the oral hygiene instructions of brushing twice a day, flossing, and rinsing with an antimicrobial oral rinse. A cigarette cessation pamphlet was given to encourage the patient to quit smoking.

Pt#2. Perio patient prohylaxis

          With probing depths of 9mm and above and tooth mobility, the 25-year-old patient, seen below, was referred to a periodontist for further treatment. The patient generally had heavy, tenacious build up of calculus subgingivally. With the crowding of her mandibular anterior teeth, most surfaces of the lingual aspects were missed when she brushes, causing staining and buildup of plaque and calculus. The patient was taught the Modified Bass Tooth Brushing Technique, how to properly floss, and was given an antimicrobial rinse. This will aid in the effective removal of plaque/materia alba, decrease the growth of bacteria, and massage the gingiva to promote healthier gingiva and teeth. Recall in 3 months.

Before Prophylaxis Treatment

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After Prophylaxis Treatment.

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Pt#3.  Arestin treatment results

Screen Shot 2015-05-08 at 12.30.02 PM  A patient was qualified for Arestin antibiotic treatment. The patient was a non-drinker, non-smoker and had no systemic diseases. As an adjunct to scaling, root planing and periodontal maintenance, Arestin antibiotic was placed into areas that presented unhealthy pocket depths. Results were recorded after two months. (please click image to see results).


Pt #4. Localized gingival recession, bone loss and mobility

IMG_0332 Ankyloglossia, characterized by an abnormally short lingual frenulum, has over a period of time caused the drifting (posteriorly) of t00th #24 and #25 in a 34 year old male. With poor interdental care, calculus buildup which in turn helped with the housing and procreation of bacteria, has caused gingival recession and bone loss.

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IMG_2261 An Xray shows bone loss between #24 and #25. Mobility of 2.

After prophylaxis, patient was given a toothbrush, proxy brushes, an antimicrobial rinse, and floss, to help practice effective oral hygiene instructions that were given to him. A referral to visit a periodontist was given to evaluate tooth #24 and #25, as well as to an oral surgeon for the management of the short lingual frenulum. Recall in 3 months.


Pt#5 Impacted Wisdom teeth 

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27 year old male panoramic X-ray revealed that tooth#32 is horizontally impacted and is close to the inferior alveolar nerve. #17 shows vertical impaction and #18 has drifted mesially due to the absence of #18. Patient was referred to a dental surgeon for further evaluation.


Oral Fibroma

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72 year old female with a benign, dome-shaped, well-demarcated papule with a smooth surface on the dorsal, middle anterior surface of the tongue.