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Cosmetic Dentistry by Dr. Pousson

Here are some of the patients Dr. Pousson has worked with:

(click the images to enlarge)

Before:
Diagnosis:
  • This molar was cracked and needed a crown to cover it and hold it together. Notice the conservative preparation.
After:
Treatment:
  • Can modern dentistry mimic nature? Which tooth has the crown? Can you tell where the crown stops and the tooth starts?



Before:
Diagnosis:
  • This patient’s upper right canine is replacing her missing lateral incisor.
  • We have already whitened her teeth from the color of her existing crown that, of course, did not whiten.
  • Her midline angles to her left.
  • The left lateral incisor is disproportionately smaller than the other teeth.
After:
Treatment:
  • We replaced the crown, bonded the right canine to appear as a lateral incisor, bonded the first bicuspid to appear as a canine, and bonded the left lateral to enhance its size.
  • We also bonded the left front tooth to correct the midline angulation.



Before:
Diagnosis:
  • Worn teeth
  • Gap between front teeth
  • Yellow discoloration
After:
Treatment:
  • Whitened teeth
  • Direct bonded tooth-colored filling material to lengthen teeth and fill in gaps



Before:
Diagnosis:
  • Unattractive spaces between teeth
After:
Treatment:
  • Direct bond tooth-colored filling material
  • One visit
  • No anesthetic



Before:
Diagnosis:
  • Unnatural looking bridge
After:
Treatment:
  • Natural looking bridge



Before:
Diagnosis:
  • These are severely stained teeth that did not respond to whitening efforts in other offices.
After:
Treatment:
  • We performed what I call “Deep Bleaching.” It involved an in-office session, two weeks of at-home tray usage, and another in-office session. The patient experienced no sensitivity during the treatment. He is a very happy and grateful patient!



Before:
Diagnosis:
  • This lady was missing a lower right bicuspid and three molars. Two implants were placed (by the oral surgeon) and I restored the implants with a fixed bridge.
After:
Treatment:
  • Implant supported fixed bridge



Before:

Diagnosis:
  • This patient is missing four lower incisors.
  • The periodontist placed two implants. Healing caps are in top picture; abutments in bottom picture.
After:
Treatment:
  • We fabricated an implant- supported, porcelain fused to gold bridge, cemented on the abutments, that looks and feels natural.



Before:
Diagnosis:
  • Recurrent decay around old metal fillings


After:
Treatment:
  • Removed metal fillings and decay
  • Restored with tooth-colored fillings



Before:
Diagnosis:
  • Missing front tooth
  • Central front teeth too wide and too short



After:
Treatment:
  • Bonding to widen lateral incisors
  • Implant and porcelain crown to replace missing tooth
  • Porcelain crown on adjacent front tooth



Before:
Diagnosis:
  • Severely worn and chipped teeth
After:
Treatment:
  • Restored youthful smile with four porcelain crowns and two bonded "fillings"



Before:
Diagnosis:
  • Chipped edges
  • Dysmineralized (yellow and chalky) enamel
After:
Treatment:
  • Dental artistry to make restorations invisible
  • One visit
  • No local anesthetic necessary



Before:
Diagnosis:
  • Gummy Smile
  • Misaligned Teeth
  • Defective Restoration
  • Large Spaces
After:
Treatment:
  • Gum Lift
  • Direct Bond three shades of tooth-colored filling material to achieve Natural Effect
  • Two Visits



Before:
Diagnosis:
  • Failing silver fillings
After:
Treatment:
  • Three tooth- colored fillings



Before:
Diagnosis:
  • Fractured right front tooth



After:
Treatment:
  • Direct bond composite
  • One visit
  • No anesthetic necessary



Before:
Diagnosis:
  • Failing silver fillings
  • Missing tooth replaced by implant
  • Space between molar and bicuspid (food trap)
After:
Treatment:
  • Implant crown
  • Two tooth-colored fillings
  • All-porcelain crown





Before:
Diagnosis:
  • Severely worn teeth
After:
Treatment:
  • Direct bond composite to restore severely worn teeth

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