Our dentists provide prosthodontic services in Olympia, Washington, and the surrounding areas of Tumwater, Lacey, Aberdeen, Shelton, Yelm, and DuPont, Washington. We invite you to see the many restorations our dentists have accomplished during their time with Northwest Center for Prosthodontics, and we hope to see you soon!

Click on a category to see cases, click on a photo to see it larger, click on "+View Case Details" to see the Smile Story.

  • Other Procedures
  • Fixed Bridges
  • Full Mouth Reconstruction
  • Dental Implants
  • Crowns
  • Porcelain Veneers
  • Dentures & Partial Dentures
  • Crowns (Caps)

Fixed Bridges


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Before: Front tooth had been lost.
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After: A permanent all-ceramic bridge was made. Pink colored porcelain was used to recreate the missing gums. (Ceramic work was done by our in house lab technician Alf Howald)

Patient Photos Depicting

    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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    Full Mouth Reconstruction


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    Before: Worn and discolored teeth with many old crowns and missing teeth replaced by bridges.
    sg-full-mouth-1-d.jpg
    After: Missing teeth (old bridges) were replaced by implants and the rest of the teeth were crowned with new ceramic crowns.

    Patient Photos Depicting

      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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      sg-full-mouth-2-c.jpg
      Before: Many worn and missing teeth.
      sg-full-mouth-2-d.jpg
      After: Missing teeth and non-restorable teeth were replaced with dental implants. All of her teeth and implants were restored with new crowns.

      Patient Photos Depicting

        Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

        +View Case Details

        sg-full-mouth-3-c.jpg
        Before: Excessive wear of teeth (short teeth). The lower teeth were so short that they could not been seen when teeth were closed.
        sg-full-mouth-3-d.jpg
        After: We did a full reconstruction using a combination of veneers and crowns to restore a smile as well as make all of the teeth taller to create a proper bite.

        Patient Photos Depicting

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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          Dental Implants


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          Before
          sg-implant-1-b.jpg
          After
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          Before
          sg-implant-1-d.jpg
          After

          This patient had many very old crowns which were now unattractive. She had severe wear on her lower front teeth plus generalized recession. She had broken off her upper right central crown and the tooth needed to be replaced with an implant. The before photos show a temporary crown on the implant. Treatment consisted of new crowns on the upper teeth and implant plus crowns on the lower front teeth. The lower back teeth will have new crowns done in the future.

          Patient Photos Depicting

          • Other Procedures

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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          sg-implant-2-a.jpg
          Before
          sg-implant-2-b.jpg
          After
          sg-implant-2-c.jpg
          Before
          sg-implant-2-d.jpg
          After

          This patient was born with a cleft lip and palate that was repaired as a child. The repair was incomplete which complicated his dental care and affected his appearance. Embarrassed by his smile, he did not take good care of his teeth. Full mouth extractions were done with simultaneous implant placement and delivery of immediate upper and lower dentures. Following healing, the dentures were relined and connected to the implants which help to retain the dentures securely.

          Patient Photos Depicting

          • Other Procedures

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

          +View Case Details

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          Before
          sg-implant-3-b.jpg
          After
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          Implant Abutements
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          After

          This young man had his two front teeth knocked out in a sports accident. Two dental implants were placed, then restored with two crown connected together. Pink gum colored porcelain was used to simulate the missing gum tissue lost in the accident.

          Patient Photos Depicting

          • Other Procedures

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

          +View Case Details

          sg-implant-4-a.jpg
          Before
          sg-implant-4-b.jpg
          After
          sg-implant-4-c.jpg
          Before
          sg-implant-4-d.jpg
          After

          This patient was missing many upper teeth and had worn a removable partial denture for many years. The remaining back teeth were failing. The teeth were removed and six dental implants were placed for an immediately loaded temporary bridge. Following a few months of healing, a permanent porcelain fused to zirconia full arch bridge was placed. (Ceramics by Alf Howald, CDT)

          Patient Photos Depicting

          • Other Procedures

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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          sg-implant-5-a.jpg
          Before
          sg-implant-5-b.jpg
          After

          This patient had a very worn old upper denture and lower overdenture made over 4 failing lower teeth. The lower teeth were removed and two implants were immediately placed to provide retention for the lower denture. New dentures were made to restore the bite and provide a nicer smile.

          Patient Photos Depicting

          • Other Procedures

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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          sg-implant-6-a.jpg
          Before
          sg-implant-6-b.jpg
          After

          This patient had two failing bridges replacing her missing lateral incisors. The right central incisor had a failed root canal and needed to be extracted. Two implants were placed in the right central and left lateral incisor positions. The front six teeth and implants were restored with crowns and one two unit bridge.

          Patient Photos Depicting

          • Other Procedures

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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          Before
          sg-implant-7-b.jpg
          After
          sg-implant-7-c.jpg
          Before
          sg-implant-7-d.jpg
          After

          This patient suffered a severe fall resulting in facial fractures as well as loss and displacement of several front teeth. The missing upper right lateral incisor was replaced with an implant and crowns were done on the implant and the other three front teeth. The four lower incisors had to be removed and the bone reconstructed. Two implants were placed to support a four tooth implant bridge. Bone and gum tissue grafting and implant placement by Dr. Jim Janakievski, Periodontist, Tacoma, WA. Ceramics by Vincent Devaud, MDT, Pasadena, CA

          Patient Photos Depicting

          • Other Procedures

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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          Before
          sg-implant-8-b.jpg
          After
          sg-implant-8-c.jpg
          After
          sg-implant-8-d.jpg
          After

          This young woman never had her permanent lateral incisors develop so she had two dental implants placed, one in each site. The implants were restored with all ceramic abutments and crowns to match her other teeth. The before photograph shows the healing abutments that are attached to the implants after they are placed. Crowns made by Alf Howald, CDT

          Patient Photos Depicting

          • Other Procedures

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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          Before
          sg-implant-9-b.jpg
          After
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          Before
          sg-implant-9-d.jpg
          After

          This 64 year old woman presented with worn and missing teeth. We did a full restoration of her entire mouth, replacing missing teeth and non-restorable teeth with seven dental implants. All of her teeth and implants were restored with individual crowns, restoring her smile and providing her the ability to chew comfortably again.

          Patient Photos Depicting

          • Other Procedures

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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          Before
          sg-implant-10-b.jpg
          After
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          Before
          sg-implant-10-d.jpg
          After

          This is an 83 year old woman who had four teeth knocked out when she was very young. She had worn a removable partial denture for most of her life. She presented with a cracked front tooth and decided that it was time to get rid of her partial. Her treatment consisted of three implants to replace the four missing teeth and then three crowns on her front teeth to restore them and improve her smile.

          Patient Photos Depicting

          • Other Procedures

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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          Crowns


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          Before
          sg-implant-1-b.jpg
          After
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          Before
          sg-implant-1-d.jpg
          After

          Before: Severely worn front teeth from grinding habit were also discolored. After: Ceramic crowns on the front eight teeth.

          Patient Photos Depicting

          • Other Procedures

          Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

          +View Case Details

          sg-implant-3-c.jpg
          Before: Two front teeth were knocked out in a sport accident.
          sg-implant-3-d.jpg
          After: Two dental implants were placed. Pink gum colored porcelain was used to simulate the missing gums lost in the accident.

          Patient Photos Depicting

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-implant-6-a.jpg
            Before
            sg-implant-6-b.jpg
            After

            Before: Most upper teeth were missing and old partial denture was worn down. Failing back upper teeth. After: All upper teeth were removed and six dental implants were placed. A ceramic full arch bridge was placed. (Ceramic work was done by our in house lab technician Alf Howald)

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-implant-7-a.jpg
            Before
            sg-implant-7-b.jpg
            After
            sg-implant-7-c.jpg
            Before
            sg-implant-7-d.jpg
            After

            Before: Very worn old full upper and lower partial dentures. After: The lower teeth were removed and two implants were placed to provide retention for the lower denture. New dentures were made to restore the bite and provide a beautiful smile.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-implant-9-a.jpg
            Before
            sg-implant-9-b.jpg
            After
            sg-implant-9-c.jpg
            Before
            sg-implant-9-d.jpg
            After

            Before: Two old bridges replacing two missing front teeth. After: Front teeth were restored with crowns and implants.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-implant-10-a.jpg
            Before
            sg-implant-10-b.jpg
            After
            sg-implant-10-c.jpg
            Before
            sg-implant-10-d.jpg
            After

            Before: Loss and displacement of several front teeth due to trauma. After: The missing tooth was replaced with an implant and other front teeth were crowned. The four lower front teeth had to be removed and two implants were placed to support a four tooth implant bridge. (Surgery by Dr. Jim Janakievski, Periodontist, Tacoma, WA. Ceramics work by Vincent Devaud, MDT, Pasadena, CA)

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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            sg-crowns-2-b.jpg
            Smile After
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            After
            sg-crowns-2-d.jpg
            After

            Before: Congenitally missing two front teeth After: Missing teeth were restored with natural looking implants. (Ceramic work was done by our in house lab technician Alf Howald)

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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            sg-crowns-3-a.jpg
            Before
            sg-crowns-3-b.jpg
            After
            sg-crowns-3-c.jpg
            Before
            sg-crowns-3-d.jpg
            After

            Before: Chipped and discolored front teeth due to stomach acid damage. After: Porcelain crowns for eight front teeth

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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            sg-crown-cap-1-a.jpg
            Before
            sg-crown-cap-1-b.jpg
            After
            sg-crown-cap-1-c.jpg
            Before
            sg-crown-cap-1-d.jpg
            After

            This 65 year old male was not happy with his smile due to the excessive wear on his teeth. His wear was caused by a combination of acidity from gastric reflux and grinding/clenching. His lower teeth were so short that the front teeth were not even visible when he closed all the way. We did a full reconstruction to restore his smile as well as make all of his teeth taller to create a proper bite. We used a combination of veneers, partial coverage ceramic onlays, and crowns as needed that are bonded to the teeth. This allows for a durable, aesthetic result without the need to aggressively grind away good tooth structure as is done for conventional cemented crowns.

            Patient Photos Depicting

            • Crowns (Caps)
            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

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            Before
            sg-crowns-4-b.jpg
            After
            sg-crowns-4-c.jpg
            Before
            sg-crowns-4-d.jpg
            After

            This 60 year old woman presented with considerable recession as a consequence of gum disease. Her gum disease had been successfully resolved with periodontal therapy, but her smile aesthetics left a lot to be desired. She was referred to me to restore the four front teeth following extractions and implant placement. I suggested keeping the now healthy teeth and crowning them, as extracting them and placing implants would most likely result in more gum tissue loss and not as nice a smile result. Veneers were done on the two canines.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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            Porcelain Veneers


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            Before
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            After
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            Before
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            After

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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            Before
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            After
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            Bonding Removed
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            Final Veneer

            This young woman had broken a her right front tooth about 10 years ago and had composite bonding done to repair it. The bonding would discolor and chip so she elected to have a single porcelain veneer done.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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            sg-veneers-3-a.jpg
            Before
            sg-veneers-3-b.jpg
            After

            This patient had chipped her two front teeth many years ago and had the edges bonded. The bonding was wearing off. She also had some small gaps between her lateral incisors and the canines that she wanted closed. There had also been some wear on the laterals. Four porcelain veneers were done on the incisors.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-veneers-4-a.jpg
            Before
            sg-veneers-4-b.jpg
            After
            sg-veneers-4-c.jpg
            Before
            sg-veneers-4-d.jpg
            After

            This young man had teeth that were too small for the size of his mouth as well as some tetracycline staining which make his teeth look dark. There were also some discolored and missing fillings. Orthodontic treatment (braces) was done first, followed by gum surgery to move the gum line higher up on the teeth. Once that was healed, porcelain veneers were done on ten upper teeth. The patient plans to do veneers on the lower teeth in the future. (Ceramics by Alf Howald, CDT)

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-veneers-5-a.jpg
            Before
            sg-veneers-5-b.jpg
            After

            This patient had a congenital defect of her tooth enamel that left it mottled and discolored. She had composite filling material bonding done in the past to try and cover it, but it would keep coming off. I did 10 veneers on her upper teeth to give her a new, long lasting smile.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-crown-cap-1-a.jpg
            Before
            sg-crown-cap-1-b.jpg
            After
            sg-crown-cap-1-c.jpg
            Before
            sg-crown-cap-1-d.jpg
            After

            This 65 year old male was not happy with his smile due to the excessive wear on his teeth. His wear was caused by a combination of acidity from gastric reflux and grinding/clenching. His lower teeth were so short that the front teeth were not even visible when he closed all the way. We did a full reconstruction to restore his smile as well as make all of his teeth taller to create a proper bite. We used a combination of veneers, partial coverage ceramic onlays, and crowns as needed that are bonded to the teeth. This allows for a durable, aesthetic result without the need to aggressively grind away good tooth structure as is done for conventional cemented crowns.

            Patient Photos Depicting

            • Crowns (Caps)
            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-veneers-6-a.jpg
            Before
            sg-veneers-6-b.jpg
            After
            sg-veneers-6-c.jpg
            Before
            sg-veneers-6-d.jpg
            After

            This 49 year old male has a large gap (diastema) between his front teeth. He had bonding done in the past with tooth colored composite filling material but it would chip and discolor. He wanted the space closed with something stronger and did not want to have braces. The bonding was removed and the lower right photo shows the true size of the gap as well as some smaller gaps between the central and lateral incisors. Due to the size of the gap between the centrals, composite bonding was used to close the small gaps on the laterals so as not to make the centrals any wider than needed. Ceramic bonded veneers were done on the centrals to provide a strong, aesthetic match to the rest of his teeth.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            Dentures & Partial Dentures


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            Before
            sg-dentures-1-b.jpg
            After

            This patient had an old set of dentures that were worn and tipped down in the back. New dentures were made to correct the level of the teeth and provide a younger looking, natural appearance of the front teeth.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-dentures-2-a.jpg
            Before
            sg-dentures-2-b.jpg
            After
            sg-dentures-2-c.jpg
            Before
            sg-dentures-2-d.jpg
            After

            This young patient had neglected her teeth for many years. She needed a kidney transplant but needed her infected teeth removed first. Immediate upper and lower dentures were made and the teeth removed. She has had her transplant and is doing well. All of her dental treatment was provided free as a charity case through the American Fund for Dental Health.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-implant-2-a.jpg
            Before
            sg-implant-2-b.jpg
            After
            sg-implant-2-c.jpg
            Before
            sg-implant-2-d.jpg
            After

            This patient was born with a cleft lip and palate that was repaired as a child. The repair was incomplete which complicated his dental care and affected his appearance. Embarrassed by his smile, he did not take good care of his teeth. Full mouth extractions were done with simultaneous implant placement and delivery of immediate upper and lower dentures. Following healing, the dentures were relined and connected to the implants which help to retain the dentures securely.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-implant-5-a.jpg
            Before
            sg-implant-5-b.jpg
            After

            This patient had a very worn old upper denture and lower overdenture made over 4 failing lower teeth. The lower teeth were removed and two implants were immediately placed to provide retention for the lower denture. New dentures were made to restore the bite and provide a nicer smile.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            Crowns (Caps)


            sg-crown-cap-1-a.jpg
            Before
            sg-crown-cap-1-b.jpg
            After
            sg-crown-cap-1-c.jpg
            Before
            sg-crown-cap-1-d.jpg
            After

            This 65 year old male was not happy with his smile due to the excessive wear on his teeth. His wear was caused by a combination of acidity from gastric reflux and grinding/clenching. His lower teeth were so short that the front teeth were not even visible when he closed all the way. We did a full reconstruction to restore his smile as well as make all of his teeth taller to create a proper bite. We used a combination of veneers, partial coverage ceramic onlays, and crowns as needed that are bonded to the teeth. This allows for a durable, aesthetic result without the need to aggressively grind away good tooth structure as is done for conventional cemented crowns.

            Patient Photos Depicting

            • Crowns (Caps)
            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-implant-2-a.jpg
            Before
            sg-implant-2-b.jpg
            After
            sg-implant-2-c.jpg
            Before
            sg-implant-2-d.jpg
            After

            This patient was born with a cleft lip and palate that was repaired as a child. The repair was incomplete which complicated his dental care and affected his appearance. Embarrassed by his smile, he did not take good care of his teeth. Full mouth extractions were done with simultaneous implant placement and delivery of immediate upper and lower dentures. Following healing, the dentures were relined and connected to the implants which help to retain the dentures securely.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-implant-3-a.jpg
            Before
            sg-implant-3-b.jpg
            After
            sg-implant-3-c.jpg
            Implant Abutements
            sg-implant-3-d.jpg
            After

            This young man had his two front teeth knocked out in a sports accident. Two dental implants were placed, then restored with two crown connected together. Pink gum colored porcelain was used to simulate the missing gum tissue lost in the accident.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-implant-4-a.jpg
            Before
            sg-implant-4-b.jpg
            After
            sg-implant-4-c.jpg
            Before
            sg-implant-4-d.jpg
            After

            This patient was missing many upper teeth and had worn a removable partial denture for many years. The remaining back teeth were failing. The teeth were removed and six dental implants were placed for an immediately loaded temporary bridge. Following a few months of healing, a permanent porcelain fused to zirconia full arch bridge was placed. (Ceramics by Alf Howald, CDT)

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-implant-5-a.jpg
            Before
            sg-implant-5-b.jpg
            After

            This patient had a very worn old upper denture and lower overdenture made over 4 failing lower teeth. The lower teeth were removed and two implants were immediately placed to provide retention for the lower denture. New dentures were made to restore the bite and provide a nicer smile.

            Patient Photos Depicting

            • Other Procedures

            Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

            +View Case Details

            sg-fixed-bridges-1-c.jpg
            Before: Front tooth had been lost.
            sg-fixed-bridges-1-d.jpg
            After: A permanent all-ceramic bridge was made. Pink colored porcelain was used to recreate the missing gums. (Ceramic work was done by our in house lab technician Alf Howald)

            Patient Photos Depicting

              Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

              +View Case Details

              sg-full-mouth-1-c.jpg
              Before: Worn and discolored teeth with many old crowns and missing teeth replaced by bridges.
              sg-full-mouth-1-d.jpg
              After: Missing teeth (old bridges) were replaced by implants and the rest of the teeth were crowned with new ceramic crowns.

              Patient Photos Depicting

                Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

                +View Case Details

                sg-full-mouth-2-c.jpg
                Before: Many worn and missing teeth.
                sg-full-mouth-2-d.jpg
                After: Missing teeth and non-restorable teeth were replaced with dental implants. All of her teeth and implants were restored with new crowns.

                Patient Photos Depicting

                  Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

                  +View Case Details

                  sg-full-mouth-3-c.jpg
                  Before: Excessive wear of teeth (short teeth). The lower teeth were so short that they could not been seen when teeth were closed.
                  sg-full-mouth-3-d.jpg
                  After: We did a full reconstruction using a combination of veneers and crowns to restore a smile as well as make all of the teeth taller to create a proper bite.

                  Patient Photos Depicting

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

                    +View Case Details

                    sg-implant-1-a.jpg
                    Before
                    sg-implant-1-b.jpg
                    After
                    sg-implant-1-c.jpg
                    Before
                    sg-implant-1-d.jpg
                    After

                    This patient had many very old crowns which were now unattractive. She had severe wear on her lower front teeth plus generalized recession. She had broken off her upper right central crown and the tooth needed to be replaced with an implant. The before photos show a temporary crown on the implant. Treatment consisted of new crowns on the upper teeth and implant plus crowns on the lower front teeth. The lower back teeth will have new crowns done in the future.

                    Patient Photos Depicting

                    • Other Procedures

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

                    +View Case Details

                    sg-implant-2-a.jpg
                    Before
                    sg-implant-2-b.jpg
                    After
                    sg-implant-2-c.jpg
                    Before
                    sg-implant-2-d.jpg
                    After

                    This patient was born with a cleft lip and palate that was repaired as a child. The repair was incomplete which complicated his dental care and affected his appearance. Embarrassed by his smile, he did not take good care of his teeth. Full mouth extractions were done with simultaneous implant placement and delivery of immediate upper and lower dentures. Following healing, the dentures were relined and connected to the implants which help to retain the dentures securely.

                    Patient Photos Depicting

                    • Other Procedures

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

                    +View Case Details

                    sg-implant-3-a.jpg
                    Before
                    sg-implant-3-b.jpg
                    After
                    sg-implant-3-c.jpg
                    Implant Abutements
                    sg-implant-3-d.jpg
                    After

                    This young man had his two front teeth knocked out in a sports accident. Two dental implants were placed, then restored with two crown connected together. Pink gum colored porcelain was used to simulate the missing gum tissue lost in the accident.

                    Patient Photos Depicting

                    • Other Procedures

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                    sg-implant-4-a.jpg
                    Before
                    sg-implant-4-b.jpg
                    After
                    sg-implant-4-c.jpg
                    Before
                    sg-implant-4-d.jpg
                    After

                    This patient was missing many upper teeth and had worn a removable partial denture for many years. The remaining back teeth were failing. The teeth were removed and six dental implants were placed for an immediately loaded temporary bridge. Following a few months of healing, a permanent porcelain fused to zirconia full arch bridge was placed. (Ceramics by Alf Howald, CDT)

                    Patient Photos Depicting

                    • Other Procedures

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                    sg-implant-5-a.jpg
                    Before
                    sg-implant-5-b.jpg
                    After

                    This patient had a very worn old upper denture and lower overdenture made over 4 failing lower teeth. The lower teeth were removed and two implants were immediately placed to provide retention for the lower denture. New dentures were made to restore the bite and provide a nicer smile.

                    Patient Photos Depicting

                    • Other Procedures

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                    sg-implant-6-a.jpg
                    Before
                    sg-implant-6-b.jpg
                    After

                    This patient had two failing bridges replacing her missing lateral incisors. The right central incisor had a failed root canal and needed to be extracted. Two implants were placed in the right central and left lateral incisor positions. The front six teeth and implants were restored with crowns and one two unit bridge.

                    Patient Photos Depicting

                    • Other Procedures

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                    sg-implant-7-a.jpg
                    Before
                    sg-implant-7-b.jpg
                    After
                    sg-implant-7-c.jpg
                    Before
                    sg-implant-7-d.jpg
                    After

                    This patient suffered a severe fall resulting in facial fractures as well as loss and displacement of several front teeth. The missing upper right lateral incisor was replaced with an implant and crowns were done on the implant and the other three front teeth. The four lower incisors had to be removed and the bone reconstructed. Two implants were placed to support a four tooth implant bridge. Bone and gum tissue grafting and implant placement by Dr. Jim Janakievski, Periodontist, Tacoma, WA. Ceramics by Vincent Devaud, MDT, Pasadena, CA

                    Patient Photos Depicting

                    • Other Procedures

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                    sg-implant-8-a.jpg
                    Before
                    sg-implant-8-b.jpg
                    After
                    sg-implant-8-c.jpg
                    After
                    sg-implant-8-d.jpg
                    After

                    This young woman never had her permanent lateral incisors develop so she had two dental implants placed, one in each site. The implants were restored with all ceramic abutments and crowns to match her other teeth. The before photograph shows the healing abutments that are attached to the implants after they are placed. Crowns made by Alf Howald, CDT

                    Patient Photos Depicting

                    • Other Procedures

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                    sg-implant-9-a.jpg
                    Before
                    sg-implant-9-b.jpg
                    After
                    sg-implant-9-c.jpg
                    Before
                    sg-implant-9-d.jpg
                    After

                    This 64 year old woman presented with worn and missing teeth. We did a full restoration of her entire mouth, replacing missing teeth and non-restorable teeth with seven dental implants. All of her teeth and implants were restored with individual crowns, restoring her smile and providing her the ability to chew comfortably again.

                    Patient Photos Depicting

                    • Other Procedures

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                    sg-implant-10-a.jpg
                    Before
                    sg-implant-10-b.jpg
                    After
                    sg-implant-10-c.jpg
                    Before
                    sg-implant-10-d.jpg
                    After

                    This is an 83 year old woman who had four teeth knocked out when she was very young. She had worn a removable partial denture for most of her life. She presented with a cracked front tooth and decided that it was time to get rid of her partial. Her treatment consisted of three implants to replace the four missing teeth and then three crowns on her front teeth to restore them and improve her smile.

                    Patient Photos Depicting

                    • Other Procedures

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                    sg-implant-1-a.jpg
                    Before
                    sg-implant-1-b.jpg
                    After
                    sg-implant-1-c.jpg
                    Before
                    sg-implant-1-d.jpg
                    After

                    Before: Severely worn front teeth from grinding habit were also discolored. After: Ceramic crowns on the front eight teeth.

                    Patient Photos Depicting

                    • Other Procedures

                    Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                    sg-implant-3-c.jpg
                    Before: Two front teeth were knocked out in a sport accident.
                    sg-implant-3-d.jpg
                    After: Two dental implants were placed. Pink gum colored porcelain was used to simulate the missing gums lost in the accident.

                    Patient Photos Depicting

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-implant-6-a.jpg
                      Before
                      sg-implant-6-b.jpg
                      After

                      Before: Most upper teeth were missing and old partial denture was worn down. Failing back upper teeth. After: All upper teeth were removed and six dental implants were placed. A ceramic full arch bridge was placed. (Ceramic work was done by our in house lab technician Alf Howald)

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-implant-7-a.jpg
                      Before
                      sg-implant-7-b.jpg
                      After
                      sg-implant-7-c.jpg
                      Before
                      sg-implant-7-d.jpg
                      After

                      Before: Very worn old full upper and lower partial dentures. After: The lower teeth were removed and two implants were placed to provide retention for the lower denture. New dentures were made to restore the bite and provide a beautiful smile.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-implant-9-a.jpg
                      Before
                      sg-implant-9-b.jpg
                      After
                      sg-implant-9-c.jpg
                      Before
                      sg-implant-9-d.jpg
                      After

                      Before: Two old bridges replacing two missing front teeth. After: Front teeth were restored with crowns and implants.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-implant-10-a.jpg
                      Before
                      sg-implant-10-b.jpg
                      After
                      sg-implant-10-c.jpg
                      Before
                      sg-implant-10-d.jpg
                      After

                      Before: Loss and displacement of several front teeth due to trauma. After: The missing tooth was replaced with an implant and other front teeth were crowned. The four lower front teeth had to be removed and two implants were placed to support a four tooth implant bridge. (Surgery by Dr. Jim Janakievski, Periodontist, Tacoma, WA. Ceramics work by Vincent Devaud, MDT, Pasadena, CA)

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-crowns-2-b.jpg
                      Smile After
                      sg-crowns-2-c.jpg
                      After
                      sg-crowns-2-d.jpg
                      After

                      Before: Congenitally missing two front teeth After: Missing teeth were restored with natural looking implants. (Ceramic work was done by our in house lab technician Alf Howald)

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-crowns-3-a.jpg
                      Before
                      sg-crowns-3-b.jpg
                      After
                      sg-crowns-3-c.jpg
                      Before
                      sg-crowns-3-d.jpg
                      After

                      Before: Chipped and discolored front teeth due to stomach acid damage. After: Porcelain crowns for eight front teeth

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-crown-cap-1-a.jpg
                      Before
                      sg-crown-cap-1-b.jpg
                      After
                      sg-crown-cap-1-c.jpg
                      Before
                      sg-crown-cap-1-d.jpg
                      After

                      This 65 year old male was not happy with his smile due to the excessive wear on his teeth. His wear was caused by a combination of acidity from gastric reflux and grinding/clenching. His lower teeth were so short that the front teeth were not even visible when he closed all the way. We did a full reconstruction to restore his smile as well as make all of his teeth taller to create a proper bite. We used a combination of veneers, partial coverage ceramic onlays, and crowns as needed that are bonded to the teeth. This allows for a durable, aesthetic result without the need to aggressively grind away good tooth structure as is done for conventional cemented crowns.

                      Patient Photos Depicting

                      • Crowns (Caps)
                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-crowns-4-a.jpg
                      Before
                      sg-crowns-4-b.jpg
                      After
                      sg-crowns-4-c.jpg
                      Before
                      sg-crowns-4-d.jpg
                      After

                      This 60 year old woman presented with considerable recession as a consequence of gum disease. Her gum disease had been successfully resolved with periodontal therapy, but her smile aesthetics left a lot to be desired. She was referred to me to restore the four front teeth following extractions and implant placement. I suggested keeping the now healthy teeth and crowning them, as extracting them and placing implants would most likely result in more gum tissue loss and not as nice a smile result. Veneers were done on the two canines.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-veneers-1-a.jpg
                      Before
                      sg-veneers-1-b.jpg
                      After
                      sg-veneers-1-c.jpg
                      Before
                      sg-veneers-1-d.jpg
                      After

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-veneers-2-a.jpg
                      Before
                      sg-veneers-2-b.jpg
                      After
                      sg-veneers-2-c.jpg
                      Bonding Removed
                      sg-veneers-2-d.jpg
                      Final Veneer

                      This young woman had broken a her right front tooth about 10 years ago and had composite bonding done to repair it. The bonding would discolor and chip so she elected to have a single porcelain veneer done.

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                      sg-veneers-3-a.jpg
                      Before
                      sg-veneers-3-b.jpg
                      After

                      This patient had chipped her two front teeth many years ago and had the edges bonded. The bonding was wearing off. She also had some small gaps between her lateral incisors and the canines that she wanted closed. There had also been some wear on the laterals. Four porcelain veneers were done on the incisors.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-veneers-4-a.jpg
                      Before
                      sg-veneers-4-b.jpg
                      After
                      sg-veneers-4-c.jpg
                      Before
                      sg-veneers-4-d.jpg
                      After

                      This young man had teeth that were too small for the size of his mouth as well as some tetracycline staining which make his teeth look dark. There were also some discolored and missing fillings. Orthodontic treatment (braces) was done first, followed by gum surgery to move the gum line higher up on the teeth. Once that was healed, porcelain veneers were done on ten upper teeth. The patient plans to do veneers on the lower teeth in the future. (Ceramics by Alf Howald, CDT)

                      Patient Photos Depicting

                      • Other Procedures

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                      sg-veneers-5-a.jpg
                      Before
                      sg-veneers-5-b.jpg
                      After

                      This patient had a congenital defect of her tooth enamel that left it mottled and discolored. She had composite filling material bonding done in the past to try and cover it, but it would keep coming off. I did 10 veneers on her upper teeth to give her a new, long lasting smile.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-crown-cap-1-a.jpg
                      Before
                      sg-crown-cap-1-b.jpg
                      After
                      sg-crown-cap-1-c.jpg
                      Before
                      sg-crown-cap-1-d.jpg
                      After

                      This 65 year old male was not happy with his smile due to the excessive wear on his teeth. His wear was caused by a combination of acidity from gastric reflux and grinding/clenching. His lower teeth were so short that the front teeth were not even visible when he closed all the way. We did a full reconstruction to restore his smile as well as make all of his teeth taller to create a proper bite. We used a combination of veneers, partial coverage ceramic onlays, and crowns as needed that are bonded to the teeth. This allows for a durable, aesthetic result without the need to aggressively grind away good tooth structure as is done for conventional cemented crowns.

                      Patient Photos Depicting

                      • Crowns (Caps)
                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-veneers-6-a.jpg
                      Before
                      sg-veneers-6-b.jpg
                      After
                      sg-veneers-6-c.jpg
                      Before
                      sg-veneers-6-d.jpg
                      After

                      This 49 year old male has a large gap (diastema) between his front teeth. He had bonding done in the past with tooth colored composite filling material but it would chip and discolor. He wanted the space closed with something stronger and did not want to have braces. The bonding was removed and the lower right photo shows the true size of the gap as well as some smaller gaps between the central and lateral incisors. Due to the size of the gap between the centrals, composite bonding was used to close the small gaps on the laterals so as not to make the centrals any wider than needed. Ceramic bonded veneers were done on the centrals to provide a strong, aesthetic match to the rest of his teeth.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-dentures-1-a.jpg
                      Before
                      sg-dentures-1-b.jpg
                      After

                      This patient had an old set of dentures that were worn and tipped down in the back. New dentures were made to correct the level of the teeth and provide a younger looking, natural appearance of the front teeth.

                      Patient Photos Depicting

                      • Other Procedures

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                      sg-dentures-2-a.jpg
                      Before
                      sg-dentures-2-b.jpg
                      After
                      sg-dentures-2-c.jpg
                      Before
                      sg-dentures-2-d.jpg
                      After

                      This young patient had neglected her teeth for many years. She needed a kidney transplant but needed her infected teeth removed first. Immediate upper and lower dentures were made and the teeth removed. She has had her transplant and is doing well. All of her dental treatment was provided free as a charity case through the American Fund for Dental Health.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-implant-2-a.jpg
                      Before
                      sg-implant-2-b.jpg
                      After
                      sg-implant-2-c.jpg
                      Before
                      sg-implant-2-d.jpg
                      After

                      This patient was born with a cleft lip and palate that was repaired as a child. The repair was incomplete which complicated his dental care and affected his appearance. Embarrassed by his smile, he did not take good care of his teeth. Full mouth extractions were done with simultaneous implant placement and delivery of immediate upper and lower dentures. Following healing, the dentures were relined and connected to the implants which help to retain the dentures securely.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-implant-5-a.jpg
                      Before
                      sg-implant-5-b.jpg
                      After

                      This patient had a very worn old upper denture and lower overdenture made over 4 failing lower teeth. The lower teeth were removed and two implants were immediately placed to provide retention for the lower denture. New dentures were made to restore the bite and provide a nicer smile.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

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                      sg-crown-cap-1-a.jpg
                      Before
                      sg-crown-cap-1-b.jpg
                      After
                      sg-crown-cap-1-c.jpg
                      Before
                      sg-crown-cap-1-d.jpg
                      After

                      This 65 year old male was not happy with his smile due to the excessive wear on his teeth. His wear was caused by a combination of acidity from gastric reflux and grinding/clenching. His lower teeth were so short that the front teeth were not even visible when he closed all the way. We did a full reconstruction to restore his smile as well as make all of his teeth taller to create a proper bite. We used a combination of veneers, partial coverage ceramic onlays, and crowns as needed that are bonded to the teeth. This allows for a durable, aesthetic result without the need to aggressively grind away good tooth structure as is done for conventional cemented crowns.

                      Patient Photos Depicting

                      • Crowns (Caps)
                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

                      +View Case Details

                      sg-implant-2-a.jpg
                      Before
                      sg-implant-2-b.jpg
                      After
                      sg-implant-2-c.jpg
                      Before
                      sg-implant-2-d.jpg
                      After

                      This patient was born with a cleft lip and palate that was repaired as a child. The repair was incomplete which complicated his dental care and affected his appearance. Embarrassed by his smile, he did not take good care of his teeth. Full mouth extractions were done with simultaneous implant placement and delivery of immediate upper and lower dentures. Following healing, the dentures were relined and connected to the implants which help to retain the dentures securely.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

                      +View Case Details

                      sg-implant-3-a.jpg
                      Before
                      sg-implant-3-b.jpg
                      After
                      sg-implant-3-c.jpg
                      Implant Abutements
                      sg-implant-3-d.jpg
                      After

                      This young man had his two front teeth knocked out in a sports accident. Two dental implants were placed, then restored with two crown connected together. Pink gum colored porcelain was used to simulate the missing gum tissue lost in the accident.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

                      +View Case Details

                      sg-implant-4-a.jpg
                      Before
                      sg-implant-4-b.jpg
                      After
                      sg-implant-4-c.jpg
                      Before
                      sg-implant-4-d.jpg
                      After

                      This patient was missing many upper teeth and had worn a removable partial denture for many years. The remaining back teeth were failing. The teeth were removed and six dental implants were placed for an immediately loaded temporary bridge. Following a few months of healing, a permanent porcelain fused to zirconia full arch bridge was placed. (Ceramics by Alf Howald, CDT)

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

                      +View Case Details

                      sg-implant-5-a.jpg
                      Before
                      sg-implant-5-b.jpg
                      After

                      This patient had a very worn old upper denture and lower overdenture made over 4 failing lower teeth. The lower teeth were removed and two implants were immediately placed to provide retention for the lower denture. New dentures were made to restore the bite and provide a nicer smile.

                      Patient Photos Depicting

                      • Other Procedures

                      Note: Patients depicted in photos have provided their consent to display their pictures online. Results may vary.

                      +View Case Details