Before & After Photos

Dental implants can make a huge difference in the overall appearance of your smile. Take a look at the below before and after photos from real patients of the Houston Prosthodontic Associates to see how one of our procedures could help you.

The End-Stage Dentition

The patient presented with a real hot mess. All teeth were removed and nine implants were placed in the patient’s jaws. The upper and lower prostheses were delivered the same day enabling our patient to never be without a smile.

Piggyback Prosthetics

This technique is a scion of telescopic prosthetic therapy that was developed in Europe in the 1930’s. It was popularized by one of the finest practitioners and prosthodontists of all time: Dr. Morton Amsterdam. This case which has been in service for over eleven years requires outstanding laboratory support. NBG


Prosthetic Reconstruction After Tumor Removal

Patient presented with a cancerous tumor on her lower left jaw. The cancer was removed and the patient was reconstructed with a titanium plate and four dental implants. Instead of placing the implants in the back of the mouth where the tumor presented, it was decided to sacrifice the front lower teeth and place the implants in the anterior jaw. This was decided upon by the fact that implants are most successful in the front part of the lower jaw. The case was completed in 2008…

Implant Placement In The Lower Jaw

As I have been saying for the last 30 years “the upper teeth are for show and the lower teeth are to go”. On occasion, patients ask me “what is the least amount of implants needed to reconstruct their jaws”? Traditionally prosthodontic specialists request four implants per jaw. However, if the budget rears its ugly head, three implants may be used but this technique is restricted to the lower jaw only. The following case demonstrates the use of three implants with a bolted-in prosthesis. Two points make a line and three points make a plane. This case was completed six in a half years ago and is still going strong. That being said, I still would prefer to restore a lower jaw with four implants…

Instant Polymer Prosthetics: (IPP)

Often actors in Hollywood are fitted with artificial “over-prosthetics”. Over the years I have come in contact with several prosthetic specialists who practice their art in Hollywood, California. For those familiar with the movies Austin Powers or Mrs. Doubtfire, over-prosthetics were used to create a specific look for the actor. This type of prosthesis is used to alter the characteristics of their smile. It can make masculine teeth look feminine or vice versa or teeth can be made to look extremely scary as evidenced in vampire or zombie movies. The example below was completed last week in our office. The obvious benefits are cost savings and it is a non-evasive procedure.

Correcting Space Discrepancies

Replacing a missing front tooth and matching it the adjacent teeth is considered one of the most difficult tasks in prosthetic dentistry. Notice in this case there’s a size discrepancy with our patient’s two front teeth as indicated by the vertical red lines. To compensate for this discrepancy, we added bonding to our patient’s natural tooth to reduce this defect. The missing tooth was restored with an implant restoration.

New Patient CCD and Restored CCD

Cleidocranial dysplasia (CCD) is a condition that primarily affects the development of the bones and teeth. Characteristic features include underdeveloped or absent collarbones (clavicles); dental abnormalities; and delayed closing of the spaces between the skull bones (fontanels).

CCD is a very rare disorder that is apparent at birth and affects males and females in equal numbers. Approximately 1,000 cases of this disorder have been reported in the medical literature. The birth prevalence is approximately 1 in 1 million. In my 35 years of practice, I have had the opportunity to treat one patient with Cleidocranial Dysplasia. The patient that I had treated previously presented with only six teeth. Four upper teeth and two lower teeth. His (multiple) teeth were extracted prior to his arrival at my office some thirty years back. He presented wearing upper and lower partials that were uncomfortable, unsightly, and ill-fitting. He was restored eight years ago with implants that enabled me to give him “fixed” teeth that are not removable. Today’s prosthodontist’s treat CCD differently, the profession attempts to erupt as many natural teeth as possible. Recently, I have started treatment on my second case as evidenced in the x-ray that shows multiple extra teeth.

The patient presented with ill-fitting partial dentures that were fabricated some 25 years ago. The patient also presented with a communication (hole) from his sinuses to his mouth, the result of a shotgun accident. Notice the shrapnel present on this x-ray.

One can observe the communication between the patient’s sinuses and the oral cavity. The three “gizmos” on the patient’s left side are Snap Copings® which Dr. Gittleman designed and patented.

A gold substructure was fabricated to secure the patient’s upper prosthesis.

The tissue side of the prosthesis is seen here. Where “O-rings” were employed to secure and attach the teeth to the gold substructure.

Seen here is the upper prosthesis. It serves not only for chewing but it also serves to block the communication (hole) between the sinuses and oral cavity.

Patient is using a “nail” to help him remove his new teeth!

The patient presented with two implants and a snap-on prosthesis which I constructed 28 years ago.

Over the last 28 years, the prosthesis (teeth) became increasingly loose due to bone loss in the back of the mouth--so I decided to construct a stabilizing bar.

Frontal view of stabilizing (mesostructure) bar.

Tissue surface (intaglio surface) of the snap-on prosthesis. The orange “O” rings snap over the “trailer hitch” balls of the metal bar.

The prosthesis is secured in the mouth

Refurbished frontal view of the prosthesis