Before and After

LANAP Used for Moderate Periodontal Disease

51 year old, male, patient presented to the office with moderate periodontal disease along with heavy calculus buildup underneath the gums. Patient was advised to proceed with LANAP which is a laser gum surgery. This surgery is a minimally invasive technique that gives a very deep cleaning of the teeth under the gums allowing regeneration of what was lost.

Treatment of Gingival Recession

39 year old, female, patient presented to the office due to severe gum recession of 4 mm. She was a great candidate for the pinhole procedure that is specifically for localized gum recession. Pinhole is surgical technique that is used to correct gum recession instantly! It is scalpel free, suture free, and conventional graft free. This procedure typically takes 30 minutes with no pain or postop complications

Patient went from 4 mm of gum recession to 0 mm of gum recession after 6 months of healing.

LANAP Used to Deep Clean Periodontal Disease

42 year old patient presented to the office with a general concern of her oral health. After going through her checkup and measuring her gums, she presented with moderate periodontal disease. This is when the probing depths of her gums are higher than usual which indicates she has deep pocket depths that are caused by heavy plaque accumulation which can ultimately result in severe periodontal disease and more complicated issues.

Patient was suggested that she goes through laser gum surgery, also termed LANAP. This surgery is a minimally invasive technique that gives a very deep cleaning of the teeth under the gums allowing regeneration of what was lost. After 6 months, it is expected that her probing depths change from higher numbers such as 6 mm to 3 mm. She decided to go through with the surgery which resulted in high success and treatment of her moderate periodontal disease.

Pinhole Surgical Technique

50 year old, female patient, presented to the office with severe dental fear. She had not visited the dentist in over 10 years due to her fear which resulted in severe gum recession and periodontal disease. In order to correct the gum recession, a procedure called Pinhole was done which resulted from 4 mm of gum recession in 0 mm of gum recession. Pinhole is surgical technique that is used to correct gum recession instantly! It is scalpel free, suture free, and conventional graft free. This procedure typically takes 30 minutes with no pain or postop complications.

Gummy Smile Fix

Young, 31 year old, patient presented to the office with a concern of a gummy smile. She was very insecure about it all her life and thought it was time to correct it. A procedure called gingivectomy was done in which the tissue was lasered off to make it more aesthetically pleasing and so that when she smiled, less of her gum tissue would show and more of her teeth.

Zirconia Implant Used to Replace Tooth with Deep Cavity

46 year old female presented to the office with a hopeless tooth due to a deep cavity in the lower portion of her tooth along with the root. She wanted an implant placed there but wanted to go through a more holistic approach. Dr. Nejat recommended a zirconia implant and that is what the patient proceeded with.

Connective Tissue Graft Used to Treat Gum Recession

Patient presented with severe gum recession on tooth #24 of about 3 mm of loss. A connective tissue graft was done to bring the 6 mm recession down to 0 mm of gum recession after one month of the procedure. A connective tissue graft is a procedure in which soft tissue was removed from the palette of the mouth and sutured over the exposed tooth root.

Front Tooth Replaced with Dental Implant

Patient came in with a missing tooth that was very apparent when she smiled. She wanted a permanent solution that would last her many years, if not forever. The patient worked hand in hand with a periodontist and prosthodontist to get the most beautiful front tooth replaced. The periodontist and prosthodontist worked together hand in hand to insert the implant and design a tooth that looked natural but also aesthetically pleasing.

All On 4 with Zirconia Implants

70 year old patient presented to Dr. Nejat’s office with severe periodontal disease that were very mobile and hopeless. An All On 4 procedure with recommended but the patient wanted to save as much money as possible along with proceeding with a holistic dental approach.

During the initial consultation, a general medical evaluation was performed by Dr. Richard Nejat to assess the patient’s medical history, teeth, gum, as well as jaw bone density and structure.

The consultation concluded that the patient appears to be in good health and it was decided that three zirconia implants were to be placed along with a denture prosthesis made.

Gums Lightened with Gum Depigmentation

Patient presented with severe dark pigmentation on the upper and lower arch that was very visible. The doctor treatment planned laser gum depigmentation which is a procedure that is performed to vaporize and remove a layer of soft tissue to get rid of melanin cells which in turn reduces the appearance of the dark pigmentation on the outside.

Gum Recession Due to Brushing Too Hard

Patient presented with exposed root on #10-14 due to abrasion from bushing too hard in that area. A connective tissue graft procedure was needed to treat the exposed root. The lack of attached gingiva lead to root sensitivity, increased inflammation, and uncontrolled bone loss and tooth loss. A connective tissue graft was performed to prevent inflammation and decrease root sensitivity. During the procedure, soft tissue was removed from the palette of the mouth and sutured over the exposed tooth root.

Reduced Gum Recession with Connective Tissue Graft

Patient presented with severe gum recession on tooth #9 of the attached gingiva. A connective tissue graft was recommended which is a procedure where soft tissue is removed from the palette of the mouth and sutured over the exposed tooth root. The results were very successful as the patient went from 4 mm of gingival recession to 1 mm of gingival recession.

Improve Gum Health

Pinhole is surgical technique that is used to correct gum recession instantly! It is scalpel free, suture free, and conventional graft free. This procedure typically takes 30 minutes with no pain or postop complications.

All On 4 for Broken Teeth

A patient presented to the office with broken and mobile teeth and wanted to fix them and get a new smile. She brought in pictures of inspiration photos and old photos of herself so that we can create the perfect smile for her. Her main concern along with the ones listed above was that she wanted a 25% deduction in her smile and that is exactly what she got and could not be more pleased with the results.

Replaced Partial Dentures for All On 4

Patient was referred from her allergy doctor, which happens to be Dr. Nejat’s brother. Patient never thought that the treatment she needed would be affordable. She saved up for the treatment of an upper All On Four as getting her smile back and feeling confident was very important to her. After the treatment, she was able to get rid of her partial dentures and get her beautiful smile back.

Upper Denture and Lower Partial to All On 4

Manhattan patient presents to the office with an upper denture and a lower partial along with periodontal disease. He hated wearing his dentures and felt like he could not enjoy his favorites foods because of the lack of function in his dentition. He also rarely smiled so he wanted a new smile to correct those issues. He went along with upper and lower All On Four done on the same day and was very satisfied with the results.

All On 4 Used to Treat Severe Gum Disease

Smoker patient presented with severe gum disease. He hated his smile and wanted a new smile that was natural and as quickly as possible. Smile In A day was done where we cleaned up the bottom teeth and took out the top teeth, inserted 6 tilted implants with an All On Four Concept. He was very satisfied with the results and was shocked that it could all happen within a day.

Dentures Replaced with a Smile in A Day

Professor and patient presented with a partial denture that had decayed out teeth. The patient’s partial denture would fall out which led her to never smile in public. She wanted All On Four done but after doing a CBCT scan and checking her bone, she did not have enough so Dr. Nejat recommended Zygoma Implants. She had two zygomas on both sides with four more implants in the front via a minimally invasive process and received a Smile In A Day. She was super happy with the surgery and had no complications whatsoever.

Replaced Upper and Lower Dentures with All On 4

Patient presented with gum disease on the upper and lower with partial dentures on both arches. Upper and lower All On Four was done and his smile was changed drastically. Patient was very content with the results as he said he looked younger and his smile was more natural and comfortable after the procedure.

All On 4 to Treat Bone Loss

Patient came all the way from Pittsburg, Pennsylvania to get a consult due to very thin bone left due to severe bone loss. He suffered from dental fear which resulted in decayed teeth and severe periodontal disease. He wanted his old smile back and hated wearing his dentures. The All On 4 was the best option for him and he immediately was satisfied and regained his confidence.

Replaced Lower Denture with All On 4

Manhattan patient and former NYU professor was very knowledgeable and interested about the newest technologies available to promote and treat various health issues. Although handicapped and after numerous health treatments he decided to stay on top of his health and get rid of his lower denture as it constantly “popped out” form his mouth and he couldn’t talk or eat. Lower Smile In A Day was performed and extremely changed his profile and he can finally taste his food as there is no plastic covering his palate. Very happy and impressed with the technology.

All On 4 Treatment for Amelogenesis Imperfecta

Manhattan patient presented with amelogenesis imperfecta which is a tooth development disorder where the teeth are covered with thin, abnormally formed enamel and are damaged easily and deteriorate quickly if left untreated. Her son wanted his mom to have a normal life back as she locked herself at home, and struggled to find a decent job due to her appearance. We were able to give her back her old smile with upper and lower All On Four which gave her the world’s confidence boost to go out and live a normal life.

Young Patient’s Smile Restored With All on 4

Young, 27 year old, thyroid cancer patient who went through chemotherapy resulted in her dentition to look like she was a drug abuser. Worked with her parents to get her old smile back. First she had her cavities taken care of in the lower jaw, following a lower partial denture which was inserted the same day as her upper All On Four surgery. She had restored her smile within a month which in turn also gave her back the confidence and health she had lost.

From No Function to a Natural Smile

Patients desire overall was to be able to socialize again as her friends were ashamed to take her anywhere due to her existing teeth. Patient presented with no function left in her dentition, the teeth were mobile and flared out with heavy wear on them. She also had an existing implant on tooth #7. Her wish was to get a new natural smile that fit her face. We were able to use her preexisting implant in the All On Four and added three more on the top and four more on the bottom to create the natural smile that she desired. She was very happy with the results.

From Losing All Her Teeth, to a Full Smile Restoration

Patient presented to the office from Pennsylvania after she had all her teeth extracted and wore a denture. She did not like the way the denture felt in her mouth and did not like the way it looked aesthetically. We went forward with a Smile In A Day and replaced her top denture with a new restoration. She felt that this felt 100x better than the denture she previously wore and looked better to the eye as well.

Patient Got Rid of Annoying Dentures for All On 4

Part time Floridian and part time New Yorker presented with upper denture and partial lower denture. She despised both dentures due to her bite not coming together from dentures which caused her to not be able to chew. We reprogrammed her muscles first with several tensing sessions and then proceeded with the All on Four procedure on the top and bottom so that she would be able to chew normally and we got her bite to be more balanced. The patient could not be more happier with the results

PhD with Periodontitis and Fear of Dentistry

Highly educated individual who had obtained a PhD, works for a pharmaceutical company and her father was a dentist presented with severe periodontal disease due to neglect and fear of dentists. She presented with a retainer that was holding her teeth together so that they would not fall out. She had all on four on the top and bottom done and could not be happier with the results.

Smile-In-A-Day Patient with Severe Periodontal Disease

Patient presented with severe periodontal disease. Smile in a day was presented to during her consult but she was very skeptical as many people and other dentists told her this was not possible. At her initial consult she did not go through with the treatment plan. After much thought, she came back a year later and decided to go through with it and try it out. She felt no pain which was her main concern and couldn’t be happier with the results.

Previous Failed Implants and Other Treatments

Patient presented with already done, failed, implants and bridges that she had done many years before this consult. She had not had a social life due to her resenting her smile and being embarrassed to show anyone. She proceeded with all on four in the top and bottom which changed her whole smile anatomically and gave her a more traditional and natural smile line.

Patient Was Told She Had Only One Option, Until She Came Here

Patient came in for a second opinion as she was told from all the other dentists that her only option was a removable denture. She had neglected the dentist due to dental fear which resulted in bone loss and hopeless teeth. We managed to save her lower teeth and the upper was fixed with smile in a day in which the teeth were extracted and implants were placed with a fixed denture inserted all within a few hours. She was able to fully restore here smile despite having bone loss.

Smile In A Day

Depussoir, Shenella

Patient presented complaining of visible dark pigmented gum tissue. Considering the patient’s concern, laser gum depigmentation was planned for treatment. Laser gum depigmentation was then performed to vaporize and remove the thin layer of soft tissue and eliminate the cells that produce melanin.

Teeth in an Hour & Smile in a Day

Teeth in an Hour

This patient had been wearing a full upper and lower denture for many years. His profile shows a lack in fullness of the lip, over closure and creasing at the sides of the lips. This is due to the wearing down of the dentures. The goal of this treatment was to reestablish a more esthetic and proper vertical dimension and lip support, and provide the patient with a more stable and long-lasting solution than his dentures. Four implants were placed in the lower jaw, which allowed for a non-removable prosthesis to be placed on the patient – in the same visit. The patient’s facial structure was restored, and he was able to leave the office – the same day – with a smile.

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Cirillio, Marino

Dentures Replaced with Permanent Teeth

This patient had dentures that covered the palate and was very uncomfortable, and had been wearing them for years. Even though the teeth had been missing for some time, there was still adequate bone to accept implants. A Computer-guided surgical stent was fabricated, with precise guides for the implant placement. The patient’s remaining teeth were extracted, and the extraction sites were preserved with a bone graft. Then, the implants were placed according to the stent, and immediate teeth were loaded. The patient left the office with a brand new smile and no more palatal coverage, allowing for easy talking and chewing.

Buslovich, Yury

Facial Pain Due to Previous Extracteion Healed with Implant

The patient presented is a 41 year old caucasian female that has been experiencing myofascial pain and has been dealing with an extracted tooth at site #10, as well as a missing tooth at site #20 for the past year and a half. Patient was referred to Dr. Richard Nejat for a holistic dental implant approach for tooth #10.

During the initial consultation, a general medical evaluation was performed by Dr. Richard Nejat to assess the patient’s medical history, teeth, gum, as well as jaw bone density and structure.

The consultation concluded that the patient appears to be in good health and it was decided that a Zirconia implant was to be inserted in order to replace tooth #10.

Zirconia Implant Used to Fix Failed Root Canal

Patient presented with a missing tooth #8 caused by a failed root canal. Patient was referred to Dr. Richard Nejat to fix defects caused by failed root canal and prior implant. Hard and soft tissue grafting was performed to build up the soft tissue and bone in order to use the prior dental implant that was inserted improperly. The grafted area helped support the existing implant and have an aesthetic outcome. The prior implant was left and a Zirconia abutment was attched.

Friedman, Gitty

During the initial consultation, a general medical evaluation was performed by Dr. Richard Nejat to assess the patient’s medical history, teeth, gum, as well as jaw bone density and structure.

The consultation concluded that the patient appears to be in good health and it was decided that a Zirconia implant was to be inserted in order to replace tooth #10.

All-On-4 Patient with Severe Periodontal Disease

Patient presented with very severe periodontal disease and tooth decay. After consulting with Dr. Richard Nejat, it was decided the All-On-4 procedure was the optimal solution. All decayed teeth were extracted from the mouth. Following the extractions and proper healing time, dental implants were inserted into both, upper and lower, jaws. A full-mouth All-On-4™ restoration was then completed.

Gums Lightened to Match Rest of Mouth

Depussoir, Shenella

Tissue Graft Used for Patient in Pain Due to Recession

Butler, Steven

Patient presented with pain due to progressive recession which has progressed from 2mm to 4mm of gingiva attached on tooth #24 and #25. A connective tissue graft procedure was needed to treat the exposed root. The lack of attached gingiva lead to root sensitivity, increased inflammation, and uncontrolled bone loss and tooth loss. A connective tissue graft was performed to prevent inflammation and decrease root sensitivity. During the procedure, soft tissue was removed from the palette of the mouth and sutured over the exposed tooth root.

Extraction, Bone Graft, and Implant for Missing Tooth

Patient presented with an abscess on tooth #8.

From the x-ray image, we were able to access that there was a horizontal root fracture due to a root canal tooth with a post in it.

An immediate extraction was performed and bone graft was placed into the extraction socket.

A single dental implant was then inserted into socket #8 to replace the missing tooth.

Broken Tooth Causing Pain Replaced with Dental Implant

Kennelly, John

The patient presented is a 48 year old Caucasian male that was experiencing pain due to a broken tooth #8.

Due to periapical infection tooth #8 was extracted to remove the infection. Bone graft was then needed to regenerate bone loss in the affected site due to infection.

The bone graft material and membrane was placed to exclude epithelial in growth and to keep bone particles intact for optimal healing.

The area was then prepared for an implant to be placed in socket #8.

A dental implant is a conservative alternative to a bridge and will eliminate the need to remove any tooth structure on the adjacent healthy teeth.