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Periodontic & Dental Implant Case Studies

Patient Case Studies & Results

At Beyond Dentistry, our results speak for themselves. We believe the best way to understand the quality of our care is to see real patient outcomes. This page features a collection of case studies highlighting transformative treatments, from dental implants to cosmetic enhancements, each with before-and-after images that demonstrate the precision, planning, and impact of our work. These stories showcase what’s possible when advanced technology meets personalized care.

Case Study: Congenitally Missing Teeth – Life-Changing Immediate Implants

Patient Profile

A 23-year-old woman presented with hypodontia (congenitally missing teeth) affecting both her upper and lower jaws. This condition, which affects approximately 3-10% of the population, had impacted her confidence and oral function throughout her teenage years and into young adulthood.

Clinical Assessment & Advanced Imaging

Dr. Kappel ordered a Cone Beam Computed Tomography (CBCT) scan to precisely evaluate bone quantity, quality, and anatomy in the areas of the missing teeth. This 3D imaging technology—standard at Beyond Dentistry Brooklyn—allowed for meticulous surgical planning and optimal implant positioning.

The CBCT analysis revealed favorable bone conditions that made the patient an excellent candidate for immediate implant placement, meaning she could receive her implants and temporary teeth in a single appointment.

The Beyond Dentistry Advantage

This case exemplifies Beyond Dentistry’s “super generalist” approach—combining surgical expertise, prosthodontic precision, and aesthetic artistry under one roof. The patient avoided the traditional inconvenience of going without teeth during healing or managing removable temporary appliances.

Treatment Plan: Immediate Load Protocol

Beyond Dentistry’s boutique approach enabled a sophisticated treatment sequence:

Phase 1 – Surgical Phase:

  • Strategic placement of dental implants in precise positions determined by the CBCT planning
  • Immediate temporization with cemented provisional crowns, allowing the patient to leave the same day with a complete smile

Phase 2 – Healing & Refinement:

  • 6-month osseointegration period, during which the implants fused with the jawbone while the patient functioned normally with her temporary restorations

Phase 3 – Final Restoration:

  • Custom-fabricated final prostheses designed to match her natural teeth perfectly
  • Permanent cementation of the final crowns

Results

The patient was BEYOND ecstatic, describing the results as life-changing. For the first time in her life, she had a complete, beautiful smile that functioned naturally. She reported newfound confidence in social and professional settings, no longer self-conscious about gaps in her smile.

Case Study: Porcelain Veneers – Restoring Confidence After Trauma

Patient Profile

A young professional woman in her late twenties presented to Beyond Dentistry Brooklyn with acute aesthetic concerns following a dental trauma that left her central incisor chipped. As someone who works in a client-facing role, she had high expectations for achieving a natural, beautiful result that would restore her confidence.

Clinical Assessment

Dr. Simon Kappel performed a comprehensive smile analysis, evaluating not only the damaged tooth but the entire aesthetic zone. The evaluation revealed that while the chipped tooth was the primary concern, creating a harmonious, balanced smile would require treating multiple teeth in the anterior region.

Advanced Technology & Technique

Utilizing Beyond Dentistry’s state-of-the-art digital imaging and smile design software, the patient was able to preview her new smile before treatment began. This collaborative approach ensured her aesthetic goals were clearly understood and would be exceeded.

Treatment Plan

The treatment plan consisted of four precision-crafted porcelain veneers on the upper anterior teeth. This approach allowed Dr. Kappel to:

  • Repair the chipped central incisor seamlessly
  • Create perfect symmetry and proportion across the smile line
  • Enhance the overall brightness and uniformity of the patient’s smile
  • Maintain maximum tooth structure through Beyond Dentistry’s conservative preparation techniques

Results

The patient was BEYOND ecstatic, describing the results as life-changing. For the first time in her life, she had a complete, beautiful smile that functioned naturally. She reported newfound confidence in social and professional settings, no longer self-conscious about gaps in her smile.

Case Study: Full Mouth Rehabilitation – Restoring Function, Dignity & Joy

Patient Profile

A 78-year-old gentleman presented in a state of advanced dental deterioration. He suffered from multiple missing teeth, severe decay in remaining teeth, advanced periodontal disease, and non-functional bite relationships. His quality of life had diminished dramatically—he could no longer eat comfortably, smile with confidence, or engage socially without embarrassment.

Chief Complaint

“I can’t eat properly anymore. I avoid social situations because I’m ashamed of my smile. I feel like I’ve lost my dignity.”

Comprehensive Clinical Assessment

Dr. Kappel performed an extensive evaluation including:

  • Complete periodontal charting revealing severe bone loss
  • Radiographic analysis showing hopeless prognosis for remaining teeth
  • Bite analysis demonstrating collapsed vertical dimension
  • CBCT imaging to map remaining bone for implant placement
  • Medical history review to ensure surgical candidacy

The Boutique Experience

Beyond Dentistry’s comprehensive, in-house approach meant this patient worked exclusively with Dr. Kappel throughout his journey—no referrals to outside specialists, no coordination hassles, just consistent, personalized care from a doctor who understood his complete clinical picture.

Treatment Plan: Full Mouth Implant Rehabilitation

Given the advanced deterioration and the patient’s desire for a permanent, fixed solution, Dr. Kappel developed a comprehensive treatment plan:

Phase 1 – Extraction & Implant Placement:
• Strategic extraction of non-restorable teeth
• Placement of multiple dental implants in both arches using precise surgical guides
• Immediate temporary prosthesis where bone quality permitted

Phase 2 – Healing & Refinement:
• Osseointegration period with provisional restorations
• Bite refinement and adjustment
• Tissue conditioning for optimal aesthetics

Phase 3 – Final Restoration:
• Full mouth of permanently cemented implant-supported crowns
• Restored proper vertical dimension and bite relationship
• Natural-looking aesthetics appropriate for the patient’s age and facial features

Results

The morning after receiving his final restorations, the patient called the office in an ecstatic state. He explained that he hadn’t slept—not because of pain or discomfort, but because he was BEYOND pleased with his results and couldn’t stop admiring his new smile. He reported being able to eat foods he’d avoided for years, smiling freely for the first time in decades, and looking forward to social engagements he’d previously dreaded.

This case exemplifies dentistry’s power to restore not just teeth, but dignity, joy, and quality of life.

Case Study: Class III Malocclusion – Overcoming Complex Bite Challenges

Patient Profile

A 76-year-old woman presented with a challenging Class III skeletal relationship (mandibular prognathism—where the lower jaw protrudes beyond the upper jaw). She wore an ill-fitting upper denture that provided neither aesthetics nor function, and her unfavorable bite relationship made proper denture stability nearly impossible with conventional approaches.
Typical Dental Office

Chief Complaint

“I can’t eat properly. My denture won’t stay in place. I’m losing weight and I’m worried about my health.”
Her family had noticed concerning weight loss and declining nutrition due to her inability to chew effectively.

Clinical Challenges

Class III malocclusions present unique prosthodontic challenges:

  • Unfavorable leverage for upper denture retention
  • Reverse overjet limiting anterior tooth contact
  • Compromised aesthetics with the lower jaw positioned forward
  • Psychological impact of an unnatural facial profile

Traditional dentures alone would not provide adequate function or retention for this patient.

The CBCT Advantage

Cone Beam imaging was essential for this complex case, allowing Dr. Kappel to:

  • Precisely map available bone in areas complicated by the jaw relationship
  • Plan implant angulations that would support proper tooth positioning
  • Avoid anatomical structures while maximizing implant stability

Advanced Treatment Plan: Strategic Implant Support

Dr. Kappel developed a comprehensive full-mouth implant rehabilitation plan:

Upper Arch:

  • Strategic placement of multiple implants to provide absolute retention
  • Fixed implant-supported prosthesis eliminating denture movement
  • Carefully designed tooth positioning to compensate for skeletal Class III relationship

Lower Arch:

  • Implant placement in optimal positions for support and emergence
  • Fixed prosthesis providing proper occlusal contacts
  • Custom design to work harmoniously with upper arch despite jaw relationship

Prosthodontic Artistry

Creating a functional, aesthetic result required sophisticated prosthodontic planning:

  • Compensatory tooth positioning to create proper function despite skeletal discrepancy
  • Natural-looking anterior aesthetics that didn’t emphasize the jaw relationship
  • Proper vertical dimension restoration
  • Occlusal scheme that allowed efficient chewing and distribution of forces

Results

The patient received a full complement of permanently fixed teeth that restored her ability to eat, function, and be her true self again. Within weeks, both she and her family reported significant weight gain as she could finally eat comfortably and nutritiously.

The patient and her family were BEYOND pleased with the results, expressing profound gratitude not just for the beautiful smile, but for the restored health and vitality that came with proper nutrition. This case demonstrates how expert dental care can have systemic health impacts that extend far beyond the mouth..

Case Study: Professional Enhancement Through Minimalist Cosmetics

Patient Profile

A successful real estate professional in her early fifties sought to invest in her smile as a career enhancement. She understood that in her client-facing industry, a confident, polished smile was a professional asset. Her aesthetic goals were specific: she wanted a sleek, natural, feminine result that looked like her own smile perfected—not an obviously “done” cosmetic treatment.

Chief Complaint

“I work in high-end real estate where first impressions matter. I’m not happy with the spacing and discoloration of my teeth. I want to look refreshed and confident, but I don’t want to look like I’ve had ‘work done.'”

Aesthetic Analysis

Dr. Kappel conducted a comprehensive smile analysis evaluating:

  • Tooth proportion and spacing irregularities
  • Color inconsistencies and age-related discoloration
  • Gingival symmetry and smile line
  • Facial proportions and lip support
  • The patient’s natural smile characteristics and personality

Treatment Philosophy: Minimalist Excellence

Rather than recommending full-mouth treatment, Dr. Kappel’s conservative approach identified exactly what was needed for maximum impact with minimal intervention:

Upper Arch: 6 porcelain veneers

  • Targeting the teeth visible in her natural smile
  • Closing minor spacing issues
  • Creating uniform, natural-looking color
  • Enhancing shape while maintaining feminine characteristics

Lower Arch: 4 porcelain veneers

  • Strategic placement on the most visible anterior teeth
  • Creating harmony with the upper arch
  • Maintaining her unique smile characteristics

The Beyond Dentistry Difference

This case exemplifies the boutique, detail-oriented approach that defines Beyond Dentistry Brooklyn:
  • Digital Smile Design: The patient previewed her new smile before any tooth preparation, ensuring alignment on aesthetic goals
  • Custom Shade Matching: Multiple shade appointments ensured the perfect natural-looking color
  • Conservative Preparation: Minimal tooth reduction preserved maximum natural tooth structure
  • Master Ceramist Collaboration: Working with top-tier dental laboratories to achieve lifelike translucency and characterization

The patient was BEYOND happy with her results, reporting that she felt she was “thriving” both personally and professionally. Colleagues noticed she looked refreshed and vibrant but couldn’t pinpoint what had changed—exactly the subtle, natural result she desired.

She reported increased confidence in client meetings and personal interactions, noting that she no longer felt self-conscious during close conversations or when smiling in photographs. The investment in her smile yielded returns not just in appearance, but in confidence and professional presence.

Ready to Learn More?

Call us at 718-436-0202 to schedule a comprehensive periodontal consultation. Dr. Kappel will evaluate your gum health, explain your options, and help you understand how our advanced periodontal care can preserve and enhance your oral health.
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