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See Our Smiles
Dr. Bobbitt knows that the conditions of his patients vary widely and that they all need and/or want different levels of care. In fact, these levels change over time. Dr. Bobbitt knows how to prepare his patients for these changes. He has four main levels of care and any patient may need one or all different levels as the circumstances arise.
Click Here to Read More About Dr. Bobbitt'S Levels Of Care.
Click Here for Patient Testimonials.
One thing all of Dr. Bobbitt's patients have in common is their degree of comfort and confidence in his knowledge and experience. The other thing? Dr. Bobbitt's patients keep smiling! Visit with some of his happy patients below.
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Amy's former dentist placed tooth-colored composite ("white filling") veneers and did a root canal on her upper front teeth after an accident at age 21. Now at 27, the veneers were discolored and her front teeth were flaring apart. Dr. Bobbitt performed relatively simple restorative care to rebuild her teeth using porcelain veneers and a crown to create her fabulous smile. |
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| Deb put off her dental care for many years. Despite being aware of her needs and feeling that her teeth were “ugly;” she was unhappy with her previous dentist's lack of attention to the cosmetics. As a small business owner, her busy schedule restricted her ability to commit to a plan of action. She met Dr. Bobbitt at the Nashua Telegraph Health and Wellness Fair; after a lengthy discussion of her needs and desires, Dr. Bobbitt developed a plan that fit her schedule. He helped her utilize her insurance benefits, and provided her a full mouth renovation. Dr. Bobbitt’s efforts resulted in an “immediate increase” in her self-esteem and confidence. |
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DJ had a skateboard accident and was NOT wearing a sports mouthguard. Dr. Bobbitt used restorative care to build a layered, composite filling, also called a "white filling". He used his artistry, multiple colors and shades to restore the "shine" and "color" to make it look like a natural tooth. |
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Todd had put up with chipped and broken dental work for almost a decade. He complained of spaces forming between his discolored front teeth and that he was "tired of having a missing front tooth." Dr. Bobbitt provided an anterior renovation level care that gave him a smile that he was confident to show and that his wife "raves about.” |
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Sharon's original dental work was 15 to 25 years old. Her dentist told her that he was "watching" some of her deteriorating fillings. When she came to Dr. Bobbitt, her "tooth-colored" crowns were chipped and broken down to the metal underneath and four of her teeth were fractured. She complained of a "metallic" taste in her mouth, as well as sensitivity to hot, cold, and chewing. Dr. Bobbitt performed a posterior renovation level care that restored her comfort, her ability to chew and created a beautiful smile. |
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Edna presented to Dr. Bobbitt's office very, VERY unhappy. She couldn't chew; she had difficulty speaking; she couldn't get comfortable because she had no way to rest her jaw; and she had numerous sores in her mouth where her old dentures dug into her gums. Her parents had her upper teeth removed when she was a teenager, and she wore a full denture ever since. Dr. Bobbitt recommended that she receive reconstructive care therapy with a replacement of her old, worn-out denture and the fabrication of a lower partial denture to replace her missing back teeth. Edna was so ecstatic about the change that she went out and had a portrait photograph taken - the first one since high school! |
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Dave had always thought that short, broken teeth were a normal part of aging rather than a pathologic process of wear and attrition. When he came to Dr. Bobbitt, he had broken a back tooth and wanted it repaired. Dr. Bobbitt discussed the levels of dental care and advised him that a short-term solution like restoration-level repair would only delay the inevitable further destruction of his remaining teeth. He didn’t want to lose his teeth and opted for a full mouth reconstruction that included implant supported bridgework, new fillings, a root canal, 15 porcelain crowns, 2 gold crowns, and a protective splint called a nightguard. Dave said afterward, “I didn’t know it could be like this—I never want to see my old pictures again!” |
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Preventative Maintenance
- Dental age: All age groups
- Needs: Examination and “cleanings,” enjoy general dental health
- Generally patients under 35: minimal dental work
- Over 35: minimal dental work or completed renovation / reconstruction care
Symptoms:
- Comfortable eating
- Lack of pain or sensitivity
- Pink, healthy gum tissues
- Pleasant breath and a confident smile
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Restorative Care
- The “Reactive Phase” of dental care
- Dental age: all age groups
- Most common: children, teens, and college students with new cavities
- Less common: older patients replacing dental work or with new cavities from dry mouth (e.g. after medications or cancer treatment)
- Needs: treatment for new cavities, decay under existing dental work or injury
Symptoms
- May have sensitivity to sweets, cold, biting pressure
- Fillings more than 10 to 15 yrs old
- Blackened “silver” fillings or “shadowy” stains around fillings
- Cracks in the tooth enamel or crazing
- Fillings look ragged, worn, chipped, pitted
- Injury: tooth is gray, black or more yellow than others
- “Smile” may or may not look “OK”
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Renovation Care
- The most common stage for adults over 35 who’ve had early dental work, and then again over 55.
- Needs: Pre-emptive replacement of aging and/or failing dental work
- Presentations: Cracked tooth syndrome, root canal abscess, old/leaking fillings
- Often the first time a patient actually thinks about his/her dental future and takes control over it
Symptoms:
- Fillings more than 10 to 15 yrs old
- Older failing dental work
- Bad breath or “metallic” taste in mouth
- May or may not have pain in chewing, a “zinging” sensation
- Sensitivity to hot, cold, chewing
- Missing teeth
- “Smile” usually discolored, but may look “OK”
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Reconstructive Care
- Dental age: commonly over 55 (pre-retirement age), or younger in patients with extensive decay, early trauma or tooth loss from gum disease and/or drug use.
- Unfortunate level of necessity based on the misconception that dental work will “last forever.” Patients stay in reactive care because of the lack of pain in early stages in dental disease, rather than investing in a plan for more predictable, pre-emptive renovation care.
- Often limits the patient to “fatalistic” dentistry because the extent, expense, and time needed to repair severely broken down teeth tends to make patients seriously consider removal of teeth and replacement with a denture(s).
- Needs: often involves extensive reconstruction of decayed or broken tooth structure, all levels of periodontal (gum disease) therapy, implants, prosthetics, and even the correction of collapsed bites from shifting, fracture, or wear of the teeth.
Symptoms:
- “Smile” looks old, worn, stained
- Fillings more than 10 to 15 yrs old
- Missing, chipped or broken teeth or dental work
- Spaces forming between flared front teeth
- Crooked, overlapped, shortened or worn front teeth
- Bad breath or odor
- Increased biting of lip or cheek
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