Gum Treatment
Scaling and Root Planing for Healthy Gums at Royal Dental Practice

Today’s case is a very interesting case.
A beautiful young girl, 16 years old, who has neglected oral health for a long period has developed massive amounts of calculus.
As you can see, the teeth come completely covered with hard mineral deposits called calculus.
As you can see, it is in the anterior and the front teeth inside the mouth.
She has inflammation on the gum that we don’t see.
After an hour and a half, I did four quadrant scaling and root planing.
And now I want you to see how her mouth looks.
This is amazing, this is a miracle, and this is why we say you go to the dentist regularly. Now, hopefully, we have stressed good oral hygiene.
We’re gonna make sure that she’s gonna floss, brush, and keep these teeth wonderfully maintained.
I suggest for her, even though she’s 16 years old for the next year, we’re gonna see her every 90 days.
Three months recall is a must until I’m completely assured she is gonna do what I expect her to do as far as oral hygiene and flossing and brushing.
She is happy. I’m extremely happy because look at it, what is the outcome? She had all her teeth covered with calculus, and now she’s beautiful again. More beautiful.
Geriatric Dentistry
An extraction case of an infected tooth at Royal Dental Practice – Dr. Roya Shoffet

This is an upper molar. You have the old amalgam that’s dislodged from the cavity and now pushed into the gum. He has an infection at the end of the root.
The tooth requires extraction, and this is the condition of the tooth. As you can see, the amalgam was shoved into the gum, which was causing him pain.
It was a simple procedure. Our patient did awesomely and is the hero of the day!
A 94-year-old man who did wonderfully!!
Call us at Royal Dental practice for all your dental needs.
Pediatric Dentistry
A Case of Fused Primary Teeth at the Royal Dental Practice

It is interesting because if you look at this x-ray, the two roots are attached, the crowns are attached, and this is how it appears in the mouth.
This is a very rare incidence, and it only occurs in 0.5% of the population.
Call us at Royal Dental practice for all your dental needs.
Dr. Shoffet emphasizes the importance of dental visits for children as preventive care

Restorative Dentistry
Dr. Shoffet offers a practical solution for a patient who’s missing their permanent bicuspid – here’s what she suggests!

Shall we go ahead – one of the options we discussed was to go ahead and extract the tooth, and, have an implant placed in and get her a crown over the implant, but that was not, unfortunately, part of her budget so I decided that even though the tooth is really compromised, I cannot even put a crown on it, and I decided I can do another extensive core buildup and by doing that this is how the tooth presented and the filling and portion of the tooth was lost, and I ended up to build up all over again and this is one of those cases – its unpredictable and I already informed the patient this tooth, the core build up may not last because of the poor prognosis of the tooth, eventually believe it or not – this tooth is going to get mobile and it’s going to be lost just due to the fact that the tooth has no roots in the bone and eventually she’s going to need that implant, but for the time being this was a perfect cure for her condition. I am glad to share it with you, let’s hope it’s going to last her for a long time.
A case of dental implant at Royal Dental Practice – Dr. Roya Shoffet

He had bad decay on one of his teeth and needed a crown. As you can see, he has a missing tooth area for that he needed an implant.
On this X-ray, you see our specialist periodontist placed the implant and after the period of healing took place, here is the date of delivery.
We have two beautiful crowns, one is a porcelain crown that was treated for the decayed tooth, and this is the crown with the screw-retained.
It has a temporary filling right now, and later on, we’re going to do the porcelain repair, place composite and it’s going to be invisible.
He’s happy. It was an excellent result and a journey we accomplished for this patient.
Call us at Royal Dental Practice for all your dental needs.
Repairing of a fractured porcelain bridge at Royal Dental Practice – Dr. Roya Shoffet

The patient tried to fix it by herself, and obviously, it didn’t work. Today, we brought her in and did the emergency repair.
This is what we call a porcelain repair, and I’m still in the process of polishing it. As you can see, we bonded the fractured piece, and she’s all fixed together.
She can have her beautiful smile back until we do the plain old treatment, which could be a brand new bridge.
Call us at Royal Dental Practice for all your dental needs.
Dr. Roya Shoffet Explains About Beautiful Tooth Restorations With Crowns That Last Long

Restoration of Decayed Teeth at Royal Dental Practice

Cosmetic Dentistry
Witness the transformative power of teeth whitening.

Porcelain veneers for enhanced smiles and improved confidence

Onlays and inlays can transform your smile and your life!

How can clear aligners change your life? This video explains how.

Dentures can give you a smile you can be proud of!

An entire mouth restored: Bridges, crowns, and implants bring new smiles!

Dental implants, always a great option to replace missing teeth

Invest in your smile: See the remarkable results you can achieve with cosmetic dentistry!

A case of porcelain onlays at Royal Dental Practice

A case of teeth whitening at Royal Dental Practice

A case of decay closer to the gum line at Royal Dental Practice – Dr. Roya Shoffet

She was undergoing orthodontia, so I believe she developed this decay due to some food debris collecting at the gum line.
Luckily she was here soon enough, and we did the bonding, provided composite filling, and restored her cavities.
This is immediately after, so the gum is irritated. But she’s happy that we got it right away, and it’s beautiful all over again.
Call us at Royal Dental Practice for all your dental needs.
A Case of Cervical Erosion at the Royal Dental Practice

It was a decoy, and I didn’t know why this tooth could have had so much pain. By retracting the gum, I realized that there was a serious abrasion at the neck of the tooth.
We call it Cervical Erosion.
She had sensitivity to cold. After I had prepped the tooth, many steps and precautions were taken because there is hardly an enamel at the cervical portion of the tooth.
Here is the final product. We filled it, and now she’s out of pain and discomfort—an easy fix to a very painful condition.
Call us at Royal Dental practice for all your dental needs.
A successful Porcelain crown and porcelain onlay – Dr Roya Shoffet

This is how the tooth started day one, and the cavities were underneath the old amalgam fillings, and the patient had crack lines and all sort of a problem with it. We have prepared it, this a
model that you can actually see the model is prepared. Today is when we wanted to deliver it. We prepared the tooth, and it’s all in rubber – it’s all protected and this is the final result. If you have one of those ugly looking feelings which is probably 100 years old and nobody has ever attended to it, just give us a call i can make them look like new, and make them brand new too. It is unbelievable the result you cannot even detect the margins of the tooth previously versus the tooth now, and hopefully it will be a very successful and permanent restoration for this patient. Love to share it with you – have a great weekend!
Gone with the wind old black fillings – Royal Dental Practice

General Dentistry
Mastering Wisdom Tooth Extraction in West Hills, Los Angeles, CA!

Dr. Shoffet: Good afternoon everyone. Today is the first case of the wisdom tooth impaction extraction of 2024 hippie. So it’s an interesting case. Once I was describing the consent form for our lovely patient, I mentioned to her I could see a little tiny curvature at the end of that root and I mentioned that’s one of the risk if it gets separated we may leave it because of the anatomical proximity to the mandibular nerve. And here it is, we extracted the tooth and by looking at it very carefully, that tiny, itsy bitsy tip was separated exactly as I explained to the patient and I took an X-ray and I could see it yes. And sometimes believe it or not, if it is, could be a risk to our damaging our mandibular nerve we may leave it there, but carefully, very carefully I approached it with my great assistant and cooperation of our lovely patient and look, I could remove with a little root tip that was removed and I’m very happy we stitched her it’s all lovely. We extracted her upper tooth as well and today is double tooth extraction of the wisdom tooth. Our patient did lovely and I’m very happy.
Dr. Shoffet Shares What Happens When A Patient Neglects Or Postpones Dental Care

An interesting composite filling case at the Royal Dental Practice with Dr. Roya Shoffet

Clinically, we see a deeper grove at the palatal side of these two teeth: the two lateral incisors, and interestingly enough, if we take a look at the X-Ray, you can see an interesting situation.
A portion of the pulp may be traveling towards the tooth’s pits, which could create a problem in the future for the patient if left alone, as it could lead to some lesion at the end of the root.
Thankfully, there is no lesion at the end of the root currently, and the patient has no symptoms.
So we ended up prepping the tooth from the back, cleaning it up, putting on some medication, and doing some composite fillings.
And this is the final result.
Call us at Royal Dental practice for all your dental needs.
What’s your dental IQ?

Other
Dr Roya Shoffet works closely with patients with alzheimer’s and dementia

Happy Holiday Greetings from Royal Dental Practice

Your new smile starts here at Royal Dental Practice

A Whiter Brighter Smile at Royal Dental Practice

I want to share it all with you, for those who have been wanting and dreaming of pearly white teeth. Look at my teeth, it’s amazing!
Have a wonderful smile Dr Shoffet.
Baby’s first dental visit

An insight to Royal Dental Practice, West Hills California by Dr Roya Shoffet
