Houston Prosthodontic Associates - Dr. Neal Gittleman

02/06/2023

Please help us wish Dr. Gittleman and very Happy Birthday! 🎁🎈

12/22/2021

Merry Christmas from our family to yours! 🌲🌲🌲🌲

12/22/2021

We love you Dr. G. and appreciate all you do for us! 🎁 🌲🌲🎁

08/26/2021

Our most recent cosmetic case!

11/10/2020

It's that time of year again 🎄🎄

08/19/2020

A "new solution" to correct a prosthesis that was first constructed in 1992.

08/10/2020

07/28/2020

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.

07/16/2020

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.

07/08/2020

The End Stage Dentition:
-An example of one of my favorite cases to restore…

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.

07/01/2020

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.