Jacksonville Cosmetic Dentists

Is It Possible to Have a Dental Implant Crown Replaced for a Larger, Wider Crown to Give Me a More Even Smile? (photo)

I was wondering if its possible 2 have my implant crown replaced for a larger size 2 create a even smile? Granted, the implant was done over 14 years ago. For the mot part I've been happy with it. However, as time went on I started noticing a decrease in my smile, giving me a collapsed looked on one side. I was hoping someone can explain why and what can be done? Although on the other side, I have a much larger crown from a root canal done in 1991, I would much rather keep it in its place. Thx

You can most definitely replace implant crowns.  If it was done 14 years ago, you need to ensure you can track down the initial paperwork on th eimlant system used (if you dont already have it) so that your current dentist can get a new crown made.  It si possible that only a crown needs to be fabricated but you must realize that something called an abutment may as well be required.  It is th epiece that connect the implant to the crown..  Your dentist will need to evaluate this.  Please be prepared when going to your dentist so as not to slow down your progress. 

Keith Blankenship, DDS

Jacksonville Cosmetic Dentist

Seeing 3 Orthodontists, One Dentist, and One Cosmetic Dentist- What Do You Think Is Thbe Right Treatment For Me? (photo)

In the process of seeing if braces, invisalign, or veneers are the way to go. Issues are deep bite, bridge on bottom, 2 veneers on either side of two front teeth. I broke 2 back teeth recently-old fillings and need those fixed too. Seen 3 orthodontists, 1 cosmetic dentist, and 1 dentist, all suggest different treatments-I am confused! Would like to have my smile widened if possible(braces or veneers?)and bottom teeth better aligned (possible?). Would have the 2 veneers replaced after treatment.

Ok, lots here to ponder.  I looked at your photos and I will tell you that it is difficult to determine treatment off of photos only.  It also depends on whether you have TMJ issues, a bite problem, pain, etc...  But, if you are trying to widen your smile, if it is very minor widening then you can do it with crowns or veneers.  If more, then you will need an orthodontist to widen.  You most certainly need a cosmetic dentist because there are many esthetic issues going on here.  You must know that this is not going to be cheap.  There are too many issues at stake here. If money is an issue then you are definitely going to want to go to your general dentist and go from there.

If I were you, I would approach it this way:

1. Go to a very reputable cosmetic dentist and get a thorough evaluation.  He will guide you through what needs to be done and if he feels there is a need for a specialist to get involved then he will get you in touch with one that he knows is on the same page as he and they can work together - VERY IMPORTANT. 

2.  If you go to a specialist, then follow the recommendations that he and the cosmetic dentist give you. 

Remember, once you start making suggestions for a change and try to cheapen the work, it may become a difficult situation to handle by the dentists.  I hate to put finances into this but I will tell you ahead of time this is not a cheap thing to do. Get the thorough evaluation and go from there.  You need to see someone who does this type of work all the time.  Not a dentist that "Dabbles" in cosmetics.  Good luck and after you rthorough evaluation, you should have a better idea of what is right!

Keith Blankenship, DDS

Jacksonville Cosmetic Dentist

Revision Surgeries After Wisdom Teeth Extraction?

I was supposed to remove my wisdom teeth in August or this December, but life happened. In the summer, I'm planning on having rhinoplasty and eyelid surgery revision. Should I remove my teeth in the summer before revisions? How long should I wait? I hear 1-3 months and even 6 months, which I really can't do 6 months... Should I remove my teeth 6-12 months after my revisions instead? But, I'm afraid my teeth with grow and mess up my teeth as the wisdom ones are growing inward (I'm 19 by the way).

If you are planning ahead to have you reyelid revision surgery, then you may want to consider having your wisdom teeth extracted soon er than later. The reason is : if you develop problems or an infection and the eyelid revision surgery prevents you from having wisdom teeth extractions then you may be in a bad situation.  If you have been referred for wisdom teeth removal from your dentist, then you should probably follow his recommendtion. Prevention is the key here.

Keith Blankenship, DDS

Jacksonville Cosmetic Dentist