Roswell Dental Implants doctors
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Susan Goode Estep, DMD
Atlanta Cosmetic Dentist
1875 Old Alabama Road Building 100, Roswell |
16 answers | |
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Andrew Soulimiotis, DMD
Atlanta Cosmetic Dentist
3189 Maple Drive, Atlanta |
Recent Answers
I had 2 root canals &then 2 crown on my front teeth. One crown came loose and i'm being told i will need an implant on front too I'm worried it will not match the other crown as it is now 7 years old.On top of that i had veneers put on on side teeth because the two crowns looked too large next to my natural teeth. Is it possible to replace my other crown when putting in the implant? and what about the venners, can they be replaced so i can have a uniform smile?Worried and depressed, please help
If you choose the right Cosmetic Dentist, then you are on the verge of having the best smile of your dreams...a dentist with a lot of skill and experience with situations just like yours will be able to team with the right implant specialist to ensure the implant crown looks natural -- and at the same time make new porcelain restorations for the other teeth in your smile so that when you're finished -- you have the best smile you could possibly imagine.
As a teen I had four premolars (two top, two bottom) removed before wearing braces, which worsened both my facial aesthetics and smile. After doing some research I found that it might be possible to reverse this by expanding the jaws/dental arch, without necessarily requiring dental implants to replace the missing teeth. However, I don't understand how implants can be avoided, given that the arch will be bigger (more space) which should surely require more teeth to "fill up" the space?
Hi MillyS,
While you can reopen the space using Invisalign or braces, and replace the missing tooth with an implant, there is another option for widening your smile and improving your facial aesthetics -- No-Prep Veneers. I do a lot of No-Prep Veneers/Smile Improvements on patients who had 4 premolar removed during prior orthodontic treatment. With no numbing or shaving-down of your teeth needed, you can have a brilliant smile that will broaden your smile (arch expansion) and improve your profile aesthetics -- instantly.
Implants are usually the best option for replacing missing teeth. When a tooth is missing, it usually results in a space between two teeth. When this type of space exists, the tooth behind the space has a tendency to tip or fall into the space. Sometimes (especially if the missing tooth is a lower tooth) the space will cause the opposing tooth (the tooth that chews against the space) to erupt. The space creates bite instability, and oftentimes a periodontal (gum) problem. Left untreated, this can wreak havoc on the rest of your teeth as time goes on.
If the missing tooth is the very last tooth in the arch (2nd molar -- if the wisdom teeth are gone), then a space has net been created between teeth. If it is a lower 2nd molar, then the upper 2nd molar may continue to erupt into the lower space causing trouble. If the missing tooth is an upper 2nd molar, then there may not be any resulting problem caused by the space.
As a general rule, here is how/when I recommend implant treatment:
1. Any missing teeth in front of the 2nd molars: Replace the tooth - restore the space (usually with implant)
2. Lower 2nd molar missing: Pt's choice - replace with implant or leave as space. If left alone and upper 2nd molar begins to erupt, revisit treatment options (no treatment, implant replacement, or no implant and extract erupting upper 2nd molar if all other teeth in dentition are healthy in every way)
3. Upper 2nd molar missing: Pt's choice - replace with implant or leave as space. If left alone and lower 2nd molar begins to erupt, revisit treatment options.