Dental Implants: Q&A
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Need Implant on Front Tooth-worried About Matching Crowns and Real Tooth? (photo)
I broke my central and lateral incisor in 2005, had 2 root canals & 2 crowns.The tooth underneath the central crown broke, & I've had to re-cement the crown back 3 times. I've been terrified to get an implant due to walking around in public with no front tooth (in sales). I also have never had my wisdom teeth pulled, as they grew in they pushed my real tooth central into my crown central & I fear an implant will make it look worse. Should I get an implant & veneers? My gums also need help! HELP!
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6 Doctor Answers |
Asked by
bmay1986
+2
Implants on Front teeth to match natural teeth.
As has been pointed out, one of the toughest aesthetic challenges in the anterior region of your mouth is to match porcelain material on a single tooth to the existing natural teeth. It gets even more challenging when dealing with an implant as the gums come into play.
From the looks of the picture you would certainly benefit aesthetically from some gum (gingival) re-contouring to improve the heights of contour of the existing gum line.
As far as a...
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+2
Don't panic!
Here is what you need to do: #1) Get your oral hygiene and the health of your gums under control. Make sure your doctor is also working with a great Periodontist (gum specialist) to make sure that your gum tissue responds properly to all the treatment and also to make sure that it is healthy prior to beginning any treatment. At this time you can also adress your concern with your gummy smile. You may want to do some soft tissue corwn lengthening prior to beginning the overall treatment...
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+2
Will implant teeth match my other teeth
Cosmetically here is the problem:
1) Implants can be placed where there is enough bone, and so as far as alignment it is tricky to put the finished product exactly as it should be. it is not impossible, but harder than a bridge.
2) Over time, the gums will experience more recession on
and around implanted teeth sooner than others, so specially in your situation, since you have a " gummy smile" will have more restriction
3) The crowns on implants are...
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Immediate implant
You should not have to walk around without a tooth during treatment, a temporary should be able to be placed when the implant is done. After it heals and fuses (integrates) a permanent one can be placed at the time of the other veneers. You are correct to assume that veneers and crown/implant will get the most ideal match in color and shape.
The first step is to get the gums healthy, so start there.
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I need implant on front tooth?
This type of treatment is the most difficult to do and get great results!!! Consider with the treatment that has been done on your front teeth to remove both 8,9 and consider two implants and or fixed bridge from 6-11 or 7-10 maybe done much faster and less money and better cosmetics good luck.
Kevin Coughlin DMD, MBA, MAGD CEO Baystate Dental PC
Springfield Cosmetic Dentist
+1
Matching color in crowns
It is a bit difficult to match the porcelain color with the real teeth colors. Now, it seems that you need to work on your gums before they even work on your implants. look for a good periodontist and then my suggestion would be, do the implant, get the crown and have veneers/bridge/crowns or whatever your dentist suggests to make all your uppers match the exact color.
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