Porcelain Crowns Instead of Braces for Gapped Teeth?

I can answer both as a cosmetic dentist AND as a patient missing a front tooth as well.  As a teenager, my dentist told my parents that the best solution was to crown 4 front teeth to mask the slight space I had, which was done.  Since that time I have had these crowns replaced two more times...and I am not that old!  The most recent replacement I had was just this year, after having braces to better align the space of the missing tooth, and now my smile looks TERRIFIC!

 In my opinion, closing the spaces with crowns alone never looks "quite right." The face looks too narrow and the bone supporting the canine teeth doesn't have the right shape for that area of the smile. The jaw can also become narrow enough to create problems with breathing and jaw joint function, which over time can lead to snoring/sleep apnea, and jaw joint disorder (TMD)...all significant medical issues.

My recommendation for patients "in my shoes" is to first have orthodontic treatment (braces) to properly align the teeth, widen the jaws, and leave even spaces for the missing teeth. Then depending on your age, smile, gum and bone in that area...either have implants placed to replace the missing teeth, or bridges if implants are not an option. 

Have a consultation with a good cosmetic dentist in your area, as well as with an orthodontist recommended by that cosmetic dentist, and good luck!

The condition of missing the Lateral or "side" front Teeth is not that uncommon.  Without seeing your specific case my concern is the AMOUNT of space you have between your two Front Teeth and Canines. If the space is too large your new Crowns would appear too wide creating a very undesirable smile. If the canines have drifted or migrated toward the centrals the canine root eminences will be too centered and again giving you an appearance you ultimately would not be happy with. Since you are so young please be motivated to seek out the best possible solution that would be effective in giving you the ideal Smile and Function you need and deserve for your lifetime. An initial exam and x-rays are so vital so esthetic previews can be generated to give you projected outcomes! An Orthodontic Consult is also a must!.Based on your specific situation some minor expansion and other minor tooth movements would probably put you in a better position for a more desirable long term outcome. After this is addressed its also possible that 2 individual Implants may be the most conservative yet effective solution to help you regain your ideal smile!

Hi,

Its really nice that you are getting opinions on how to manage a case for missing teeth especially front. Congenitally missing lateral incisors are not uncommon. Since you are young, Orthodontics may be considered to put the other teeth in right place and then close the gap permanently by doing implants. Doing a bridge also helps but then you lose the ability to floss in between teeth as all the three teeth are connected, Although you can floss under the bridge. Doing implants looks and feels more like natural teeth as in terms of not grinding down other teeth for support and flossing teeth which is extremely important fot good gum health.