Kaori C. Ema, DDS, FAGD - Account Suspended

From what I can tell, you can probably have less bulky veneers placed. (This is based only the photos, without seeing what your teeth looked like before, so the actual situation may differ.) You can further reduce the bulky appearance by asking for more natural features in the porcelain (shade, translucency, contour, texture). Also, it appears there are 6 upper veneers. If you add a couple more on each side, the front teeth will blend to the back teeth better, and there will be a more natural and less bulky/obvious appearance. Veneers from canine to canine only can make the front teeth look more prominent compared to the back, non-veneered teeth. I hope this helps!

Thanks for your question! It’s actually impossible to say what should be done by looking at the teeth alone. As dentists we should really be looking at your profile, bone structure, and how your teeth fit with your face in order to get the best result. In general if you can avoid extractions that’s usually best.

I will say that if you want to hear all of your options you should see a highly skilled orthodontist who collaborates with an oral surgeon. The result you want can most likely be achieved with the right method. They could tell you what is possible with Invisalign, braces, surgery, and more! That way you can make a better informed decision. I hope this helps.

Opinions may vary, but currently Kor Whitening is the best system on the market with the most long lasting results. Make sure that you have a dental cleaning and complete any recommended dental work so that the bleaching can be as effective as possible. If the brown lines are external staining, they may come off with the professional cleaning. I would recommend not to do an in-office bleaching procedure for a couple weeks after any peels or filler. I hope this helps!

The dentist is the "quarterback" of your dental treatment. He or she may have information about why the crowns need to be done ASAP that the orthodontist doesn't have. Especially during a first visit/consultation the orthodontist may be speaking in more general terms (in general crowns can be done after Invisalign), but may not know the specifics of your situation. You can always request that the orthodontist talk with your general dentist, then get back to you when they have spoken about what needs to be done first. Both professionals need to coordinate to make sure you get the best care!

Just like with most things in dentistry, the best option depends on the situation. The most common materials are zirconia, which is very strong but can also be brittle, and a metal bar under acrylic/denture teeth, which may wear down faster but is more repairable and less costly. PMMA is becoming more common as well, but some of the other materials are fairly new to market and are not as tried and true.

The restoring dentist, surgeon, and dental lab typically plan these cases together. I recommend finding a treatment team you trust, who can thoroughly evaluate your situation and discuss the pros and cons of each material based on YOUR needs.

The dental lab will be the one with the material and fabrication expertise so you can even ask the lab for more specifics on each material if you would like.

Also, the first All-On-4 is normally temporary while the implants heal, so the material choice can be changed later on if needed. I wouldn’t worry too much about the final prosthesis material now, and more about finding a doctor you are comfortable with.

I hope this helps!