A Vandiveer Strait, DDS (Retired)- Acct. Suspended

Yes, composite bonding if done properly will look great, be very maintainable, and last for years.  That being said, there are two critical aspects of this.  One is before any bonding is done it is important that your periodontal health be good and be maintainable.  In our office we teach our patients a system that eliminates the pathogenic bacteria that cause periodontal/gum disease and  receding gums. You should find a good Cosmetic general dentist who has a microscope and treats the cause not just the symptoms of gum disease. The second critical aspect is that the dentist you choose should be very experienced and skilled at bonding and cosmetic dentistry. The reason this is so important is because adding bonded composites on the roots and between your teeth to eliminate the gaps and enhance your smile is a very skilled procedure. If the bonding is not done well it can make the maintenance of the health of your teeth and gums more difficult and may not last. Of course this could also be said of veneers.   

Invisalign is an amazingly accurate technology.  From what I can see from your photos making your smile broader can easily be done with Invisalign orthodontics. The dentist will be able to see the final result via a "Clincheck" which  is a computer model of your teeth showing all the movements from start to finish. Unless you are 12 years old any expansion of your arch will not be "palatal expansion".  I would advise that you get an opinion from a General Dentist who has at least 5 years experience with Invisalign Orthodontic treatment and who also does cosmetic dentistry before you proceed. Most General and cosmetic Dentists who are experienced with Invisalign will be able to help you make the best decision and give you the best result long term. At our office we have been treating cases like yours with Invisalign for over 20 years with great success. Make sure you do not get an Invisalign substitute. Compared to other look alike clear aligners Align/ INVISALIGN a 21st Century technology company holding as of 2019, 420 active U.S. patents and 456 active international patents.  Also thanks to its continued focus on research and development, the company also claims 416 pending patents across the world.

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From your photos and history you provided I would strongly suggest that your first step be Invisalign Orthodontics since your teeth have drifted considerably and this will affect everything else you do in the future. Invisalign is faster, more comfortable, and a healthier orthodontic technology than traditional wire and bracket orthodontics.  Before you start you should have an overall plan.  I would advise that you go to a good Cosmetic General Dentist who offers comprehensive care and has at least 5 years experience with Invisalign. Your evaluation should include the health of your teeth, bone, and periodontal structures (gums and supporting bone), your occlusion/ bite,  you smile,  the long term stability of any work done, and your personal goals. Make sure you do not get an Invisalign substitute. Compared to other look alike clear aligners Align/ INVISALIGN is a 21st Century technology company holding as of 2019, 420 active U.S. patents and 456 active international patents.  Also thanks to its continued focus on research and development, the company also claims 416 pending patents across the world. I have been doing cases like yours using Invisalign orthodontics combined with restorative, cosmetic dentistry and implants for 20 years in our offices near NYC in Connecticut and I see no reason you can not stage the care you need to whatever schedule is comfortable for you financially and achieve a great and healthy smile that with reasonable maintenance should last a lifetime.

It is probable that the sensitivity and "shockwaves" you are experiencing are a result of exposure of the internal dentin of your teeth via wear on the edges/tops or from the roots being exposed via recession of your gums.  You should see an experienced Cosmetic General dentist for a second opinion and to correct this, particularly if it is due to the wear of the edges or cusps of your teeth.  Also you should note that bleaching can only whiten teeth a few shades. If you want much whiter teeth this can only be achieved thru Veneers being placed on your teeth.  Also it is important to consider the overall health of your teeth and supporting bone and gums for the long term well being of your smile.

The best solution is first to find an experienced General dentist who offers comprehensive care and routinely provides Endodontic (root canal) treatment of molars as well are Crowns and other restorative care and to do this as soon as possible.  His evaluation is critical, but from what you are stating and from my experience over 30 years of treating 100's of teeth simiIar to what you are describing  I would expect that what is needed is: 1. to remove any debris from inside the tooth where the root canals were treated and make sure the remaining tooth structure is sound. 2. to make sure the root canal treatment was done correctly and that the roots are still sealed. 3. to build up the missing tooth structure internally including where there was any previous fillings/restorative care (this may entail using a post and core using the canals to anchor and strengthen the build-up), and 4. placing a well fitting and properly contoured crown. My experience has been that if this is done properly your tooth can last for the rest of your life.

Although your question is about veneers and Yes you could veneer your lateral incisors or all your incisors, I believe a better answer is to consult a really good Cosmetic General dentist who has at least 5 years experience with Invisalign Orthodontics.  If you came to my office I would first do a complete Smile and Occlusal Analysis, because from what I can see from your photos the best way to make your smile perfect must include aligning your teeth properly. It appears you may have some slight tooth size discrepancies and this can also be handled as part of your Invisalign Treatment.  The big bonus is that doing this will definitely improve your smile while improving the health of your teeth. In addition with bleaching added you may find you are totally happy with your smile and not need veneers to achieve the smile you want.

The answer is Yes since any tooth can be veneered, however it is important that you consider three things.  Most importantly does the deciduous/baby tooth (canine) have adequate root length and bone support.  Secondly, based on your photo you should consider Invisalign orthodontics to align your teeth better.  This will not only improve your smile, but make your teeth healthier and easier to maintain.   Thirdly, it is critical when doing veneers that you have healthy gums and supporting bone. In other words your mouth should have well established periodontal health.  If not, it may not be long after you veneers are completed that your roots show and the appearance of your veneers becomes less than what you would like.  Also you should not look for a bargain in finding someone to do them.  If they are done well they will look natural, your smile will look terrific, and they will last indefinitely.  Get the opinion of more than one good Cosmetic General dentists.

In your case Invisalign orthodontics followed by Vivera retainers would be by far the best solution.  I have treated a number of cases like yours successfully.  Invisalign is faster, more comfortable, and a healthier orthodontic technology than traditional wire and bracket orthodontics.  Although I do not know all the details of your situation,  I would advise that you get an opinion from a General Dentist who has a lot of experience with Invisalign Orthodontic treatment and Periodontal Health before you proceed.                 NOTE:   Make sure you do not get an Invisalign substitute. Compared to other look alike clear aligners Align/ INVISALIGN is a 21st Century technology company holding as of 2019, 420 active U.S. patents and 456 active international patents.  Also thanks to its continued focus on research and development, the company also claims 416 pending patents across the world.

I see teeth out of alignment, partial bite collapse in addition to your missing teeth. Although I do not have all the information I would like to answer your question. Once the alignment of your teeth is addressed or eliminated as a long term problem, besides replacing your lost teeth with implants, you also have the option of fixed bridgework to replace these teeth.  If you have questions about different alternatives and the long term health of your mouth and teeth, I would get the opinion of a good general dentist who emphasizes preventive dentistry and who restores missing teeth with both fixed bridgework and implants without prejudice to which is best before he sees you and knows all the details.

Yes, veneers could disguise and completely correct the slant of your teeth, but it would require significant removal of enamel in the preparation of your teeth for the veneers including the interproximal areas (spaces between your teeth). Also it would be a fairly large investment to do it properly so that it would stand up for many many years.  If you had other issues like uneven undesirable or unbleachable tooth color,  tooth size discrepancy, or malformed teeth then Veneers would make sense but from what I can see your problem would be best corrected by more Invisalign treatment / Invisalign refinement.  I am a Cosmetic/general dentist and have been an Invisalign provider for 22 years.  I have successfully  treated a number of cases like yours and worse..  My advice is to get a second opinion from a Cosmetic/general dentist who has a lot of experience with Invisalign orthodontics.         Please note: Make sure you do not get an Invisalign substitute. Compared to other look-alike clear aligners  Align/INVISALIGN is a 21st Century technology company holding as of 2019, 420 active U.S. patents and 456 active international patents.  Also thanks to its continued focus on research and development, the company also claims 416 pending patents across the world.