Abir Rammo, BDS

I have no problems with 8mm implant, I place 7mm and 7.5mm regularly. The only thing I’d that you have to have good quality bone to support it.

definitely an implant at this stage, any more attempts will be a waste of time.

I don’t think it’s the Dentist fault as I can see from the photos that the tooth was structuraly compromised and the dentist tried to keep it together to get as much as they could out of the tooth.

I agree with that, you do need a temporary crown to shape the gum; in the front area what goes wrong is the the pink part (gum). You don’t want a successful implant to have a crown on top that looks different than the other teeth especially with the shape and contour of the gum around it.

If your teeth are very discoloured and you have tried internal bleaching with no success then the best approach is to mask them.

I have been working with Empress and eMax crowns for a long time now and I use them regularly in my in house milling machine for the past 15 years. I can tell you that Empress is very translucent and that is why I like it because it is very life like, eMax is less translucent but if you teeth are dark they will show.

If the teeth are not highly discoloured then you might use an opaque cement to bond eMax on the teeth to give a masking effect.

Empress II is stronger than Empress and eMax is even stronger, there is no such a thing as Empress covered eMax it is either one or the other.

Finally I would advise you to go with Zirconia (if your teeth are very grey) because the material is far stronger than the above, it is opaque by nature so it masks very well and they are hard to brake, make sure that you go with layered Zirconia that looks natural.

Best of luck.

unfortunately the photos aren’t very detailed but I could tell from the portrait photo that the midline seem to be correct , the PMMAs are following the lower lip line and there is more “white” at the corner of your smile.

The teeth size and proportions looks good, having said that a high res close ups and intra oral photos are needed to be 100% sure.

As far as the finals, yes you do have the full choice of color shade and type of materials which will be highly influenced by the condition of the underlying teeth.

Not sure if you having work on the lowers but if not then it is a good idea to whiten them before choosing the final shade for the uppers.

Best of luck.