I had a cavity in my back upper tooth. It takes more focus than I've invested in thoroughly brushing the back of that tooth. That lack of investment cost me $1,800. The tooth had a crown and the cavity was too advanced to get at it without removing the crown. Good news is I didn't lose the tooth! Part one is done. I return in a few weeks for the permanent crown and hopefully this time it will be permanent! Flossing, brushing and hydro flossing is the way to go!
After some disastrous dental work my teeth were left looking so bad, color shape and an uneven gum line that showed black roots, I was embarrassed to smile. Dr Brightleaf performed what I consider a miracle, her work is a thing of beauty. Her commitment to staying on the forefront of new holistic techniques and stubborn pursuit of perfection sure payed off for me. I'm smiling all the time now! So happy I found her.
I have been a patient of Dr. Brightleaf for over 11 years. The health of my mouth has improved and my teeth have never looked better. Dr Brightleaf and her staff gave me detailed home care instructions and in following these instructions my smile has smile have improved. In addition the customs bleach trays fit so well my teeth are brighter than ever.
Ana Brightleaf is the type of DDS that all dental care experts will become within the next 20 years. She thinks about my oral care in terms of overall health, a proper bite, and has given me back my smile, and a good night's sleep. She's a big picture person, and I am no longer fearful that when I go in for an annual visit, I will be putting "bandaids" on my dental issues as was the case with my previous dentist. Over the years we have gradually switched out the oversized crowns (as they became loose), and old veneers, improved my bite, and restored the health of my gums. I could not be happier.
It appears that 3 teeth are broken or the edges are worn down. The best solution is veneers or crowns. I recommend seeing a dentist right away.
My suggestion since these crowns are severely over-bulked is to have them removed and sent back to the lab so they can be re-contoured. You could also go by the lab and have them look at them in your mouth and then have the dentist remove them and return them to the lab for proper, esthetic contouring and polishing.
Depending on many factors, at the gum line where the crown meets the tooth there can be a slight ledge or a large ledge. There will always be an area that is not as smooth as your tooth is without a crown. This area must be cleaned better than you clean around your natural teeth. The gum must have floss run underneath it daily, be brushed aggressively and also stimulated with a rubber tip. Also be sure to have your teeth cleaned in a dental office every 4 to 6 months. This routine will keep the inflammation down around your crown.
It is best not to have both procedures done at the same time. I generally wait for 2 months for the gums to heal before doing the next procedure. Common practice says to wait for 6 weeks but I have found that an extra 2 weeks of maturity for the gums works better. From the photos it appears that you will also need some bone contouring under the gums to get a truly cosmetic result.
It is important to keep the temporary crown on until the new crown is ready. Teeth often move reapidly and if that happens then your new crown might not fit. Please return to your dentist and have a new temp made as soon as possible.