Outstanding - medical know how, complimented with critical thinking and a caring manner. Dr. Soulimioti undertook my Invisign treatment, the results were excellent. I have and will continue to highly recommended him to all.
Dr. Andrew Soulimiotis has been my dentist since arriving in Atlanta in 2005. During my corporate career, I've lived in many different cities and had many different dentist. Dr. Andrew is the best I've had. His knowledge, artistry, advice and "recliner side manner" are excellent. I haven't had many dental issues but he bonded a gap in my front teeth in 2005 and it's still strong as ever. I haven't had a bond last that long previously. In addition, his shaping of the bond created a very natural look. Whether it is for you general check ups or a specific procedure, you won't find better!
There can be lots of reasons your teeth are not moving to their final desired position. Every individual's teeth move differently. Some need more time or more movements placed on them. This can depend on the density of your bone, the amount of root movement needed and how much space is available in your jaw. Many cases of invisalign involve doing what is called refinement. This will mean getting new impressions to get more trays made to continue the movements from your current state. Your dentist would be able to do this for you and should be at no additional cost unless agreed upon that you would only want to do a limited amount of movement. You need to discuss this and any other option with your dentist of record. Good luck.
You are correct, the end of the crown is not all the way to the gumline. But it is not necessary to place the edge/margin of a crown to the gums. In many instances, it is better to preserve the tooth structure and make it easier for you to keep clean around a man man material, when the margin is not all the way to the gumline. Especially if there is no concern of an esthetic issue like a second molar. Now, if the end of the crown or margin, is bulky when it meets the tooth, and that is what you are feeling as odd, this should definitely be fixed. Sometimes it could be as easy as having your dentist smooth that junction to a fine finish.
In a quick response, yes, those crowns can be removed. But they have to be cut off once they are permanently placed. If the bite against your lower teeth is the issue, you should go back to the dentist to adjust the bite. If you are concerned with a space forming at the gum area, and they were just placed within about a week. I would give it a few more weeks to see if the gums fill in. If they do not, then your only option is to remove them and place new crowns on.
I agree with the previous reply. Unfortunately once the bridge breaks, there is nothing that can be done in the mouth. The entire bridge will need replacement. I would talk to your dentist about this. If it was done within the last year and you have been keeping up with your hygiene visits, you may be able to get it replaced at a minor cost. Andrew Soulimiotis DMD, FAGD
From your photo it looks like your biggest concern is the malposition of your teeth. You seem to have spacing and crowding issues with some teeth rotated. I really easy way to treat this is by straightening your teeth. No, it does not need to be with metal braces. Invisalign could be a great option for you to acheive the goals you want. You should seek out the consultation of a certified Invisalign doctor who can properly diagnose you and make sure you are a good candidate for it. Good luck.
