Anthony Mobasser, DDS, DMD

When it comes to reshaping teeth or undergoing a gum lift, whether antibiotics are necessary will depend on several factors. Typically, antibiotics are not routinely prescribed for minor reshaping or a gum lift, unless there are specific clinical indicators that warrant it. However, if the gum reshaping involves extensive surgical intervention or if you have pre-existing medical conditions—such as heart conditions or a compromised immune system—your dentist might recommend antibiotics as a precaution to prevent infection. In most cases, maintaining excellent oral hygiene before and after the procedure is sufficient to minimize any risk of infection. Your dentist will carefully assess your medical history and the extent of the procedure to determine if antibiotics are necessary. It is always best to follow personalized recommendations based on your unique health profile and the specifics of the treatment. If you have concerns or a history of dental infections, make sure to discuss them with your dentist beforehand.

Your front Porcelain crown can be shortened easily, and be polished. The dentist however must be great in mimicking the incisal shape and separation of the edges of your teeth to mimick the adjacent teeth. If your crown is zirconia porcelain, it will be a little more challenging task, but can be done.

Then your best bet is to have conservative dental bonding done to close the black triangles.Due to lack of papillae and no gum between your teeth, and of course you can improve the color before dental bonding with teeth whitening before starting the dental bonding. But be informed that teeth whitening results are not permanent. If you are looking for a complete drastic change such as smile makeover, and your gum disease and recessions after 2 years of periodontal therapy is stabilized, then I suggest dental veneers consultation. Although I specialize in this procedure and have placed more than 8000 veneers successfully for my patients, a complete evaluation and consultation with your periodontist is necessary so you would be informed regarding the pros and cons, so you can make an intelligent decision.

Your canines are hiding the back teeth when you smile. The easiest cosmetic resolution is to see an expert cosmetic dentist to possibly evaluate you for a prep-less veneer, lumineers, as opposed to porcelain veneers for the back area of your mouth. On your upper left side due to the gap and missing tooth, and the crown that was placed there with a gap, you need full mouth evaluation and xrays to help you determine the best treatment. You will need an initial consult with an expert cosmetic dentist. You may see the results prior hand with a wax-up, in which is highly recommended!

If you are interested to have smile makeover, it is best to see a cosmetic dentist for your smile evaluation. If you show only 6 front teeth, when people see your smile from the side then it is possible doing 6 front teeth, gives you a new smile, but very doubtful!!You do not want 2 colored teeth, and only 6 front teeth sticking out! most patients show minimum of 8 to 10 teeth. If color is not a problem it is best to do 4 teeth, rather than 6, but if you include canines it is best to wrap around to adjacent teeth.In regards to gummy smile, need to have clinical examination to see if the lips can be pulled down slightly, or do crown lengthening by contouring gums.