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With the small amount of space and the excellent condition of your teeth, I would not recommend veneering your teeth. &nbsp;By bonding a small amount of material the space could be closed. &nbsp;My recommendation would be to see a periodontist to determine if there is an underlying gum problem that needs addressed. &nbsp;There is also a treatment where dermal fillers can be injected into the gum to plump it back up and no treatment of the teeth would then be required.

A few weeks ago my gums became suddenly infected. Prior to this infection my gums were in good health and I had no issues. I am now left with this unsightly black triangle between my front two teeth. I talked to a dentist about fixing the issue with bonding and he told me that there's a chance the tissue may fill back in however it's been almost a week and no movement what so ever. Is bonding an appropriate approach or should I be looking into veneers?

What is the best fix for this black triangle? I'm 22 year old. (photos)

I would recommend discussing this with your dentist. &nbsp;Cerec crowns can be made of many materials. &nbsp;If they were done many years ago some of the stronger materials that we use today may not have been available. &nbsp;I tell my patients that the only unbreakable crown is full gold. &nbsp;If the patient desires a more cosmetically appealing tooth restoration there is a chance of breakage. &nbsp;If the tooth is prepared properly and the correct material is used breakage is unusual. &nbsp;Other factors like tooth grinding or chewing overly hard foods could cause failure. Dentists can't always be responsible for the way a patient treats their teeth anymore than a car dealer is if a customer abuses their car. I can tell you that Cerec would not be responsible for your broken crowns and it would be up to the discretion of your dentist. &nbsp;With the current materials, if I had a patient whose crown broke I personally would replace it because I am confident the chance of breakage is minimal.

I had CEREC crowns placed on tooth numbers 19, 30 and 31. I was told by my dentist that CEREC is just as durable as any other crown, looks more natural, would involve less pain, reduced the number of dental visits and cost the same as a traditional crown. I chose CEREC restorations based on the above factors. In less than ten years, all three crowns failed (cracked), the latest resulted in a root canal and tremendous pain. Is my dentist or Sirona responsible, and what should/can I do?

Multiple CEREC Crown Failures, is Sirona or my Dentist responsible and what can or should be done?

There are some factors that may enter into the thinking of each doctor. &nbsp;The doctor recommending a zirconium and emax crown sounds like a better choice with the limited information to go on. &nbsp;Emax comes in different translucencies and any quality lab should be able to masque out the underlying whiteness of the zirconium. &nbsp;A metal, usually titanium, abutment is more difficult to masque out the darkness, especially with Empress. &nbsp;The problem with metal abutments and sometimes even with the implant itself is that the dark metal makes the gum look dark below the level of the crown. &nbsp;The only reason titanium may make more sense is if the space is very small and the zirconium would be too thin and subject to fracture. &nbsp;Discuss your concerns with the dentist and make sure you are content before the case is cemented.

I had tooth 7 implant done and I have to decide which Crown is better for my front tooth. My old dentist suggested zirconia abutment with e-max crown. I moved to another state and my new dentist tells me that zirconia abutment will be too white and hard to make it look good and the e-max attached to it may not be strong and may break. He recommended metal abutment with empress crown. What is your opinion? Please help me.

Front tooth implant, zirconia abutment with e-max crown vs metal abutment with empress crown?

It is difficult to tell from looking at your picture whether the crown is too large. &nbsp;It is possible that the dentist made this tooth larger to fit against the opposing tooth more ideally than your original molar. &nbsp;Small changes can feel very different but after a short time become unnoticeable. &nbsp;The inflammation could be related to your home care or there are other reasons that could be a factor. &nbsp;I would recommend that you practice perfect hygiene and if the symptom does not resolve in two weeks then return to your dentist for a reevaluation. &nbsp;

I had a root canal done recently and got a crown. It's my first crown and I'm not sure if they're supposed to look this way. I feel like the crown itself is too high above my original gum line that its somehow pinching my gums. I also feel like it's a huge difference between my other teeth and original molar. I went for a checkup and was told that it was fitted to the size of my molar, and that my gums are inflamed because I haven't been flossing.

Are dental crowns supposed to look and feel bulky? (Photo)

The sooner you see a dentist, the more options you will have and the less it will cost. &nbsp;Waiting longer will almost certainly guarantee losing many teeth, as well as the potential of pain, swelling, infection, or worse. &nbsp;It is impossible to give you a diagnosis based on your pictures without X-rays and a clinical exam. Seek out a dentist who offers a payment program so that you can fit the care into your budget. &nbsp;Most people even with limited income can afford dental care if they make it a priority. &nbsp;Good luck!

In the past year my molars have gotten to a terrible level of decay. Due to living on my own and being unable to afford a dentist visit, i have unfortunately allowed my teeth to get this bad. They have just began to hurt me recently... I do not smoke or drink or use drugs but I am an obsessive coffee drinker...so I am unsure of if this could be also causing this. Judging by my photos, I am wondering what would be my best option? I am terrified and embarrassed.

Can my teeth be saved? I am terrified and embarrassed (Photo)

We offer Cerec crowns in our office. &nbsp;Excellent dentistry can be done the old way of impressions and lab fabricated crowns or Cerec. &nbsp;Where Cerec has an advantage is that the crown is finished in the same appointment so you do not need to be numbed twice or endure the crown insert without anesthesia the second appointment. &nbsp;Cerec also allows less tooth reduction because the crown is bonded to the tooth and a you can leave more tooth since you don't have to retain a temporary crown for several weeks. &nbsp;Instead of messy impressions, Cerec uses a digital scanner (like a camera) that is more accurate than impressions and models. &nbsp;Bottom line is the quality of the treating dentist. A good dentist will give you a good result with either method.&nbsp;

I have had only one crown, it was the conventional type, tooth shaping, temp crown, the return for the permanent. I experienced a lot of pain from the removal of the tooth to set the crown. My dentist tells me that I need two more crowns in two upper molars. These teeth have large white fillings and a few decayed spots but nothing really deep. I just found out about CEREC crowns this morning, and from what I am reading there is less need for tooth removal. Can you tell me more about it? TYou

Can you give me information on CEREC crowns over the conventional crown technology?

When professionally whitening teeth there is not a rule that limits which teeth can be whitened. &nbsp;Most patients want their teeth to be uniform so whitening only the front 8 may leave some teeth that can be seen different in color. &nbsp;Over the counter products like strips are limited in their coverage, but professional whitening is not. Perhaps your back teeth have been restored with crowns which will not whiten. &nbsp;That is my only guess as to why your dentist is not whitening the rest.

Is it true when you have your teeth whitened they only do 16 8 at the top and 8 at the bottom?

It is always best to replace missing tooth with missing tooth and missing gum with missing gum. &nbsp;That being said, if there was extensive decay on the root surface or a previous restoration, then gum cannot be grafted over the restoration. &nbsp;It appears that you have too narrow of attached gingiva (gum) remaining. &nbsp;I would recommend seeing a periodontist to get an opinion. &nbsp;Good luck!

The recession was on #30, only about 2mm deep, only in the mesial corner next to tooth 29. The replacement crown is thick, long and bulky and it is up to the mobile moving gum line. I had the rest of my gum line tightly attached before at a normal level with the exception of the 1mm corner recession by 2mm deep.The new crown is forward and this happens in the gum line as well more forward then the rest of the teeth. Thank you once more.

I replaced a 10 year crown on #30 because of a slight gum recession at the corner next to #29. Should I worry? (Photo)

Unfortunately, the only solution is to replace the crowns which were just done. &nbsp;Usually if changes are being made it is best to try the crowns in before final cementation and get the patients approval. &nbsp;If you did not have the chance to do so your dentist may feel obligated to replace them to make you happy. &nbsp;If you did approve them and now are not happy your dentist has much more cost and time involved to correct them. &nbsp;Talk to your dentist and let them know what you dislike. &nbsp;Good luck.

I do not like my new crowns at all because my bite comes outward which has changed the dynamic of my smile. My teeth look completely different to me as they are now fatter and bulky looking. I like a very streamlined smile with absolutely no protrusion in my profile smile. These are not perfect looking like my old smile. Will I need to get new crowns done again and is it possible to make my bite look like my own now that my real teeth are filed down?

Can my bite be put back where it was after receiving new front crowns on 5 teeth? It has changed my tooth size and shape (Photo)

It depends what your veneers were made of. &nbsp;Porcelain which I feel is the best choice cosmetically, can not be added to. &nbsp;If you had them done in high school and were able to file them down yourself, it is possible that they were done with composite resin. &nbsp;If they are composite, that could be added to provided the rest of the material is in good condition. &nbsp;At this point, if you are a perfectionist, it may be best to start over with porcelain if your budget allows. &nbsp;Good luck!

When I was in high school I got veneers for my top front four teeth, which were always too small. Being a perfectionist, I thought they seemed uneven and filed them down on my own. Years later I still regret my actions and wish I had kept them at their original length as they are now much too short. Is it possible for me to lengthen my veneers without having to replace them, and would it generally cost the same amount as it did originally?

Can you lengthen veneers without having to replace the entire veneer?

Craig S. Wilson, DDS

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Dentists are trained to diagnose, treat, and prevent oral diseases, promote oral health, and perform surgical procedures on the teeth, bone, and soft tissues in the mouth.

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