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If the lab is the same or can match the others, then replace only the chipped ones. You do not have to replace all six unless they need it.
Best regards,
Dr. Ed Lowe

I have two damaged porcelain veneers (chipped at top and side respectively). Do I need to replace all six?

Wow...never get a patient asking this question very often.&nbsp;Any transparent light cured resin cement will work. I like neutral and go from there. Never use opaque white.&nbsp;As a patient, I would leave it up to your dentist to pick and use try in gels to get the result you want before final cementation.
Best regards,
Dr. Ed Lowe

Which cement is most ideal for natural looking veneers with lots of translucency? Thanks.

Best cement for translucency? (Veneers)

If the veneers were done recently and the gums were retracted with cord, it may take a few weeks for the tissue to come down and for the papilla to cover the exposed side of the tooth. Also if you work your acrylic&nbsp;temporaries for a long time and they were all joined together, the gums may have been pushed up and once again time is needed for them to return back down again. Give it at least 2-3 weeks if you did not have gum surgery in conjunction with veneer placement.
If it is still there, return to your dentist for a follow up to decide how to proceed.
Best regards,
Dr. Ed Lowe

I was taking a close look at my veneers in the morning and I found that the side of my tooth is visible. Is this normal?

Side of front tooth uncovered by veneer? (Photo)

Veneers done well will last 15 years plus. They appeared in the literature&nbsp;in the early 80's and so have not been around for 50 years yet. I have been placing them since 1988&nbsp;and I have some that are still in place at 30 years. The only change is the esthetics but functionally they are still stuck. The patient's gumline and wear are the main changes.&nbsp;
Be prudent with your hygiene and enjoy them. They are a good investment if it improved your appearance and made you feel confident!
Best regards,
Dr. Ed Lowe

I read that I can only replace veneers a limited amount of times because each time it’s done more tooth structure is lost. What does this mean for me since i’m only 19? I had horrible discoloration and weak enamel so my dentist told me this was the best choice for me but I regret it so much. He told me he only roughened the surface of my teeth and hardly removed enamel, however he did make them shorter. I like the look but I really miss the guarantee of having my teeth forever. Please help

Was it a mistake getting veneers at 19? Very depressed

The night guard may have been made on the bottom teeth because of a deep bite or for a functional reason.&nbsp;You will be fine and the veneers are not likely to break if chewing and grinding movements are protected by the night guard.

I got veneers on my top 8 teeth and my dentist made me a hard nightguard for my bottom teeth to protect the veneers. Does this make sense? I thought the nightguard should be worn over the veneers to protect them. The nightguard is hard and i’m worried they break my veneers when i’m grinding. Thanks

Bottom nightguard to protect upper veneers?

Hi there,
Once the bone thickness and height have been levelled and built up as much as possible, see a gum specialist or periodontist to augment the tissue with gum grafting before considering placing implants. The bone and gums must be in place first or esthetics will be compromised.
Best regards,
Dr. Ed Lowe

I had three upper teeth removed after an infection. I had a bone graft placed and will need a repeat bone graft in a few months. My question is how is the raised gum area fixed? My surgeon said a prothesdontist will fix this, but how??

How is gum resorption fixed after bone graft? (Photo)

Hi there,
As your implant crown is 15 years old, some things have changed. Your natural teeth have gotten darker due to age and staining. The porcelain glaze and stain&nbsp;on the surface of the crown may have either gotten porous or worn off, affecting the colour. 
Try whitening to get your natural teeth as white as possible.&nbsp;They will likely not be as white as they were 15 years ago.&nbsp;Then consider replacing the crown to match the newly&nbsp;whitened teeth after they have had a chance to "rest and rehydrate" after whitening.&nbsp;
Veneers plus the crown replacement would solve your size discrepancy challenges you are currently having and get all the teeth to be the same size evening out your smile.
Best regards,
Dr. Ed Lowe

My crown has become more obvious over the years. Would whitening my other teeth help it be less noticeable? (It was matched perfectly when I got it almost 15 years ago). Also, even though I had braces, I feel like my smile appears crooked and it drives me crazy. My teeth on one side are clearly shorter than the other side, making it look like they aren’t as straight as they actually are... Would veneers fix both issues (crown colour matching and a more even looking smile)? Thanks!

Would whitening my teeth help my crown (dental implant) blend in? It’s almost 15 years old and was matched perfectly at the time

Hi there,
Your implants and crowns are there for 2 reasons...esthetics and function. You have to be able to chew on the implant crowns. The implant crowns should lightly touch the teeth in the opposing upper jaw.&nbsp;
I would have your dentist check it. You should be able to bite and hold the thickness of a&nbsp;piece of paper on all your teeth with the bite slightly lighter on the implant crowns as there is no periodontal ligament around the implant to absorb shock.&nbsp;
In the photo, it appears that the bite is so open that&nbsp;you cannot grab a piece of cardboard.&nbsp;
Have your dentist balance your bite so you do not overload the function on your other teeth.
Best regards,
Dr. Ed Lowe

I recently got three implants in my lower left jaw. I got the teeth a couple days ago and a followup session is scheduled in two weeks to make sure all is OK. My concern is that when I chew something I feel like the grip is not 100%. And as seen from the picture I've attached the upper and lower teeth don't quite sit on each other. Chewing large pieces of food seems fine but as the pieces of food get smaller, I have to use my other side to be able to completely chew the food!

Is it normal for dental implants to be shorter than normal teeth? (photo)

Hi there,
I suggest you see a dentist and most of your symptoms will be reversed. At 19, it is unlikely you are losing teeth. Your loose lower teeth may be due to grinding forward and back.&nbsp;
Best regards,
Dr. Ed Lowe

I'm 19, haven't gone to a dentist in 5+ years, usually brush once, sometimes twice a day, and don't floss. I may have been putting too much pressure on my teeth while brushing and picking at my gums too much. Recently, my lower gums have bled once or twice while I wasn't brushing, and my gums have started to peel out under my lower middle teeth. Those two teeth are also slightly loose/wobbly. How bad is my condition atm? Do I have stage 2 gum disease? Is it reversible? Will I be losing teeth?

My gums are receding and peeling. How bad is my condition? Am I prone to losing teeth? (Photo)

Hi there,
Crowns/Veneers with little to no tooth reduction or preparation in conjunction with some gum reshaping will give you a good looking smile. Have a dentist do a complete esthetic workup and evaluate the cause of the excessive gum tissue before any treatment. A wax prototype or digital imaging can give you a sense of what is possible.&nbsp;
Best regards,
Dr. Ed Lowe

Hi Doctors, I have not been blessed with normal teeth, I had huge gaps due to the size of my teeth as a teenager and tried to correct it by having crown, which I did not like and removed right away. Now I want to correct my condition. On Consulting with a cosmetic dentist he suggested that gingevectomy and crowns can improve my smile, but am finding it difficult to beleive that I can have a normal smile. Can crowns and gingevectomy correct my aesthetic and functional dental issues?

Already prepped tooth huge gaps. Can gingivectomy and crowns make a positive difference? (Photo)

Edward Lowe, BSc, DMD

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