Dr Cole is super professional. His staff is also professional and attentive. Nice office, easy in and out. Highly recommend him for all dental work and for whitening and botox. My whole family goes to Dr Cole.
I would highly suggest keeping your dentistry, especially the more costly procedures, "local". I discourage patients whom want me to perform more complicated procedures such as smile make overs, Invisalign, implants, oral surgery and 3D CAD/CAM ceramic work that if they couldn't get to my office for frequent appointments and emergencies to find a "local" dentist whom can take personal and individualized care of their dental needs and OWN their dentistry by warranty. Unfortunately, Tele-dentistry will always be a farce as modern dentistry is heavily hands on, individual specific and high tech equipment orientated. I would highly discourage going south of the border for cheap dentistry as I have personally seen "porcelain" issues (yellowing & fracturing). Some dental resin cements of inferior quality or "age" may discolor over time and effect the base layer shading but your case looks more involved from the pictures. This may or may not be specific to your situation and I am sure you vetted your treating dentist and their capabilities before paying them for extensive dental work but there are those situations that do exist and others reading this post may benefit.If they agree to redo the case for you, which most credible dentists here in the states should, have them use eMax ceramics and ask for the lab to send the ceramic certificates of authenticity back with the case....which may or not really prove they used that material but lets the lab know the quality of restoration you are expecting. Modern ceramics (not porcelain) is extremely color stable, stronger, highly cosmetic and lack most of the imperfections which can be incorporated in hand laid porcelain. By the way, I use to own my own dental lab......now I use chairside CEREC CAD-CAM 90% of the time and am getting the best results ever.
A crown prep for a tooth is 360 degrees all around and over the top of a tooth, a veneer is just what you see on the front and minimal on the back of the tooth (think vinyl siding on a house...not stronger but updates the look) You can Veneer over an existing healthy crown in certain situations but is not usually advisable. If you have crowns, stick with crowns. I almost only use eMax type crowns as they are plenty strong and offer the best cosmetics, zirconia crowns are harder but look a bit more dull/flat but can be a good option in specific situations. Your dentist will help you decide as their experience is a great asset for your successful treatment!
Yes your veneers can be adjusted. When we "adjust", remember it is usually a "reduction" and may not be reversible, so go slow over a few visits.Some materials are easier to polish after adjustments like the newer ceramics but the older "porcelain" is easier to adjust but may loose luster if it is in the visual zone (not bite or length).Lastly, work with your dentist in conveying what you want to adjust, so go into the visit with a plan. Tell them exactly what to shorten, sharpen, etc. You have a beautiful smile and remember the veneers simply complement the person!
With limited information, my first thought is that the length may be too long and that could be creating additional pressure onto the teeth which could allow increased tooth mobility, not veneer loosening at this time.The steps I typically take are 1) make sure the bite is harmonious especially with "parafunction/bruxism" unconscious habit biting (usually@sleep) 2) marginal polishing 3) marginal thickness 4) biological width (depth) of the gum sulcus.Also, I have seen gums take 3-4 months to improve due to multiple variables. Just make sure you are not sipping/drinking any soft drinks or any other sugar or acidic containing drinks as this could prolong the redness.
A bridge relies on the adjacent teeth and their strength to hold in a dummy crown called a pontic. There are numerous types and designs of a "bridge" but the most common is a 3 unit bridge whereas there is a healthy tooth on each side of the lost tooth site. I typically will plan this prior to removing the tooth so my patients will not have to have a gap but it is sometimes unavoidable until the site has healed. Your may have other options depending on your teeth and the area of loss such an implant or removable partial denture.I offer a complementary visit to review treatment options if you are interested.
