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Gerrarda O'Beirne, BDS, MSD

Board Certified Prosthodontist

720 Olive Way, Suite 810, Seattle, Washington

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41 Questions Answered

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Before and After Photos

QUESTIONS ANSWERED

How much would it cost to replace a chipped incisor tooth? (Photo)

Asked By:AnonymousANSWERS (1)

If you have a perfectly good tooth buried in the bone then you should really consider doing what the dentist recommended. It will be a short term inconvenience to go through the surgery and possibly orthodontics to bring the tooth into line with all your other teeth. A crown would have to anchor off some adjacent teeth and this presents many long term problems.

Gerrarda O'Beirne, BDS, MSD

Board Certified Prosthodontist

Bone Grafting and possible infection?

Asked By:AnonymousANSWERS (1)

Healing is well under way in most cases by one week however the wound will be immature for several weeks and hence you need to protect the site from being traumatized and generally keep the site clean for the duration. A crucial aspect also is to make sure the rest of the mouth is kept clean, this keeps the bacterial load low elsewhere and further enhances healing.

Gerrarda O'Beirne, BDS, MSD

Board Certified Prosthodontist

What combination of treatments will get me the perfect smile? (Photo)

Asked By:AnonymousANSWERS (1)

There are a number of factors to consider. Firstly your teeth look to be about the right dimension with just is a little crowding present. Making the correct diagnosis is key. A helpful photo is the "lips at rest", ie your lips just gently parted, this lets us know the if the teeth are generally well positioned in the face. If approximately 2 mm of the teeth show at rest then you could have a hyperactive upper lip, this being the case there are a number of treatment options for example botox which would be a simple but temporary fix. If a considerable amount of your teeth are exposed with your lips at rest then the height of you upper jaw could be larger than normal and jaw surgery could be required. There are many treatment options that you will need to fully understand and could involve referral to a number of dental specialists.

Gerrarda O'Beirne, BDS, MSD

Board Certified Prosthodontist

Getting a wider smile? (Photo)

Asked By:AnonymousANSWERS (1)

It is really important to accurately diagnose the factors that currently influence your smile as this will dictate treatment outcomes to a great extent. What I am getting at is I think your lips may lift unevenly, rising higher on the right to give an uneven gummy smile. Get a comprehensive evaluation from your dentist and ask them for a simulation of the end result. There are ways to address an uneven lip and your dentist can discuss this as part of a comprehensive evaluation.

Gerrarda O'Beirne, BDS, MSD

Board Certified Prosthodontist

I am going in for a Gummy smile surgery aka a gum lift and I just want to know what I will feel during surgery?

Asked By:AnonymousANSWERS (1)

What you describe is also called a crown lengthening procedure. Definitely let your surgeon know that you are quite anxious about receiving treatment. They can take steps to help you feel less anxious prior to surgery and also ensure there is minimal if any discomfort before, during and after the procedure.

Gerrarda O'Beirne, BDS, MSD

Board Certified Prosthodontist

Should a implant when removed have a foul over powering smell?

Asked By:AnonymousANSWERS (1)

I presume the crown is no longer mobile. In this case you may have experienced the bad oder from the cotton plug that was removed. It is common for this to happen when there is some movement between the parts and fluids can infiltrate the area. I expect the plug was replaced and you should be fine.

Gerrarda O'Beirne, BDS, MSD

Board Certified Prosthodontist

Lost first lower molar, haven't replaced yet. Have I left it too late to have an implant?

Asked By:AnonymousANSWERS (1)

it sounds like ithe space with the missing tooth is less than ideal with the opposing tooth and adjacent tooth having moved. An implant placed here will be compromised from the beginning making it difficult to maintain it and the other natural teeth for the long term. Consult with the surgeon to see how compromised it is and determine if they recommend that you need (orthodontics (braces) to reposition he teeth prior to placing the implant.

Gerrarda O'Beirne, BDS, MSD

Board Certified Prosthodontist

What is the best way forward after being diagnosed with gum disease (once treated) ? Keep your teeth or have implants?

Asked By:AnonymousANSWERS (1)

Once a patient has demonstrated a risk for periodontal disease they are at risk for further problems around natural teeth and indeed implants in the absence of the necessary care and follow up. The crucial part here is to get your periodontal condition managed correctly while retaining as many teeth as possible and then for you to understand the commitment you have to make to excellent oral hygiene and follow up with your periodontist or dentist. We are in an age where regenerative therapies can address defects around many questionable teeth however some teeth may not be predictably maintained long term and should be considered for replacement with implants. The systemic health conditions that you refer to are primarily connected with levels of inflammation. Inflammation can develop around natural teeth ( as in the case of periodontal disease) or implants (as in the case of peri-implantitis) so that's why correct management is key.
Best Gerrarda

Gerrarda O'Beirne, BDS, MSD

Board Certified Prosthodontist

Which procedures should I be looking into to fix my smile? (Photo)

Asked By:AnonymousANSWERS (1)

It is hard to tell from the photo but I suspect that the reason your right side is more "gummy" than the left side is that your lip lifts more on the right when you smile. A correct diagnosis here will be important. Once the lip is even you will be looking at a combination of gum re-contouring, with a scalpel or with a laser and new restorations. Best of luck.

Gerrarda O'Beirne, BDS, MSD

Board Certified Prosthodontist

What can I do for a shifted tooth?

Asked By:AnonymousANSWERS (1)

Sounds like your third molars (wisdom teeth) are erupting. The research is inconclusive but many believe that these eruption forces can cause crowding particularly in the lower front teeth. Get a comprehensive orthodontic evaluation and have a look at the various treatment options that are available.

Gerrarda O'Beirne, BDS, MSD

Board Certified Prosthodontist