James Powell, DDS (retired)

I'd recommend that you visit a Periodontist or a General Dentist who uses laser.

The advantage of a laser is that it causes less inflamation, and bio-stimulation which initiates faster healing with less pain versus a scalpel that causes inflammation and slower healing.

It is possible that it may grow back with either procedure, however, the success will largely depend on the skill and technique of the dentist.

Best Wishes,
Dr. Powell

Zoom whitening should not affect your front teeth that are bonded, but be aware that the color of your surrounding teeth may become whiter than your bonded teeth. Your teeth over time become lighter and less white but the bonding material color will always stay the same (although the margins of the bonding may turn darker). Therefore, if you do have the whitening done and the colors do not completely match (esthetically), you might opt to have the composite bonding redone, or try to get your natural teeth color as close to the bonding as possible.

In my experience I have seen greater results when braces are done before the implant is actually placed. There is a lot of bone movement when teeth are being shifted with braces so it would be a good idea to let all the shifting be complete before and implant is placed in the bone, for maximum stability. The braces could even give more space for the implant if it is necessary. Hopefully this makes sense, it would be easier for you to visually see how your jaw bone is specifically with a panoramic xray also.

Some dentists recommend not to have veneers put on if you're a grinder because if the actual teeth are being worn, then that means that the veneers would also suffer damage- whether they become worn or even popped off. Some dentists, such as myself, go through specialized training considered neuromuscular dentistry to where they can use TENS units to get the bite where it should be (this has to do with the way the muscles, joints, and bones fit together), then veneers can be placed without being popped off by past grinding habits. You could even consult with a specially trained orthodontist to align your teeth in the right position (to make a larger space between the front top and bottom teeth) so then veneers can be placed. I hope you found this answer helpful, if you would like information on a specially trained dentist who could talk to you more about this, try looking on the Las Vegas Institute website for a dentist in your area.

 

An implant could be an option for just about anyone. You may not have enough bone in that area due to the infection, but a bone graft could be an option for you. A bone graft could be completed, then an implant could be placed after the bone heals. You would have to have an xray that shows 3D images so the bone level in all aspects could be evaluated-a referral to an oral surgeon or a periodontist may be necessary. If an implant is placed, keep in mind that good oral hygiene must be maintained because implants could suffer from infections just like regular teeth.