Hello,There are many things to consider when planning a cosmetic case involving dental implants. First, you have to have adequate bone to support the implants, depth, and width. Second, you have to look at the patients bite. Do the top teeth overlap the bottom teeth? Does the patient clench or grind? Third, does the patient have a "high smile line" also called a "gummy smile"? These are all factors to consider when designing the restorations for the patient. In my years of experience, rarely do the implant bodies break. The implant (body) is the piece that is seated inside the bone. The crowns or bridge (you are using the term abutments) is attached to the implant and needs to be beautiful as well as functional. Based on the previous considerations mentioned, it could be better to have things connected (tooth to tooth) or it might be ok to have the teeth each individual. The smile is not only the teeth but also the gum tissue, as well as the tooth length and width. I'm sure your dentist is evaluating all of these things to recommend the very best solution for your specific situation. The abutment is the small piece that connects the implant (body) to the tooth (crown or bridge). I tell my patients to think of the abutment like a trailer hitch. It connects the SUV/truck to the camper or the boat or a motorcycle trailer. If things are built correctly, I would not expect failure unless there is an accident or something unusual. I think this is a great question and worth exploring further with your dentist. Best of luck to you on this journey! Dr. Nason
Veneers can last longer than 10 years. It is also how well they are done and how well you keep them clean. Keeping up with your routine dental cleanings is important. Wearing a guard to help protect them at night is an option as well. We would be happy to show you some videos on how the process works and discuss it further.
Hello, the best results would usually come from orthodontic treatment since you do have a overjet. You want to get your bite and jaw in the correct position for long term TMJ health. I would consult with another orthodontist. They have come a long way in the last 6 years and would be the best way to go.
The bumps are called Mamelons. Most people wear them away over time. If not usually they can be smoothed off. Quick appointment.
