Assuming that the only damage to the teeth is what can be seen from the grainy picture I would not recommend Crowns for your chipped teeth. I would even consider composite restorations as a place to start restoring your teeth. Modern composites in the right hands and with proper layering techniques, can deliver excellent cosmetic results that last a good while, with minimal or no tooth reduction. Minimally prepared veneers would also have to be considered. It seems to be your preferred option. And they are undeniably the go to option for color stability and cosmetic results. But be aware that even veneers may have to be replaced in the future. Also not all veneers are born equal, and there will be great variability of results depending on the skills of the lab and the dentist Some leveling may be neededed at the cutting edge of the teeth and the amount will also depend on how well the material chosen can successfully hide the crack line If those were my teeth I would not crown them as a first option jut because: "they need leveling anyway "
Root canal treatments fail for a variety of reasons, but often the failure of a maxillary molar root canal is due to a missed canal. If this is the first time the tooth has been treated with a root canal, I suggest you consult with an Endodontist. A good specialist can often find the missed canal and successfully retreat the tooth. However, there may be other complicating factors in this case that may have led the other colleagues to suggest the apicoectomy The Endodontist can certainly decide if an apicoectomy is necessary at this time. If the tooth is retreated, a new crown may not be absolutely necessary. Often the crown can be repaired for many more years of service. Anyway I would not invest in a new crown until the retreated tooth is stable for at least six months. If the apicoectomy route is chosen then the crown is left intact and will non need replacing. I like implants (I place and restore them) but they should be used judiciously, if # 14 has sound bone and gums around it, and it is restorable, it may be worth saving, giving you many more years of trouble free service.
If properly planned and in the right hands, Implant surgery is usually very straighforward. Usually patients are pleasantly surprised of how little discomfort they experience after implant placement. With proper care recovery is also quick and uneventful Dr Minniti
A well fabricated porcelain crown that is well taken care for by you can last for decades. The challenge on a single anteror crown is to match the shade of the adjacent teeth. Your dentist is in the best position to pick the best fit for your situation two brand names come to mind that have a good traclk record for longevity: Lava by 3M and emax by Ivoclar, but that is only the beginning of the list. Often crowns have to be replaced because they chip or crack, sometimes bacause of careleness or accidents on the patient part, like biting on ice or fingernails or falling from a bike, sometimes is fabricaion error, sometimes the bite is setup incorrectly. Often the crown is still intact but the tooth itself fails due to new tooth decay or root fracture especially if the tooth has had a root canal. If the tooth has had root canal treatment it can also become discolored over time and ends up looking darker than the adjacent teeth As you age the cement line near the gumline may become more visible due to recession and/or discoloration So strenght alone is only one of the factors that determines longevity of your crown, Careful preparation of the tooth by an experienced dentist with the collaboration of a skilled ceramist who will fabricate the crown will probably give you the best long term results.
Well planned and executed implant supported dentures can change your life for the better. Your dentist can guide you in selecting what would work best for you, but he could use as litle as 2 implants to stabilize just your lower denture or he could use multiple implants in both arches to support fixed dentures that would feel like having your teeth back. No more plastic covering your palate no more loose dentures, solid teeth that you could bite apples with, if you wanted to There are limitations, however: if the bone remaining in your jaw is insufficient, you may have to have additional procedures to augment the bone, If you have medical conditions affecting your capacity to heal after surgery implants may be contraindicated. If you're having trouble keeping your dentures in place, your dentures may be ill fitting, or the bone support under them may also be poor. An experienced dentist or team of dentists should evaluate your case and help you make the best decision that fits your condition.
