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Typically older crown had a metal substrate that becomes corrosive and darkens over time. Newer crowns are completely white without a substrate. For instance, Emax, Bruxir (full Zirconia crowns). They are beautiful and durable. Seek out a cosmetic consultation with a doctor that has experience in these areas.&nbsp;

I am over 70. My upper teeth were capped almost 20 years ago and still look beautiful. However, my gums have receded badly, exposing the tops of several of the caps. Can this be treated or will the caps need removing?

Do I need my capped teeth removing and replaced with dentures?

Firstneed figure out what is currently the state of health of the bone and gums around these teeth. If bad disease then likely remove and replace... Problem solvedIf on the other hand the bone and gums are healthy and you are regular about your dental care, then you can get braces with an orthodontist or have invislign done. This will straighten things out. Then whiten them and look ten years younger to boot!!!

Drift with age and bone shrinkage 63 yrs. Also darkening of inside edges of front top teeth that are too close with age too.

How do you repair out of place lower front teeth?

Ok this is typical. Think about it...The implant is placed in bone. The gum you see is where the screw goes down through to get to the implant that is in bone. When the healing cap loosens it allows for gum to grow between the implant cylinder the healing cap. only takes a few days for this to occur. when you tighten the screw the gum or skin gets squeezed out of the way and it hurts. Perfectly normal. My guess is by now it does not hurt anymore

I had implant surgery 5-6 weeks ago. The healing cap fell out on Monday and was put back in on Saturday.The dentist was surprised by the pain and numbed the area. The pain started as soon as he inserted and started turning with his hand. The pain was sort of like when you put ice cold water on an open tooth or exposed root maybe?...best I can describe it. He didnt take any X-rays and just said it was tight when he was done. But him being surprised by the pain is still bothering me.

The healing cap fell off & had to be screwed in but it was very painful. Is this normal? Should I seek follow up or 2nd opinion?

Get direct bonding done. Its very simple and will provise a good resilt covering the ugly crack and brownish color of the tooth. Not to expensive maybe 350.00.You'll need to have it maintained periodically as anything but a nice solution.

Please advise me the best technic to have a permanent solution and the average cost.

According to the attached photo I have a bite broken at my front teeth? (photo)

Try a non invasive procedure like direct bonding. I personally think you would benefit from invisilign and widening your such and proclining your teeth. Do you get headaches? Looks like your lower Jaw is locked into your top jaw since your teeth are canted inwardly.Often times I creat a wider smile and therfore some spacing occurs. I simply move the spacing behind the first premolars and then put a back side veneer on the premolar to close the gap.very easy to do and orthodontists do not utilize enough.

I'm not confident with my smile due to small lateral incisors. I have already had braces and i think my teeth are straight. I just would like my lateral incisors to fit the rest of my teeth. What Iis the best thing for me to do?

I think I have small lateral incisors, but I'm not confident with my smile. What do I do? (photo)

You can make a new Maryland type bridge. A conventional bridge which means you need to remove more tooth on the teeth supporting your Maryland bridge and another option is implants with separate crowns or implants with a bridge.

It has been over 25 years and now the bridge is loose do I need to replace it or what can I do?

Because of perndonal I had my 4 front bottom teeth removed and a Maryland bridge was put in?

Seldom are people perfectly symmetrical. Midlines matching etc can be accomplished but can increase treatment time immensely. If your moving you may lose out on the refinement treatment that is available with invisilign. If a patient is willing ainvisilign allows the doctor 3 refinements which means new impressions and bite registration then more trays made for you to wear. Usually less time each refinement but sometimes as long as first set of trays. How picky do you want to be??Your choice.

I have TMJ symptoms&amp;mild skeletal II pattern complicated by mandibular symmetry with the chin point to the left hand side. There is muscle tenderness on both sides&amp;a normal mouth opening aperture with no deviation. There is also a soft click from both TMJs.

Invisalign: Mandibular Asymmetry &amp; moving abroad half way through treatment? (photo)

No. Implants are placed in bone. When carefully treatment planned no nerve damage occurs. There are many structures and risks associated with surgery and implant placement. Just like heart surgery ,brain surgery ,kidney surgery etc. ultimately implant placement for teeth is relatively straight forward and does not involve nerves. They can impose on nearby nerves at times but VERY seldom a problem

Does the tooth implant cause any nerve damage?

No exposed nerve. Just hypersensitivity. Maybe a finish line on the filling or crown is open and causing micro leakage. Could also be your tooth was badly decayed. I mean drilling a tooth is surgery and it hurts. Nerve is injured whenever a tooth is drilled on. Just like when you have knee surgery. The knee is injured by the procedure until you undergo therapy and heal and recover You may have a nerve that needs to be root candled.Talk to your dentist

It is a recent crown-December 2012. Sensitive from day one. Not a porcelain crown.

Why would I have an exposed nerve after having a tooth crowned/capped?

Absolutely. Likely periodontal acute abscessing.Very destructive. Act quickly. Likely needs anesthesia and some sort of minor treastment to clear out any food debris or infected tissue

Never had my wisdom teeth removed. In the very back of my top teeth I have space where food always gets stuck. Only thing that usually gets it out is a qtip. A week ago, I got something was stuck. I brushed my teeth normally for a week and started to feel pain in the inner jaw. I did my q tip routine and unwedged something. It's been a day and the pain is still in the fleshy part around my mouth though my teeth don't hurt. I wonder if this pain will just subside or could it be infected?

Experienced pain after food was lodged in back teeth for days. Could it be infected?

Mark J. Amidei, DDS

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