Mike Ghattas, DDS

Dear Justeen,

A Temporary crown should look like a normal tooth or at least close to it, but not like what you described, unless it was done hastefully.

You should thoroughly brush your teeth after every snack since we know that foods and specially carbohydrates transform into acids by certain bacteria (S. mutans) living in the oral cavity, which in turn dissolves the enamel of the teeth and thus we have a cavity. 

Yes you can have a soft tissue graft done on the site and improve esthetics. Usually a connective tissue graft taken from the palate or using Alloderm (Cadaver skin). 

 

Mike Ghattas,DMD

Diplomate of the American Board of Periodontology

Dear Nora,

Your experience is a bit unusual since removal of a temporary crown should not that complicated unless for some reason cemented with a permanent cement ( rarely done ). However, if cemented permanently then it can be cut using a bur ( drill ) and removed using local anesthesia.

I hope my answer is satisfactory 

Dear patient,

Ideally when teeth are extracted a bone graft should have been placed for future Implant placement which would be the standard of care these days, given that periodontally the dentition is healthy. 

As a second option, a fixed bridge or prosthesis is indicated, given the fact that abutment teeth (teeth holding the bridge) are healthy.

Last option and cheapest option is a removable partial denture which could be used for some time until a more desirable option is done.

Sincerely,

Mike Ghattas, DMD

Diplomate of the American Board of Periodontology