While either of these specialists can extract a tooth, I would recommend working with an experienced oral surgeon. Ask your dentist for a few recommendations of good oral surgeons in the area and then schedule a few consultations to find one that you feel comfortable with. During the consultation, ask the oral surgeon questions about their experience, training and how often they’ve performed this kind of extraction.
It’s important that you speak with your dentist and express your concerns over the outcome of your procedure. Based on your photos, I would agree that you didn’t receive a good aesthetic result. It’s crucial to work with an experienced cosmetic dentist when getting restorations placed on front teeth since this will impact your smile. When your crowns are redone, you should ask that all-porcelain crowns are used. This will eliminate the discoloration near your gum line caused by using porcelain-fused-to-metal crowns. Ask your dentist to see some before and after photos of other patients who received all-porcelain crowns on their front teeth. If you’re not happy with the results your dentist achieved with these other patients, you may want to explore working with someone else for this particular procedure to ensure your restoration blends in naturally with your smile.
You can definitely replace your silver crown with a porcelain tooth-colored crown. This will provide a more natural looking result that blends in seamlessly with your smile. However, if your current silver crown is still functioning properly, you should weigh your desire for beautiful aesthetics against the cost of replacing a perfectly good crown before deciding whether to move forward with the procedure.
In most instances, you should be able to repair the cavity without removing the adjacent crown. This should be the approach you take unless there is a reason to remove the crown. Once a crown is permanently cemented onto your tooth, it has to be cut off. You will then need to replace it with a new crown since the one currently on your tooth cannot be put back on. This will cost a lot of money and require you to undergo an additional procedure. Unless your dentist tells you this is absolutely necessary, you should just keep your current crown and fix the cavity.
You need sufficient jawbone density to accommodate a dental implant. Therefore, if you lack this bone structure, you may not be a good dental implant candidate. In some instances, you can undergo a bone graft which will then allow you to get dental implants. It’s also possible that your loose teeth are being caused by advanced stages of gum disease. If that is the case, you would need to undergo periodontal treatment to improve the health of your gums before getting dental implants. You should visit an experienced oral surgeon who can discuss your options with you.
