Peter Sutton, DMD

While it may be possible to do what the other doctor suggests, that is far from the ideal treatment. Having a crown myself in the front due to trauma, I can tell you from experience that it is not a 1 time fix and your're done. That tooth is out of position so the crown/veneer that you place will be not in a good position, it will always be prone to fracture or breaking and it will be very bulking. Also, as you age your natural tooth color will change and your veneers will stay the exact same color and they will have to be re-done if the color becomes a problem. I know you don't want to do it but orthodontics is the best and most obvious treatment here. You have great looking teeth too so I would not recommend you crowning or veneering them. I think if you went to an orthodontist and saw a work-up of what your natural teeth would look like once they are straightened and the bite corrected, you would be much happier and the long-term results would be much better and more stable.

Good luck

I agree with the previous answer and that you need orthodontics. The problem is not the teeth themselves but the bite and position of the teeth. You never want to put veneers or crowns on healthy teeth because they you will have to deal with a lifetime of bulky crowns, the colors changing or possibly them breaking. Natural is the way to go for sure. But her suggestion of six months smiles is not a good one. Six Month Smiles is not a good treatment option for anyone. six month smiles is an attempt at a quick fix system general dentist use, who don't have proper training in orthodontics so they pay an outside company to help them out. The results are not as good and this has been documented through clinic research and case comparison studies. By simply going to an orthodontist, you will get the treatment done quicker and with much more expertise.

You are definitely a great candidate for orthodontic treatment but under the supervision and care of an orthodontist. Based upon your exam, x-rays and diagnosis your bite and teeth can be fixed. Smile Direct Club does clear aligner treatment which works for more minor treatment but they don't use IPR/tooth thinning, attachments, x-rays and have no in treatment supervision. Best to seek help from a professional and get the treatment done right.

I would definitely recommend getting some orthodontic treatment prior to getting any crowns or veneers. Putting the teeth in the proper position not only looks better but also helps the teeth to function better over time. As a result, if the teeth are put into a better position the final veneers and crowns would most likely be in a better position for function and have a better long-term stability. 

As far as your deep bite, I would recommend braces over clear aligners (such as invisalign). I use both techniques in my practice and clear aligners are not the best to treat deep bites such as yours. They tend to not fully correct the deep bite during treatment and show large amounts of relapse as a result. Braces would correct the deep bite much more effectively and give a more stable result. Hope this helps.

I would first go get a thorough evaluation with an orthodontist to plan out the course of treatment. I see that you have active appliances in and from what I can see you also have active cavities. You will definitely want to get those cavities filled before moving on with any further orthodontic treatment. An orthodontist will be able to direct the course of treatment and what final restorations may be needed after the teeth are moved into their proper position. Typically, all disease is taken care of first, such as cavities and then orthodontics is done. After treatment any crowns, implants or bridges are placed as needed by the restorative dentist.