Dear TimAll on 4 is 4 implants followed by a prosthesis to act as a full arch replacement of your teeth, it is very much the end game strategy to restore your teeth. It would not be considered where you have saveable teeth. It seems like you may need a combination of orthodontics, and bonding, veneers or crowns, depending on a full examination, however you must choose the most conservative option that will give you longevity.Dr Sanjay Patel
Dear Natalie Both are possible- Implants here and restorative elsewhere, however if you are looking for the optimal result it would be best to have treatment within one practice. I find communicating with my colleagues to place the implants so the restorative and therefore the final aesthetic result is best, can be achieved better within one practice. We regularly discuss cases at the practice and without that discussion sometimes implants placed without the final smile in mind can make the restorative phase harder Hope that helps
Hi Given 6 years has passed, there will most likely be some gum recession. The gum in this region is very thin and when exposed the underlying non-vital tooth structure can appear prominent in color even if it is only a millimeter. If there is no pathology there may be options which do not require you to remove the crown. Failing this removal of the crown, and a new crown respecting the biological width may be needed Best Wishes Dr S.Patel
Hi There are many reasons why you can have gum pain after a crown. These include but are not limited to the crown margin impinging on gum, a high bite that may need adjusting, food packing from a crown that may need adjusting and the crown procedure itself causing some localised trauma to the gum. I would await a few days to see if it settles. All the Best Dr S.Patel
