Gagging with dentures sometimes result from the design required to ensure a snug fit with good retention.Implants will definitely open your options to tooth replacement options that will not trigger your gagging. Denture alternatives that should be suitable for you include:- implant overdentures (snap-on dentures)- "All-on-4" fixed zirconia or acrylic arch that is fixed in place, look and chew like natural teeth, and don't require daily removal for maintenance. Depending on the shape of your jaw and the option you choose, 4-6 implants may be needed for the best outcome. The surgery can be comfortably done under general anesthesia. Also, you'll go home with new teeth on the same day as surgery!
Given that your concerns are primarily based on appearance, it is important to ask yourself how you would want to see your smile improve. These details will have a great influence on how your treatment will need to be planned out to give you the best, long-lasting results.Doing braces prior to having veneers is actually a very reasonable approach, since it might completely solve your concerns without even needing veneers. Braces can also help position your teeth so that less of your teeth have to be shaved down for veneers. The more of your natural teeth we can maintain, the better! :)
Assuming that you're trying to decide between dentures and implants that would replace all teeth, there are solutions available that require as few as 2 dental implants to simply help stabilize 10-12 teeth (snap-on overdentures) or as many as 4-6 (All-on-4 or implant bridges for missing segments of teeth). There are a few questions that need to be answered prior to determining the cost and value of a treatment, since the number of implants needed would vary depending on what you want to achieve:1) What is your primary goal? Is it looks? Chewing? A bit of both?2) What is the maintenance required with each option? How long is it supposed to last? 3) How natural-looking and feeling is each option? Seeing a prosthodontist will help you answer these questions more specifically so that you can determine what would be best for you!
I'm glad that you reported a positive experience with Invisalign, as it is a relatively limited system. Since I can't see a full photo of your front 6 teeth, I can't give you a 100% complete opinion regarding evening out your teeth. Assuming that they're in a reasonable position and have a good size ratio, it is possible to lightly file down the teeth to match. However, what I do notice is that one of your teeth exhibit more wear than the other, which could be why they look uneven; if this is the case, it is probably best to leave them alone and tout your individuality. There is a certain amount of attractiveness attributed to slight asymmetries! Depending on the amount of tooth that would need to be shaved, you could benefit from simple composite bonding or a prepless veneer-- but the amount of tooth structure that you are asking about is so minute that I don't believe that these are worthy investments to look into.
Given the amount of gingival (gum) recession you exhibit, my bigger concern for you would be whether or not the teeth that will anchor your future denture are stable enough. The shape of the anchor teeth will also dictate how easily seated the denture will be; the uneven nature of your gums post-extraction may be compensated for with the denture teeth and denture base.
