Steven Davidowitz, DDS

It depends on the severity of your gum recession. In your situation, it appears healthy enough to move the teeth into a better position and bite prior to grafting. This approach can actually help the graft take better and last longer. When you move your teeth into their ideal positions with Invisalign, it can improve your bite and overall dental alignment. This can create a more stable foundation for the gum grafting procedure. By addressing the alignment issues first, the grafting process can be more effective and have a higher chance of success. However, it's important to monitor your gum health closely during the Invisalign treatment. Regular check-ups with your dentist or periodontist will ensure that any changes in your gum condition are addressed promptly. If you notice any increased sensitivity, discomfort, or changes in your gums, be sure to inform your dental care provider. Ultimately, the decision to proceed with Invisalign before treating gum recession should be made in consultation with your dental professionals. They can provide personalized advice based on your specific dental health needs.

The black spot on your bonded tooth could be due to several reasons: 1. Tooth Decay: This is a common cause of discoloration and can occur if plaque and bacteria have built up on your teeth. 2. Staining: Certain foods, drinks, or tobacco use can cause staining on your teeth. 3. Improper or failing Bonding: Even if composite material was properly applied, there could over time be leakage and discoloration. 4. Tartar Buildup: Accumulation of tartar on your teeth can also cause dark spots. It's important to consult with your dentist to determine the exact cause and get appropriate treatment. Additionally, please note that composite bonding does not last as long as porcelain veneers. Composite bonding typically lasts for a few years, whereas porcelain veneers can last much longer with proper care.

I'm sorry to hear that you're not happy with your current crowns. The good news is that it is possible to have your front two crowns redone to make them longer. I recommend discussing your concerns with your local cosmetic dentist. They can evaluate your situation and provide you with options to achieve the look you desire. Your dentist may suggest replacing the existing crowns with new ones that better match your preferences.

Your concerns about the symmetry and size of dental crowns are valid, as these factors are crucial for both aesthetics and function. If the crowns' appearance is causing distress, it is reasonable to seek a second opinion. A cosmetic dentist, such as myself, can evaluate the crowns and suggest the best course of action, which may include replacement to achieve a harmonious and satisfying result. It's important to feel confident in one's smile, and a cosmetic dentist specializes in ensuring that dental work not only functions properly but also looks natural and meets the patient's expectations.

The sensation of pressure between a dental crown and veneer can indeed be distressing. It's possible that there is excessive contact or tight spacing between the crown and veneer, which can create discomfort. To address this, dentists can perform an adjustment of the contact points between the crown and veneer, which involves fine-tuning the interproximal space to alleviate the tightness and allow for proper flossing. Additionally, using waxed floss or an interdental file might provide temporary relief at home, but it's crucial to be gentle to avoid any damage. An occlusal adjustment might also be necessary if the pressure is felt when clenching the teeth. This process adjusts the bite to relieve tension. Consulting with a specialist, such as a cosmetic dentist, who has extensive experience with crowns and veneers, could be beneficial. They can assess the fit, ensure proper spacing, and address any occlusal issues to improve comfort. It's important to seek professional advice to resolve the issue and regain comfort.