Zev Kaufman, DDS

Hi Lukesjukem:

This is a common occurrence when retention is not followed, flowing orthodontic treatment.  However, do not despair. The fix is fairly easy.  You just have to go through a short course of orthodontics again.  Invisalign specifically offers a 5 year guarantee for their treatment and depending upon what you paid your dentist and which payment tear he/she paid Invisalign, there might be no charge for you.

You must speak to your dentist/orthodontist and address the issue asap, as long as you are within the 5 year window.  Again, depending on the original treatment course and the costs paid at the time, your dentist/orthodontist might be able to save you money.

In my office, usually, when a patient goes through a comprehensive treatment, I do not charge for this type of correction. 

Please do not waste time.  Call your dentist/orthodontist, even at this time of quarantine and speak to him/her.  Make a plan and move on with it as soon as the quarantine is over.

Best of luck,

the natural look of veneers is actually created by texture and proper color gradation as well as the material used. Ask your dentist to see samples of his work and then you will be able to assess what kind of look you can get from this dentist. Also bringing photos and asking the dentist to duplicate a certain book is very helpful.

Best of luck, 

Dear ajana:

Do not look for any quick solutions for your situation. The only proper way to get you to have beautiful straight teeth is Orthodontics. Go see an orthodontist in your area for proper treatment. Anything else such as extractions, veneers, or crowns will produce a very compromised looking result. It is impossible to even out a gum line around the teeth by doing restorative work such as crowns or veneers. The only way is by properly moving the teeth into place. in addition, Orthodontics, although not cheap will be the best and most affordable way to get your teeth straight. Any crowns veneers extractions Etc will result is in a match more costly procedure and you will have to keep paying to redo the work throughout your lifetime. Orthodontics is the cheapest and the best.

Best wishes, 

Sorry to hear for your trouble. however, don't disparage, there is a way out. The most important thing to do is to find a dentist who will be willing to take over the case either at a nominal fee, and some will be willing to take over the case knowing that you will turn into a regular patient that comes in for periodic cleanings and other Dental needs. Invisalign will gladly switch their records for you at your dentist request and will produce any missing aligners.

Personally, we have done this at our practice before without any trouble.

 Best of luck,

Dear Lizziepine:

It is very possible to restore ONLY the dark tooth to match in color almost perfectly to the other teeth and you have two teeth next to it that are worn down by your bite.  However, ANY restorative work done, crowns, veneers, or composite restorations, regardless of materials will suffer the same fate over time.  Not only that, if you crown the teeth, you will end up knocking the crowns out with your lower teeth.  As a Prosthodontist, I am often referred cases such as yours which focus on trying to restore affected teeth, yet ignoring the alignment and the fundamental reason to the damage.  It is like giving Tylenol for a headache and not looking at the cause for the headache, which could be a much more severe problem.

You are fortunate that in NYC there are many orthodontists and prosthodontists who can diagnose your case properly, straighten your teeth properly (even with Aligner therapy) and put your teeth, especially your lower teeth, in the proper position so that ANY dentistry done can look better and last over time.

Once your orthodontics is completed, two simple composite restorations on the worn down teeth and an eMax crown for the dark tooth will make your smile perfect and affordable.

Call a prosthodontist and ask if they can work with an orthodontist to expand your arches and intrude your lower front teeth BEFORE any restorative work. 

Best of luck,