Tim Huckabee, DDS

My experience with reimplanted teeth is they eventually all fail.  Placement of a dental implant is the best way to treat this.

The answer is it depends. The zirconia (all porcelain) option is the strongest.  The acrylic option is not as strong but often looks better cosmetically. Having an upper and lower zirconia all on four will often produce teeth clicking sounds that patients find annoying.

Then there are biting and wear issues. Zirconia is a better choice when the opposing teeth are natural or crowns especially if grinding is an issue. if an upper and lower all on four are done it the same time I will often make the top zirconia and the lower acrylic. Excessive grinding with upper and lower zirconia can place heavy strain on the dental implants and cause failure.

People lose teeth for different reasons including cavities,gum disease ,grinding and sometimes a combination of more than one.  The plan to replace your teeth should consider those factors. Your dentist should be able to guide you to the pros and cons of both materials and make a decision that would be the best for your situation 

From your enclosed CT it looks like the tooth has a vertical fracture which means it is not salvageable.  Extraction and implant would be the best choice here.

Mini Implants are less costly but in no way the same as a traditional dental implant. Mini implants also have a relatively high failure rate. Most people still love their implants year later.   In 10 years most mini implants will have failed in that time.

After the initial placement of the healing all on four (teeth), the swelling that occurs after surgery will subside.  At this time often some space will be present between the healed gum tissue and All on Four bridge.

Usually we want the bridge to stay in place to help the implants integrate (fully heal).  After the 3 month mark we can remove the temporary bridge and add material to it so it once again lightly touches the gum area.  This is most often done at the same time we take measurements for your final bridge.

Without examining you and a good set of X-rays, a complete and accurate diagnosis is impossible   I have been performing the all on four procedure for almost 10 years.  Unless you have severe decay and/or gum disease at age 22 the all on four would be a terrible choice for you.

If you don't like the idea of braces clear aligner therapy might be a better option to straighten your teeth.  If your teeth are healthy keeping them for life is your best option.

Hi Lana

It's impossible to answer this question without seeing photos and X-rays ,but yes it is sometimes possible to place one implant and restore with two teeth.  The quality of the bone and and cosmetic display will help determine if this would be the correct decision.

You implant dentist should be able to show you examples of his/her work where they have done this procedure to help you determine if this is the right option for you.

This should be able to be repaired quickly and easily and most often without any local anesthesia. There was probably a small void or air pocket in the original composite that caused this.  Should not damage the tooth structure at all.

Sorry to be the bearer of bad news but that has to be redone. Either there was a bonding failure, failure in the veneer or moisture when placed but it must be redone.  Your dentist should replace at no charge

This is an often asked question. Many people want white teeth but not fake chiclet looking teeth. What looks good in my opinion and in the hands of the right dental lab technician is a blend of A1 and OM 3. Darker at the gum and lighter at the edge of the tooth. A bright white tooth that looks natural