My doctor has told me that my crown will be off centered. What is the best way to approach this problem? (photo)

Question

Hi Docs, i will be having crowns but the problem that my doctor is having my front tetth off center. Please see picture

Sarah Thompson, DMD · Answer

Based on your photo, I would recommend placing a bridge along your upper arch, along with multiple porcelain crowns.  This would be a little expensive, but it would restore your mid-line and give you an awesome smile.  A procedure like this would take 1-2 appointments in my office.  Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMD

Norman Huefner, DDS · Answer

You are missing three of your four front teeth.  The upper right lateral that is crooked is the smallest of all your upper teeth and has the weakest root.  In general that tooth is not the best supporting abutment for a five unit bridge.  Also, the tooth is so angled, that it would probably need a root canal.I might suggest that you and your dentist consider removing the angled tooth altogether and making you a fixed six unit bridge.  This should achieve having your front teeth straight and better centered.Other treatment choices are implants or a removable bridge.  Either way, it is my opinion that you will be best off removing the angled upper right lateral incisor.

Jeffrey Green, DDS · Answer

Unfortunately esthetics are sometimes limited by the space we have to work with.  Short of possibly orthodontics getting the midline correct may be impossible.  That is why is is so important to replace missing teeth as soon as possible to prevent adverse movement of the adjacent teeth.

Ira Shapira, DDS (in memoriam) · Answer

I would strongly suggest you consider orthodontics prior to crowns.  Your bite is obviously not right.  The best bet might be a DNA Appliance worn 12 hours day with a bonded cosmetic temp during expansion.  Long run you will save lots of problems and have a healthier and more cosmetic end result.

My doctor has told me that my crown will be off centered. What is the best way to approach this problem? (photo)

Answers (4)

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