Is It Possible to Have a Dental Implant Crown Replaced for a Larger, Wider Crown to Give Me a More Even Smile? (photo)

The position of a crown placed over a dental implant is completely determined by the placement of the implant.  If the implant is not placed in an ideal position there is only so much your restorative dentist can do to maintain or increase aesthetics.   Custom angled abutments are used sometimes to help correct  implants that are not in an ideal position.  There are limits though.  Potentially, a new crown could be placed with slightly thicker porcelain on that side.  You have to be careful though, because this may create a problem with keeping the area clean.  Also, if it is bulked out too much it may not look very good.  Consult with a cosmetic dentist to find out your options.  Good luck.

Yes, it is very possible to change out an implant crown if needed.  Information on the implant type and size need to be gathered for best results from your old dentist if available. 

As recommended by other doctors, I would recommend a complete exam and a smile design evaluation be done to determine what will get you the best cosmetic result as many times there are other options that create better results.  Don't be afraid to visit more then one dentist until you are comfortable.  Choose only dentists that are experienced in cosmetic dentistry as not all are good in this area.

You can most definitely replace implant crowns.  If it was done 14 years ago, you need to ensure you can track down the initial paperwork on th eimlant system used (if you dont already have it) so that your current dentist can get a new crown made.  It si possible that only a crown needs to be fabricated but you must realize that something called an abutment may as well be required.  It is th epiece that connect the implant to the crown..  Your dentist will need to evaluate this.  Please be prepared when going to your dentist so as not to slow down your progress.