I have early stages of periodontal disease. I got a deep cleaning a few days ago. Can I get veeners or crowns? (Photo)

Question

My periodontist recommended gum graft. I don’t really want to do that now. But was wondering if I can get veneers or crowns over my 2 teeth in the photo?

Sarah Thompson, DMD · Answer

I would highly recommend treating the periodontal disease, making sure that it is stabilized prior to getting the veneers.  It is fine to get veneers, once you know your periodontal disease is stable.  As far as whether to get the gum graft or not, it really depends on your preference.  If you are feeling sensitivity from exposed tooth roots and/or the appearance of your teeth appear too long and unattractive, then a gum graft is probably going to be your only option.I hope this helps and you can click "save" to follow me on Realself and ask me more questions in the future.Dr. Sarah ThompsonDreamDentist.com

Anthony Mobasser, DDS, DMD · Answer

Prior to veneers, It is best to have gum graft done, since the bond to the root of your tooth is not as good as to the enamel.Having said that, I always advocate the least invasive procedure, depending on the xrays, and your bite, possibly do dental bonding, first then lumineers possibly, veneers in worst case scenario crown. Need clinical exam and xrays to answer your question.Best of luck!

Vachik Danoukh, DMD · Answer

Hi Haleena!  As long as your periodontal disease is stable, you should be able to get veneers. Periodontal disease is a condition that does not go away, but it can be kept under control.  If your gums are sensitive, you may want to do a gum graft. If they feel fine than I would proceed with the veneers. Good luck and take care of those gums!

Kourosh Maddahi, DDS · Answer

Hi:It’s is always recommended treating the periodontal disease prior to any restorative work.  Best,Dr. Maddahi

Amber Garcia, DDS · Answer

I wouldn't consider crowns or veneers until your periodontal issues are stable. There's no point treating anything esthetically if the foundation isn't healthy. As far as the recession in the photo, I would recommend tissue grafting to prevent any further issues. If you have crowns or veneers placed and the recession isn't treated, it could get worse.

Andy Shieh, DMD · Answer

Once your gum disease is under control, veneering thise Teeth is a great option. Veneers or Lumineers will look great.

Ali John Jazayeri, DDS · Answer

Hey there. Placing veneers or crowns will cover your gum recession, but you’ll end up with long teeth that don’t fit in. Plus, you don’t look like you have damage or restorations on your front teeth. It seems like gum graft is a much better option for you. First off, you won’t damage your teeth with a gum graft as opposed to crowns and veneers. Secondly, your front teeth would look nice and even with a gum graft and there won’t be any mismatch. By the way, I would consider Invisalign before doing the gum graft. This will straighten your teeth and reduce the possibility of relapse. Also, pay attention not to brush as hard to prevent future damage to your gums. Hope this helped!

Konstantin Gromov, DDS · Answer

Good day, according to the photo provided at least two teeth do have recessions (exposed roots). If you proceed without gum grafts (various techniques available) the gum quite possibly will continue to recede above the new veneers (!) since the problem hasn’t been addressed / treated .

Lance Timmerman, DMD, MAGD - Account Suspended · Answer

When periodontal disease is present, a decision of when to treat should be considered.  We can not CURE periodontal disease, but we can control/maintain it.  If your gums are under control, porcelain crowns or veneers can be placed predictably.

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