Inwardly front teeth and crowns?

Question

I'm a 40-year-old lady who has always despised her teeth. Overcrowding has caused my two upper central incisors to grow inwards, while one of the top layer incisors has grown outwards and pushed them back. I've seen numerous orthodontists and they've suggested braces. I want a quick natural looking beautiful smile, therefore my question is whether crowns for the front teeth are even attainable?

Nirav Patel, MDS, PhD · Answer

The best treatment option is braces treatment to express proper torque of the upper anterior. I can see chipping of teeth also started, so bite correction is needed in your case. I advise veneers followed by braces / aligners.

Lori Ross Tijerino, DDS · Answer

Hi there, you are right, your incisors are not in an ideal position. When they are mal-aligned there can be a lot of heavy wear and chipping that occurs due to the occlusal (biting) forces between the top and bottom teeth. Crowns can help, but in your case (from what I can see) you would get the best result, both esthetically and functionally, if you are willing do reposition the teeth a bit first. That said, it is possible to do crowns only and improve your smile. To fully discuss, you would need to be seen face to face! Hope you find a solution that gives you the smile you dream of!

Brad Lockhart, DDS · Answer

Your type of tooth crowding and tipping is quite common. BEFORE you attempt a cosmetic fix I would definitely make sure you evaluate the health of your airway and TMJ. With your type of malocclusion you are at high risk for TMD and sleep breathing problems. Before doing cosmetics make sure you do not have frequent headaches, clicking in your jaw, neck aches, back aches, ringing in the ears, dizziness, etc. Also make sure you sleep well, i.e. you wake up refreshed, are not overly tired in the afternoon, do not snore, etc.

Because of the excessive crowding, putting crowns on the two front teeth would not give you the smile you are looking for and it will not correct your retruded lower jaw. To fix your smile cosmetically, you would have to restore 6-10 of your front teeth (depending on how much space needs to be captured). Your far better option is orthodontics which would include orthopedics to move your lower jaw forward. This treatment would also be far superior for TMJ and airway health.

Good luck!

Inwardly front teeth and crowns?

Answers (3)

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Inwardly front teeth and crowns?

Answers (3)

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Everything you need to know about Dental Crown

Our mission is to create a world where every investment in modern beauty is Worth It.