Do I really need an implant? (Photo)

Question

My front tooth broke and had a post and crown done on it. Another dentist had recommended an implant on that tooth because he says I have a crack and was at risk of losing it at anytime. I had veneers done and it messed up my bite. I am planning on redoing my veneers. My question is do I really need the implant now or can I just wait until the crown stops functioning? If I were to change my veneers, would that affect that crack? Your help is really appreciated.

Matt Annese, DMD · Answer

it is fractured on the mesial/ or middle aspect of the tooth. The one issue of waiting and seeing is the extent of the fracture and amount of bone loss that can continue. This is a pretty difficult case as is to achieve an esthetic outcome, depending on your smile line, This will probably involve lots of grafting and if the adjacent teeth are already veneers a 3 unit bridge could be a better implant ( one of the few times i would ever say that )

Ajay Kashi, DDS · Answer

I would not recommend doing veneers on a cracked tooth (especially if the tooth does not have a good prognosis). From what I can gather if your dentist has already informed you of this it is not advisable to do veneers. Start planning on working towards looking into alternate solutions including implant, bridge or even a single tooth partial denture.

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