Implant not aligned with teeth? (Photos)
Doctor Answers 4
Implant, crowns and gumline
It looks like your implant is actually on the right lateral incisor and the peg lateral was on your left lateral incisor. Is your photograph reversed in the submission? If it's the way you say, then I may answer this question differently. But the pictures look to be in reverse of what you described.
Douglas Jopling, DDS
Dallas, Texas area
The gumline matters more than most people think!
What happened to you is a classic example of poor communication between the doctor and their patient, as well as the ever growing gap between dentists with particular skill sets. What I mean is that a dentist is not a dentist is not a dentist. 30 years ago most dentists practiced on the same playing field and had similar skill sets. Today, technology and advances in dental education, and the way we practice dentistry has created niches within dentistry that most lay people do not understand. Please do not take this the wrong way, I am not placing any blame on you for the esthetic outcome of your case. It is, in my opinion, the dentists job to clearly define and explain expectations to patients in terms of outcomes of their treatments. Your picture shows what looks like a very functional and probably quality restoration on both sides. However, the esthetics or cosmetic component is partially missing. Color, size, shape, position of gums, and certain other characteristics must be taken into consideration by a dentist attempting to achieve the most natural result. If this is not possible, which is entirely plausible in your case, the dentist should let you know that there may be some compromising with a certain procedure. Or, develop other options to reduce the chance of these things from happening.
I don't think your dentist did a terrible job of getting teeth back in those areas for you. However, he or she completely missed the boat if they did not discuss with you outcome expectations and or discuss the esthetics component of this type of procedure.
I am sorry that you are not satisfied with how the procedure turned out, and I hope you are able to find a dentist in your area that can help you mend the issue. If it is any consolation, I have seen much worse esthetic and functional outcomes with this type of procedure.