How should I change my front tooth implant with receded gum? (photo)
Doctor Answers 5
Front Implant Crown
Hi there, yes it must be hard to smile freely with that mismatched implant crown. I can feel your pain. You do have some options. The first is that I would find a board accredited cosmetic dentist to consult with. Dr. Jeff Shapiro down in Wall Street or come on up here to New Haven. Your wider smile and your smaller teeth, with the mismatched gum line require special care. Other dentist here on RealSelf have given you good suggestions...they are all suggestions that necessitate a dentist who has an aesthetic eye and won't put up with a mediocre result. (You can not afford a mediocre result.)
So first find the right dentist. Then you can talk with them about possible removal of the implant followed by new bone, possible gum grafting, and a new implant; or using a periodontist to add in new gum tissue to your existing implant; or using pink porcelain to hide the gum defect; or even doing both front teeth.
I like the first two options the best for your best smile. You are talking about your smile and the rest of your life. You do not want to go second best on this. Good luck. Call me if you would like to talk this over. 203-624-5256 or 203-980-9663 (cell)
If you really want to get the best result from your implant crown, you will need to see a gum specialist (periodontist) who has experience in rebuilding gum tissue around implants. Once that's accomplished, you will need a well made implant provisional crown that will train your gums to be contoured the way your gums should look. After that, your final crown can be made. You shouldn't have to make a crown for your other front tooth. Your new implant crown should just match that tooth.
I tend to agree with your dentist. A crown with pink porcelain can be a very good option and having the adjacent tooth crowned will give you the best matching result.
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I can understand the reasons you want to change this crown. It is very unesthetic. A well contoured crown with pink porcelain stained to match your tissue is one option. Putting a crown on the adjacent tooth isn't really necessary if the single crown is done well. Another option is to remove the implant, bone graft the area, wait for it to heal and have another implant placed. Another option may be getting some Botox placed so that your upper lip doesn't move as much when you smile. Whatever you decide to do it is important to be happy with the result before it is cemented.
Combined proceedure for a makeover
there is a combination of techniques to restore cases like this, you have a high lip smile, and this makes a complex case, but not imposible,this could be the moment for a complete smilemakeover and you will love your smile,a good diagnose and smile analyisis needs to be done.
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