Do you think it’s relatively safe to crown + veneer by central incisors? (Photo)

Question

I want to put ceramics on my central incisors after bad composite veneers, but my bottom teeth pushing my front teeth from the mouth side sometimes too hard, especially during sleep. Is there a high chance of breaking the ceramics? I need braces and bimax, but it takes a lot of time and effort and before dentist changed my front teeth shape/length I wasn’t experience any discomfort (now I do) I’m hoping to replicate my front teeth with ceramic and avoid bimax at least for now. Ok idea?

Ira Shapira, DDS · Answer

You have an incredibly narrow maxilla and the best approach is maxillary expansion to turn your narrow "V" shaped maxilla into a wide "U" shape and expand the lower to make room for anterior teeth.

The best correction would be to correct the unerlying issue first and then correct the cosmetics permanently.  Placing unbreakable zirconia crows will prevent breakage but may make other issues much worse.

When you smile I assume you have dark buccal corridors, ie the space between the back teeth and cheeks and deep nasolabial groove because there is not enough bony support for the soft tissues of your face.

More important is that your narrow maxilla is not only the roof of the mouth but also the floor of the nose and it is likely you have a forward head posture.

Do you get headaches, migraines, occipital and neck pain?  The parts are all connected.

There are over 30 patient videos discussing these appliances at the supporting link.

Kerem Turgut Atasoy, DDS, PhD · Answer

Hello. In the current situation, the lower teeth may hit the upper teeth and cause the prosthesis to break. In order to correct this situation, crowns can be applied to your lower teeth after endodontic treatment to rearrange the contact of the teeth and prevent them from hitting the upper teeth.

Richard Gochman, DDS (retired) · Answer

I do think it is safe to make those front teeth in ceramics. The ceramics are VERY strong, but the restorations also need to be adjusted to bite smoothly in all directions. For your protection and to minimize discomfort, you should be wearing a nighttime occlusal guard- at least unt you decide to straighten your teeth.

Do you think it’s relatively safe to crown + veneer by central incisors? (Photo)

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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.

Do you think it’s relatively safe to crown + veneer by central incisors? (Photo)

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.