Can this be fixed by adding to device? (Photos)

Question

After my all on four procedure, the entire shape of my face has changed and I'm extremely unhappy with it. I am over 1 year post-op and I kinda feel I've just traded one insecurity for another and at the tune of 30k... I have total 'denture-face' from losing so much bulk in the ridge 'reduction' (elimination!) process. Lips are not supported at all... not only do I not look like myself but I look 10 years older and ironically these are all the reasons I did this instead of dentures... :(

Kimberly Quan Hubenette, DDS · Answer

Depending upon the type of material your dentist used is the key question. Acrylic can be added to however Zirconium cannot. Ask your dentist about yours and tell them your dilemma. If you do not tell them , they will never know that you are unhappy with the final outcome. It may be an easy fix.

Kerem Turgut Atasoy, DDS, PhD · Answer

Hello. The anterior position of upper incisor teeth determines your facial profile. Sometimes these teeth in the prosthesis can be positioned in more anterior position to support your lips to overcome "older appearance".However, the wrinkles in your lip may also be corrected by additional dermal fillers along with renewal of prosthesis in a more lip supporting fashion.

Jerome Y. Cha, DDS · Answer

When it comes to restoring your entire upper teeth or both upper & lower, the design process has to involve how the teeth position, shape and length will change the face.

The three essential components of all dental restorations should address, overall esthetics, function and longevity.  When addressing these issues, communications with patient, doctors and all support team in designing the restorations have to be very experienced.

The usual process of designing 'Full Face' restorations involve initial information gathering (CT scan, photos of face and mouth, full examination including overall health, models and preliminary smile design).  From the initial information, computer simulations are done and approved from the patient. Then a trial smile restorations are made for the patients to try out prior to the surgery or actual procedure.

Then at the time of surgery or procedure, a refined set of temporary restorations are placed in patient's mouth to evaluate overall esthetics and function.  This process usually takes few visits. When both patient and doctors approve the design, then the final restorations are made.

Also when it comes to choice of materials for the final restorations, there are many variety. Some lasts shorter time and prone to staining and breakage. So it's important that doctors and patients agree on the best choice of material for the patient's budget.

Unfortunately, there are many clinics that skips few steps.  It sounds like a few very critical steps of design and refinement of the temporary restorations was skipped in your case.

Joongseo Kim, DDS, MS - Account Suspended · Answer

When God created the creatures, Our Natural teeth are aligned and positioned at the most comfortable zone or neutral Zone between the Cheek or Lips and another antagonist which is Tongue. The neutral zone is moving inward as upper alveolar ridges are resorbed inward during the aging process.Many practitioners made the mistake of not locating fake teeth and prosthetics in this Neutral zone, Instead, they build prosthetics to fit constricted, or resorbed alveolar ridges, Therefore insufficient lips and cheek support result in sagging and drooping well as the frequent tongue bite.

German Arzate, DDS - Account Suspended · Answer

if the  implants are strong and stable, you can certainly change the shape, size and even color to make a more beautiful smile,and you will change also those things you are saying here.

Can this be fixed by adding to device? (Photos)

Answers (5)

Answer: Teeth or implant restoration like hybrid type of implant supported should be at Neutral Zone

Answer: Teeth or implant restoration like hybrid type of implant supported should be at Neutral Zone

Answer: Yes you can

Answer: Yes you can

Recommended reading

Everything you need to know about All-on-4 Dental Implants

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

Can this be fixed by adding to device? (Photos)

Answers (5)

Answer: Teeth or implant restoration like hybrid type of implant supported should be at Neutral Zone

Answer: Teeth or implant restoration like hybrid type of implant supported should be at Neutral Zone

Answer: Yes you can

Answer: Yes you can

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Recommended reading

Everything you need to know about All-on-4 Dental Implants

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