Upper implants and full fixed bridge fitted recently, unhappy with the appearance as the teeth are barely visible. (Photos)

Question

Teeth only visible if I smile really hard. Dentists say they'll correct but they can't make the teeth longer as the bridge will become unstable. They've said that the problem is that my upper lip has "collapsed" with age so the only solution is to replace the bridge with an implant retained overdenture as that will take up more space in my mouth and lift my upper lip. Is what they say correct; my top teeth aren't especially long. Should they not have considered this issue before progressing?

Victor Sanz, DDS · Answer

If your teeth are porcelain they can be  lowered. The porcelain added will be at a higher risk of fracturing. The position of your lower teeth are also a factor. Good luck

Brian Dorfman, MD, DMD · Answer

Dentists will often fabricate a temporary bridge that mimics the final bridge so that these issues dont occur.  If that wasn't done then you can ask your restoring doctor if a hybrid type bridge can be made which can also give more lip support.  If there is not enough room for this type of prosthesis because adequate bone was not removed in the implant placement process then an overdenture may be the only answer without removing the current implants.  Proper planning in these cases is imperative to avoid these esthetic issues in the final restoration.  Without full photos and radiographs this is only theoretical though

Upper implants and full fixed bridge fitted recently, unhappy with the appearance as the teeth are barely visible. (Photos)

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Upper implants and full fixed bridge fitted recently, unhappy with the appearance as the teeth are barely visible. (Photos)

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