Missing front teeth

When my daughter was in elementary school, she had a playground accident that damaged her two front teeth. They ended up having root canals and crowns put on them. She keeps getting these bumps on her gums that indicate infections. She’s 22 now, and we’re thinking these teeth need to be replaced. She’s very self-conscious about her teeth. My husband and I want her to feel good about her smile. Is there a tooth replacement specialist? What should we look for? I don’t mind paying extra for good care. I just don’t want to pay¬†exorbitant¬†fees.

Seliana G. from Oklahoma City

Seliana,

I would recommend getting dental implants and crowns. When done right, they look and function just like healthy natural teeth. She’ll feel very good about her smile. You do have to be careful you go to someone with adequate expertise both in placing implants and in artistic cosmetic dentistry.

Make sure the dentist you choose has done a lot of post-graduate training with dental implants. This isn’t a regulated part of dentistry, so any general dentist can place them. That is fine if they’re qualified. One way to find a good cosmetic dentist is to look on the mynewsmile.com website. They recommend artistic cosmetic dentists by state. You’ll still want to ask about their implant training.

This blog is brought to you by Newton, MA Dentist Dr. Steve Bader.

Replacing rotting teeth

four of my front teeth are rotting and need to be replaced. i’m missing half of three of them and just a small amount of the forth. do i need dental crowns or veneers?

Benjamin O. from Wisconsin

Benjamin,

Because of the amount of tooth structure that is damaged, I would go with porcelain crowns. They’ll cover your entire tooth, while porcelain veneers really only cover the front of your teeth. Plus your teeth would need to be intact and healthy. It is strictly a cosmetic procedure. With crowns you can take care of the unhealthy teeth while improving the cosmetics of your smile.

Look for a dentist who has some cosmetic expertise, especially because we’re talking about your front teeth. You’ll want to make sure the dentist uses all-porcelain crowns. Don’t let anyone try to talk you into porcelain-fused-to-metal crowns. You’ll end up with a dark line at your gumline that will be very unsightly.

This blog is brought to you by Newton, MA cosmetic dentist Dr. Steve Bader.