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Question:
My teeth are extremely discolored (also with old bonding on the front top 6 which was made gray!), I've had braces (and still have 3 crooked front bottom teeth), I have had the full perodontal surgery twice, and I grind my teeth. I'm 42 and looking for painfree and white teeth! The periodontal damage (severe boneloss)is in the rear teeth top and bottom.
My question is: Is it worth investing money on crowns (front top 6 teeth)and partials (rear top and bottom with the bottom partial also replacing the crooked front teeth)? They would be white, but would they last with the periodontal problems? Is it true that if the rear problem teeth are removed that the periodontal problem will go away also? Or would dentures be a wiser and more economic solution?
I could have had 2 doctorate degrees by now with the amount of money that has gone into my mouth - and they're still ugly!!! And I'm tired of the pain from loose teeth and abcesses regularly! HELP!!! I need to decide ASAP. I'm planning on going to college this fall and would like to be done with this matter by summer. ...Dana
Answer:
Dana, the key to your question is the bone level of the anterior teeth and bicuspids. If they are healthy, crowns to make them good looking are a good idea. Crowns can also straighten your lower anterior teeth. If bone loss is severe in the front, dentures are in order with implants to secure the lower dentures. It is possible to create a third set of totally fixed teeth with implants and fixed bridgework, if all your other teeth are not salvageable.
Realize, please, that all of the above can be totally changed if radiographs show either good tooth support or very poor tooth support. There are many possibilities depending upon the bone level and your budget for dental care.
Edward Leventhal, DDS
Baltimore Cosmetic Implant Dentistry
8860 Belair Road
Baltimore, MD 21236
(410) 256-7300
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