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Any dentistry aficionados?

Tony

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So my right top front tooth is a different shape than the left one. It's more rounded. It's a great working tooth with no problems. But I want it to be the same nice shape as my left top front tooth. What procedure would be the best to get this result?
 
Have it removed and an identical implant put in place.
 
Well it's the only realistic way to get 2 teeth to look exactly alike. If you like one tooth and don't like the other they can make a fake look exactly like your favorite tooth and replace the other tooth with it. They can't really whittle down one tooth to match the shape of another.

My 12 year old daughter has broken both of her front teeth completely in half at different times. They glued the broken pieces back on, but in the long run she will need implants. They can cast her current teeth and make implants that match her teeth including matching the color, and then permanently implant them in the upper jaw. They are waiting until she is done growing then they will look at putting in implants, mainly because the glued teeth will take different coloration (which is happening a little bit already) and they run a bigger risk of breaking again.
 
Well it's the only realistic way to get 2 teeth to look exactly alike. If you like one tooth and don't like the other they can make a fake look exactly like your favorite tooth and replace the other tooth with it. .

No implant will function like the real tooth. So as long as real tooth is healthy I would never, ever consider replacing it with implant. That is just plain wrong.
 
No implant will function like the real tooth. So as long as real tooth is healthy I would never, ever consider replacing it with implant. That is just plain wrong.

This is my sentiment. I think it's a waste to remove a healthy tooth and have something artificial implanted in my mouth.
 
No implant will function like the real tooth. So as long as real tooth is healthy I would never, ever consider replacing it with implant. That is just plain wrong.

Fine then don't. But it is the only realistic way to change the shape or appearance of a tooth. Dental enamel is just not a good medium for reshaping. It is an answer to the OP, and if it isn't the preferred method then fine, but it doesn't mean it isn't a viable option at all.
 
Fine then don't. But it is the only realistic way to change the shape or appearance of a tooth. Dental enamel is just not a good medium for reshaping. It is an answer to the OP, and if it isn't the preferred method then fine, but it doesn't mean it isn't a viable option at all.

Why not this method? Tooth stays, shape changed. Win win situation.

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loggrad - you are getting terrible advice. Terrible (unless there is more to the story here). There are a TON of ways to match the shape of teeth before you jump to implants. Implants are fantastic, but not as good as what you were born with. Especially getting implants done so young opens yourself up to all sorts of potential problems later in life (remember, nothing dentists do lasts forever, except for taking a tooth out. Any dentist that tells you his restoration/filling/crown/implants lasts forever will either go bankrupt in 20 years fixing all his "permanent" work or is lying to you.).

For the OP - Anyways, there are a ton of options for fixing teeth and making them look similar from cheap to really nice.
 
Fine then don't. But it is the only realistic way to change the shape or appearance of a tooth. Dental enamel is just not a good medium for reshaping. It is an answer to the OP, and if it isn't the preferred method then fine, but it doesn't mean it isn't a viable option at all.

This is 100% false.
 
This is 100% false.

Dental enamel is a good medium for reshaping? You can chisel away at a tooth to make it look like another one?

But I want it to be the same nice shape as my left top front tooth.

If what he really wants was for the one tooth to be reshaped to look exactly like the other tooth then veneers don't really do this, do they? At least not a single veneer. Both teeth would need veneers, and then they would look like each other but not look like the original teeth. Or can they make a veneer for one single tooth that would make it look like the other teeth without making it look out of place or without creating a veneer for the "good" tooth to match them up? When my wife had veneers done they told us it usually needed to be an all or nothing kind of thing, at least on surrounding teeth, as they can look out of place and it is very difficult to do a veneer on just one or two teeth and make it look natural, and can raise the cost. She had issues with 2 teeth from when she was a kid and we had them done on those 2 teeth. For the most part it worked out ok, but you can tell if you look at them for more than a couple of seconds. For the most part you wouldn't notice, but she notices every day in the mirror and it gets on her nerves. We will likely have the surrounding teeth done at some point to even it out.

As far as my daughter's case goes we have been to 5 different dentists and oral surgeons and all had about the same response. Her teeth broke into the root, both of her front top incisors, and one of them has since had a root canal since it developed an infection. One of the teeth broke across the tooth nearly at and then down to just below gum level (the one that has since had the root canal) and the other one broke at a sharp angle from the top of the tooth to under the gum line. The plan is to revisit when she is older, or as needed if there are complications. She is going to need braces and they have expressed some concern over the bonded teeth with braces as well. I would be happy to get a 6th opinion as we don't want that for her either, but right now the outlook isn't very promising.
 
Dental enamel is a good medium for reshaping? You can chisel away at a tooth to make it look like another one?

Or add to it. Enamel is a fantastic medium to bond to...or cement to.


As far as my daughter's case goes we have been to 5 different dentists and oral surgeons and all had about the same response. Her teeth broke into the root, both of her front top incisors, and one of them has since had a root canal since it developed an infection. One of the teeth broke across the tooth nearly at and then down to just below gum level (the one that has since had the root canal) and the other one broke at a sharp angle from the top of the tooth to under the gum line. The plan is to revisit when she is older, or as needed if there are complications. She is going to need braces and they have expressed some concern over the bonded teeth with braces as well. I would be happy to get a 6th opinion as we don't want that for her either, but right now the outlook isn't very promising.

That's a lot more info that originally given.
 
If what he really wants was for the one tooth to be reshaped to look exactly like the other tooth then veneers don't really do this, do they? At least not a single veneer. Both teeth would need veneers, and then they would look like each other but not look like the original teeth. Or can they make a veneer for one single tooth that would make it look like the other teeth without making it look out of place or without creating a veneer for the "good" tooth to match them up? When my wife had veneers done they told us it usually needed to be an all or nothing kind of thing, at least on surrounding teeth, as they can look out of place and it is very difficult to do a veneer on just one or two teeth and make it look natural, and can raise the cost. She had issues with 2 teeth from when she was a kid and we had them done on those 2 teeth. For the most part it worked out ok, but you can tell if you look at them for more than a couple of seconds. For the most part you wouldn't notice, but she notices every day in the mirror and it gets on her nerves. We will likely have the surrounding teeth done at some point to even it out.

This is where it get tough. It depends on a lot of things. Thickness of the tooth, translucency, shape, size, age of the pt, color, more boring stuff.

We can do one veneer at a time and make it look amazing. BUT, it takes work. We take shades under different lights, we do wax-ups, we take molds, molds and more molds. We involve the artists from day one (lab techs) and go over pros and cons of what is possible. Sometimes we can't do just one, and when that happens, we go over why.

The problem most of the time is the depth of the dentin and shade matching. Most docs aren't willing to do the work, for millions of reasons. There is nothing wrong with it. It is much easier to match six man made veneers than to match one veneer with five other stained, imperfect teeth.

So, can it be done? Absolutely. My dad has just one that we did last year. You can't tell which tooth it is.

The funny thing is, the biggest hurdle I've had to doing just one is the patient themselves. It's funny. When they go to one dentist, and he tells them they need six veneers at $900 a pop, then they come to see me, and I tell them with the extra work we will go through to do just one, it will cost them $1200, the decide they like the $900 option, which ends up costing them $5400 vs $1200. The psychology of it all is very interesting.
 
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Do you have any recommendations for dentists in Logan or close by, green?
 
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