Anterior Tooth Breakdown
I'm 30 and just had two crowns down on my top front teeth. The reason for the crown was one of the teeth keeps chipping off because the way I bite. My dentist recommend that I get that tooth crowned instead of bonding it every few months, but keep in mind this tooth is in good condition and never had any filling. He also recommended that I get the tooth beside the chipped tooth crowned as well. I listened to his advice and did so.
The reason for my email is I'm unhappy of the outcome because my smile changed and I feel crown looks false. I didn't understand whether I need a crown because the teeth are in good condition. My question is there a better option than crowning them, or was this a long term solution for the chipped tooth and was crowning the teeth necessary? Please advise, thank you.
Thanks for the question,
Linda
Anterior tooth breakdown is very common and a challenge to manage. Many times the reason for tooth fracture and weakness is either trauma from a blow or fall (maybe long ago), or the daily trauma of someone who clenches their teeth and bruxes on their front teeth….this also tears things up. If you look in a mirror, push your lower jaw slowly forward until the upper and lower teeth are end-to-end. Many times this is the protrusive position that you get into during sleep that causes the repeated breakdown of your teeth or bonding that has been placed. Sometimes when you repeatedly break off composite and more strength needed, crowns are often the best solution. In our practice you would also have a nighttime guard to protect those front teeth from further breakdown in the future. These dominant habits can be very destructive.
But you should work with your dentist first to get the crowns to the satisfaction of both you. It is a challenge getting teeth to look natural sometimes…. But definitely you should be able to work this out with your dentist. Both of you need to communicate about what you both like and don’t like and what is possible (or not possible) with the planned dental work.
Chuck Campbell, DDS
Dale Brant, DDS
713-795-5905
Labels: alternatives to dental crowns, anterior tooth breakdown
