I Had A Chip On My Incisor And Each Repair Seems To Get Chipped Too. I Don’t Have Bruxism. Would A Crown Work For Me?

Q.
Hi Mark. I’m a 35 year old male. I had a chip on my maxillary central incisor. It was first repaired by composite bonding. This only lasted a couple of days before it chipped as well. A week ago a veneer was on the NHS (not sure whether its a ceramic or porcelain veneer). I woke up this morning and it had chipped as well in the same location as my own incisor chipped initially.

My teeth are not completely aligned. When I close my mouth my upper teeth ends up slightly in front of my lower teeth. My central and lateral mandibular incisors are worn down. I don’t exhibit bruxism during the day, and don’t know if I have nocturnal bruxism.

I believe that just replacing the veneer with a new one will likely result in the new veneer breaking as well. Would a crown not be better suited?

A.
It sounds like your bite, how your teeth function and work together may be the underlying problem. It may well be best to correct this first – usually with orthodontics. A crown could be provided but what if that also breaks? A crown is also very destructive to your teeth and the more conservative and better long term route is most probably to start with correcting your under-bite first. You will most likely have to have this treatment done privately and my advice would be to seek assistance and help from an experienced cosmetic dentist/restorative specialist and/or an orthodontist first.

Best wishes, Mark.

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

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