I hate my smile, and try to avoid showing my teeth to people.

Q. Hello, I would appreciate your help. I hate my smile, and try to avoid showing my teeth to people. I saw a photo of me recently which had been taken when I was smiling and showing my teeth, and I was so horrified I felt like getting pliers and pulling my top two incisors out there and then. The trouble is, I have already worn braces for over two years in my teens (I’m 22 now), with rubber bands and everything. This was mainly done to correct a canine ‘snaggletooth’, instead of the other option which was to remove 4 molars, one in each corner of my mouth, in order to make more room for the canine tooth to come down to the same level as the other teeth. I was put off by the latter choice because the dentist warned that this could cause my face to have a ‘sunken in’ appearance, but I almost wish I had now, because my mouth still looks crowded. I have a very narrow smile, no matter how hard I try to stretch my lips at the sides, and I still have an overbite, and my top four incisors slant outwards compared to the canines on each side. Think Kylie Minogue’s smile, as although I have healthy teeth my smile looks narrow, showing relatively few teeth, and toothy. Is there any way I could have these large teeth fixed and my smile ‘widened’, without braces again? I would not want veneers either, as these would only make me teeth look even bigger than they are now. I want my front two teeth made smaller, shortened and straightened, pushed further back in relation to my lips so that there is no gap between them and the bottom two front incisors when my mouth is closed, and the two incisors either side on the top row just straightened. I would have this done even if it meant extracting the top four incisor teeth and implanting false ones. The length of my two front teeth is also made worse by the fact that I brushed them too hard when I was younger, causing the gumline above these to recede. Please could you give me an indication as to the possible procedures and cost, many thanks.

A.

Implants cost around £2000 for a Fixture+ Abutment + Crown, An implant bridge four teeth on two fixtures is around £6000. There are additional costs with temporary replacements after teeth have been extracted but before the finished article.
More Ortho or braces expect costs of around £4000
Having said that I would often look to see what could be done with the existing teeth perhaps building up the premolars to broaden the arch of your smile. There are many possibilities here.
I suggest you get at least one simulation on study casts with computer simulation on photographs before you do anything irreversible to your teeth.
We offer initial consultations free, simulations cost £100 for most cases £150 if we simulate two options.

Dr Rob Tennet St Johns Dental Practice 18 Bennett’s Hill, Birmingham, B2 5QJ Web: www.e-dentalpractice.co.uk
May 5th, 2011 at 08:47 PM
Ricky Says :

I have had a problem with one of my front teeth since it came through. It is much higher in my gum than my other teeth and I guess you would describe it as a ‘snaggle tooth’. I am not sure how it could be corrected. Could I please make an appointment to get it looked at? I also have many other teeth problems but they are not as important to me as this tooth.

May 24th, 2011 at 08:47 PM
Christopher Says :

I would like to book a free consultation to discuss the options open to meand the best form of treatment to take.

May 25th, 2011 at 08:47 PM
Emiliano Says :

i am at my wits endand am hoping soemone can help me i have been ill for several years in my20s and 30s im now 45 over the last few years ive lost all me confidence and constantly suffer from ulcers most of the time i believe due to my teethproblems when i was ill the treatment and drugs took it out on my teeth over 20 years ago i have tried to look after my teeth to the best abilty but im in constant pain for sensitivity fear of them dropping out which they doas after treatment for illness i has 10 crowns over the years they have become intolarable i cant afford private yet my dentist who has changed recently will do nothing she says maybe when one falls out again they are hugh crowns now ugly my front ones often fall out only to be put back in they havealso now gapped in the front very wide gap i darent smile any more they get red and sore around the edges causing ulcers the gap has become so largemy top uppe r lip often gets stuck they will do surgery on my lip to take away excess skin but do nothing for my teeth which is making me very depressed is there anything you can do to help me surely im entitled to have somerelief from the nhs i just dont know what to do any more i use to be the life and soul of a room now i hardly make conversation as im so embaressed and its effecting me ad im also in pain from them to ive always looked afterthem but now they are just to sensitive to even cleam properly please please advise

May 25th, 2011 at 08:47 PM
Israel Says :

I would like more info on orthodontic treatment for teeagers. What is the cost of initail consultation? It would be for my daughter , currently 12, Who has been advised she will need braces at some point ( she is on a 12 month call back at NHS orthodontist due to still having some baby teeth. We areinterested in exploring alternative options that may be suitable for her ie invisalign teen

June 8th, 2011 at 08:47 PM
Joana Says :

Hi there, I have recently had my two front teeth crowned but my teeth still need a lot of work and I was thinking about Invisalign. Are crowns and invisalign braces compatible, will the braces damaged the crowns or cause the gums to show? I would really love straight teeth so whatever advice you could give would be greatly appreciated. thank you very much

June 8th, 2011 at 08:47 PM
Amani Says :

You can have Invisalign with crowns and it will not cause any damage to them. As far as the gum is concerned, the brace does not cover your gums, so you should not worry.

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