i have protruding teeth how can i get them aligned?

Q. Hi Dr Caplan, I sent a question about 3 weeks ago and haven’t seen a reply yet so I’m not sure if you received e-mail – apologies if you have received it twice. I am 48 years old and I lost one of my front teeth when I was about 13 years old, I had a fall and the dentist removed the broken tooth and fitted a false one on a pallet which I hated. About 17 years ago I had a bridge fitted which now needs attention as it is starting to wear badly. However my problem is that I have protruding front teeth that I would dearly love to have straightened (they are not so bad and they are not crooked in any way – I think the problem was caused with me having a dummy as a child) Am I right in thinking I cannot have an invisible brace fitted when I have a bridge? If not, what do you think my best option would be where I could have an invisible brace fitted? Can I have the bridge removed and have an implant fitted and a brace fitted then? I do hope you can help me – despite my age, my confidence is rock bottom because of this problem and I don’t want to waste anyone’s time by making an appointment. Many thanks in advance. Many thanks

A. Apologies for the late reply. for the Your problem is definitely complicated by the presence of the bridge.  I have treated cases like yours where I widen the smile using veneers further back to balance the appearance of the front teeth. The treatment usually involves about 10 teeth including  a new bridge. This allows me to create a beautiful smile.  Invisalign may be possible to use to help achieve this but usually this is not required.  Hope this helps and if you would like a free cosmetic consultation please contact my surgery.  

Dr Julian Caplan – Director on the board of the BACD View My Profile Dr Caplan

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