I need to get my front teeth redone can you please advice?

Q. Hello In terrible pain after a root canal yesterday morning hence i am surfing dental sites at 3.20am but that is not actually anything to do with my question. I just wouldn’t normally have the time to surf and ask the question! When i was 10 years old (1974) i had four second teeth removed due to ovvercrowding (I have a very very small mouth) and then wore braces – rings, wires, elastic bands – you name it for about 2 years having a terrible time moving house from town to village and village had never seen anything quite like my (scaffolding) metal mouth. At 13 years old i had beautiful teeth but at 16 the top and bottom four teeth had been pushed forward and overlapped. I was told this was because i didn’t have enough bone in my mouth, or more recently i shoudl have worn a retainer for longer? When i was 25 a lovely dentist upset by my being upset about my teeth fitted four crowns in my top teeth – they are stuck together – i think they are a bridge and two crowns and they looked great. He wrote to the NHS and also got them done for me at a reduced cost of £150 (NHS coughed up the rest because of the failure of all my orthodental treatment)Twenty years later they need doing again as my gumes have receded and they don’t look good close up but my question relates to my bottom teeth. These are small, overcrowded or pushed forward like my top teeth were, slightly chipped and generallyy don’t look nice. It is just the front bottom four – just like the top bottom four were before cosmetci work. Everytime i’m at the dentist – see a new dentist i ask if something can be done to imrove the look fo them and they always say it would be difficult and not worth it but if i’m about to get my upper teeth done at a small fortune i’d so like my whoel smile to look good and not have ugly looking bottom teeth. Could not he same work that was done on my top teeth (crowns etc ) be done to the bottom. I can’t see how veneers would work these teeth are tiny and overcrowded but of course i’m not the expert. Any advice, are all things possible. Thanks and sorry this eamil is sooooo long.

A. Dear  You seem to have done a fair ammount of dentistry in 45 years. since the 1980s many tecniques in dentistry have changed almost beyond recognition. The standard crown preparation removes about 1-2mm thickness of tooth , your lower front teeth are 4-5mm wide and a therefore the crown is a more destructive option compared with a wider upper tooth. Minimal preparation veneers would be a possible alternative for some people.Meantime local pharamacies can offer specific advice on best painkillers considering any medical factors.RobIf you would like to know more you are welcome to claim a free intial consultation at StJohns , call 0121 643 0610

Dr Rob Tennet St Johns Dental Practice 18 Bennett’s Hill, Birmingham, B2 5QJ Web: www.e-dentalpractice.co.uk

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