I opted for cosmetic dental surgery nearly 2 years ago to replace 4 front teeth to improve the overall appearance.

Q. Hi I was wondering you can on advise on my situation? I opted for cosmetic dental surgery nearly 2 years ago to replace 4 front teeth to improve the overall appearance. The method used was CEREC which proved unreliable. After 2 fittings I walked away only to return after 6 months when a fracture appeared on one of the crowns. This was probably a result of my bite and I do recall not being able to bite down fully which I did mention this at the time. A replacement crown was then fitted only to reveal a tooth which far from matched the others. It was then decided to replace all 4 which unfortunatly did not have the appearance one hoped. These were then removed and I was fitted with a porcelain bridge with a result I was finally happy with. Unfortunatly 3 months ago a gap between my top two teeth appeared and has got progressively worse. When the bridges were first fitted make up was applied which has since fallen out and revealed these gaps. Even breathing in can cause discomfort which I assume suggests that the actual teeth are exposed and open to decay? I contacted my dentist today who to be fair has said he will do everything in his power to correct the problem. My concern is I have started to doubt his ability and to be honest I’m not sure I want to go through the entire process for a 5th time which has been a huge inconvenience. He said today that the problem appears to come only from the makeup which will be a simple fix. My concern is if he is thinking of applying make up again surely this is only a temporary fix to an ongoing problem? I was wondering if you have heard of anyone experiencing such problems in the past. Is this down to poor training, equipment or could it be me! The dentist I choose recently opened the cosmetic surgery in addition to a number of standard practices so is certainly not new to this. Any advice you can give on my circumstance would be greatly appreciated. I am keen to get this resolved and would like to return with a professional opinion. Thanks

A. Your situation has a lot of detail from your side but you would need a clinical exam to get a second opinion.
In principle the fact that your dentist is willing to rectify problems is a good sign as long as you aren’t being charged.
If the bridge margins were defective when fitted you have an argueable case for free replacement. However if the margins were defective I personally would not have fitted the bridge & would have some concerns that I would want answered before further treatment.
Also I’m not sure that I’m correctly visualising the gap you mention. In some cases this could mean a significant problem with the tooth support / bite which must be stabilised before more work.
If you would like a free initial chat/consultation please contact our practice for an appointment.

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

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