My teeth don’t show when I smile and my top tooth needs braces

Q. I have two questions:
1) The tooth adjacent to my middle top two teeth is at an angle and allows air though when I trying to say ‘s’ and as a result makes it difficult for me to speak correctly. I am 42 so can this tooth be straightened with a brace or would it require a crown or are there other alternatives?2) When smiling my teeth don’t show, I think I have short gums. Can anything be done so that my teeth show when I smile? Many thanks.

 

A. Thank you for your questions. Taking them in turn:

1. You certainly can have your teeth straightened using a brace as an adult. This may solve this escaping air problem when saying your “S’s” . However there is a possibility that following brace work that the spaces are still present. If this is so a veneer or crown may improve the situation.

2. You mention that you think you have short gums. This may be the case but the more likely reason will be that you have worn your teeth shorter and so cannot show enough tooth. the easiest way for you to assess that for yourself is to measure the length of your front teeth. The average length of a front incisor is between 10.5 and 11.5mm . If your teeth are markedly shorter – say 9 mm – you probably have a wear issue. this may require crowns and veneers or a combination of braces and crowns and veneers to lengthen the teeth. Most adults that I offer these options to go for the first option due to the speed that the treatment .

Kindest regards

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

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