Hi Mark, I was the victim of violent crime some 10 years ago where I21 and 22 were knocked out, taking much of the surrounding gum tissue and bone with them and I 11 was cracked in half. I received treatment at the Leeds Dental Institute back in 2001 where they placed two implants, abutments and crowns in and cemented then veneered I11. It was decided by the surgeons at the time that, due to the large amount of discharging bone fragments, that to risk a gum graft was not sensible. Therefore I currently have a slight lack of gum surrounding I21 / 22. I am not happy with the positioning or visibility of the crowns today. Recent x-rays show that the implants are perfectly healthy with no further receeding of the surrounding tissue or bone. I am interested in understanding the process for replacing both crowns and the veneer to more aethetically pleasing versions, combined with a tooth whitening process. At the same time I would like to specifically understand how a gum graft can be factored into this proceedure and what the inherent risks are today and the likely costs of such treatments. I look forward to hearing back from you soon.
Dr Mark Hughes
Harley Street Dental Studio
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52 Harley Street, London W1G 9PY
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981