what can i do about the missing front tooth and can i have implant or bridges advice?

Q. I have crowns on 3 of my front top teeth and a tooth bridged off to my left where I was missing a front tooth, family genes, anyways it looks very unnatural, plus metal is showing at the tops of my 3 crowns. they are approx. 33 years old. I am 59. I also have other problems. Top and bottom. Missing teeth. I have only 9 teeth at top, no back teeth and bottom I have 10 with 1 molar on each side bottom. I was told I can’t have implants at the top because of my sinuses. One cosmetic dentist suggested crowing all my top teeth, removing old crowns which have the metal showing and replacing them and crowning all my top teeth with a permanent bridge off on each side at the top. I got another opinion and was told this would not hold up without an implant on the other side of each bridge, that this would cause the crowned tooth that the bridge was off to eventually crack and break. My question is what do you suggest. (I want a healthy and pretty set of teeth) and what can I do about the missing front tooth. my family calls them “little doggie teeth” Also what is the difference in noble metal on procelain and noble high metal on orcelain? Like I said I have other problems but for now if you can address this if you understand my explanation. Thank you

A. Implants are possible to be placed in the upper jaw with large sinuses but require sinus grafting with some type of bone.  Without looking at you it is difficult to give you comprehensive advise.  Generally I would recommend implants over bridg work and crowns can be replaced provided the teeth underneath are not too decayed.  A balanced even bite is essential for success

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

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