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Fixing teeth gap.
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15-12-2009 6:57pm#1
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if teeth are small, best cosmetic result is with bonding and veneers. if teeth are normal sized then sometimes bonding/veneers results in teeth looking very short.
some dentists/specialists can do a mock up of what it might look like with photoshop.
sometimes ortho and bonding can result in a better result if you have small lateral incisors (ortho can redistribute spaces for better overall result)
although i don't offer invisalign or any other clear aligners, i know that spaces are very easy to close with these appliances.
if you go the ortho route, keep in mind, keeping the spaces closed can be much harder than closing the spaces, thus, permanent retainers are usually recommended. sometimes also need frenectomy.
Advice is much appreciated! Do you mean that other teeth could look small in comparison? My two front teeth are normal size...
although I do not think bonding or veneers would make them look excessively big 0 -
Advice is much appreciated! Do you mean that other teeth could look small in comparison? My two front teeth are normal size... although I do not think bonding or veneers would make them look excessively big
what vishal said was right, sometimes if you just close the gap with composite, it can make the teeth look unusually broad (thus making them look a bit short). the great thing about composite is that it takes a few minutes to do a quality mock up, and if you're not happy with it, then it can be flicked off.
since the gap is only 2mm, i don't think it'd have too much of an effect on the appearance of the other teeth. now if you could hold a cigarette in the gap, then there'd be issues!0 -
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ballsymchugh wrote: »OP how old are you?? correct me if i'm wrong guys, but there's a fair bit of wear on those teeth. the line from canine to canine looks pretty flat (definitely by going at the lowers).
i think the front teeth look more square than rectangular, so if you really just close the gap by composite, then they will look strange. i'd be thinking more along what fitz said earlier, 4-6 veneers to add length as well as width.
a mock up would be pretty easy to do in your mouth, maybe with temp crown material, to give you a good idea of what to expect if you got something permanent done.
nice work vishal!!
Im 25. Thanks for that info! Could my dentist do that for me? Tbh Id be very happy if I ended up looking like Vishals mock up!
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ballsymchugh wrote: »meh, i'm half asleep and trying to download podcasts. i'm allowed to slip up every now and again!! at least i don't need an S&P!!!
but yeah, you could have a field day here.
OP your dentist could do a mock up, if he/she's got the right stuff, which they more than likely have.
it'd be hilarious if OP was georgieporgy's patient and went into him tomorrow and started going on about fraenectomies and incisal wear and the like!
LOL well I certainly have alot more info now after going to boards! Thanks guys! Could someone explain Fitzgemes quote on high force mouth please? Im new to Dentistry lingo!
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LOL well I certainly have alot more info now after going to boards! Thanks guys! Could someone explain Fitzgemes quote on high force mouth please? Im new to Dentistry lingo!
in the picture you posted of your own teeth...
on the upper teeth, the canines are flattening off, which looks like you grind your teeth. the canines should be pointed, and the central incisors should be 1mm longer than the outside inscisors. but they all seem to be along the same level.
the lower teeth definitely look worn. which for your age is something which affects whatever treatment you get.
if you got veneers, or just composite bonding and you don't get the grinding sorted, then you could easily break them off, so the option there is full crowns with metal substructure and backing.
if you grind through them, then really, you should dump your girlfriend cos she's really getting to you, and probably go on a holiday, preferably where the northen lights are showing so that you are completely relaxed.
basically, you appear to be grinding a lot!!0 -
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ballsymchugh wrote: »in the picture you posted of your own teeth...
on the upper teeth, the canines are flattening off, which looks like you grind your teeth. the canines should be pointed, and the central incisors should be 1mm longer than the outside inscisors. but they all seem to be along the same level.
the lower teeth definitely look worn. which for your age is something which affects whatever treatment you get.
if you got veneers, or just composite bonding and you don't get the grinding sorted, then you could easily break them off, so the option there is full crowns with metal substructure and backing.
if you grind through them, then really, you should dump your girlfriend cos she's really getting to you, and probably go on a holiday, preferably where the northen lights are showing so that you are completely relaxed.
basically, you appear to be grinding a lot!!
Wow thats the first time that has been mentioned to be about grinding! (not the dumping your girlfriend going on holiday bit ) Could that just happen in your sleep? So this may even have an impact on getting braces also? 0 -
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Wow thats the first time that has been mentioned to be about grinding! (not the dumping your girlfriend going on holiday bit ) Could that just happen in your sleep? So this may even have an impact on getting braces also?
yeah, it normally happens when people sleep. the real giveaway is sore cheeks in the morning.
it shouldn't have any effect on getting braces though.
i'd still dump your girlfriend though. make up after Christmas!
yep, bonding is the next least destructive. it's practically as, but the likelihood of getting them replaced may mean a little bit of prepping.0 -
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There is one more option to consider. (And I'm wearing my cosmetic dentist hat now) . Bleach your teeth and choose option 4 (do nothing).
Very often, whitening your teeth enhances the overall appearance and other minor defects go unnoticed. Small midline gaps look good in lots of people. Like freckles. People with freckles don't like them but the rest of us think freckles look cute.
Black people esp like this midline gap. I have had African males ask me to create spaces between perfectly good teeth. Get an African girlfriend maybe.0 -
georgieporgy wrote: »There is one more option to consider. (And I'm wearing my cosmetic dentist hat now) . Bleach your teeth and choose option 4 (do nothing).
Very often, whitening your teeth enhances the overall appearance and other minor defects go unnoticed. Small midline gaps look good in lots of people. Like freckles. People with freckles don't like them but the rest of us think freckles look cute.
Black people esp like this midline gap. I have had African males ask me to create spaces between perfectly good teeth. Get an African girlfriend maybe.
LOL so instead of getting back with my girlfriend after xmas, try to court some African ladies instead? Right on! Thanks for the advice though, its appreciated. Could this still be done with or after bonding?0 -
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ballsymchugh wrote: »OP how old are you?? correct me if i'm wrong guys, but there's a fair bit of wear on those teeth. the line from canine to canine looks pretty flat (definitely by going at the lowers).
i think the front teeth look more square than rectangular, so if you really just close the gap by composite, then they will look strange. i'd be thinking more along what fitz said earlier, 4-6 veneers to add length as well as width.
a mock up would be pretty easy to do in your mouth, maybe with temp crown material, to give you a good idea of what to expect if you got something permanent done.
nice work vishal!!
thank you, i probably helped with his tooth wear on photoshop on his lower left incisors 0 -
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Vishal, it seems a simple question but, dentist to dentist, it requires a very long answer. You are right it would help mask decal but strictly speaking there should be no decal.why would that be? i would have assumed whitening after tx would be better as it would help mask decal?
Decal aside, the etching and bonding process affects the enamel in such a way that subsequent bleaching is inhibited somewhat. So the bracket area won't whiten as much as the rest of the tooth. There are different ways to etch but if you use acid it is important you wash away the acid after 5 secs. Otherwise the enamel is compromised. Very often ,esp if auxiliaries are used , the acid can be on for 10-20 secs. Nothing wrong with that except it will leave you with a difficult to bleach spot later. Very subtle but you will notice it on front teeth.
Far better to bleach virgin teeth first. then the idiopathic issues won't be a problem.
(PS I had to do about 70 hours reading to grasp that point. A weekend course won't do it. it's tough becoming a cosmetic dentist) 0 -
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georgieporgy wrote: »Thanks Vishal and Georgie for the contributions on whitening. Can I ask should my dentist be able to carry all this out or would these procedures be more the remit of Dentists who specialize in cosmetic procedures?[/qu
all dentists can whiten your teeth and then do the bonding. the end result depends on the skill of the dentist. Some probably are better than others. but we are talking basic stuff here.
Dentists don' t really 'specialise' in cosmetic procedures. But dentists can improve their skill sets by taking extra courses in cosmetic procedures if they want to .Focused continuing education courses if you will. Dentists who have attended intense hands on courses like these probably will be a step ahead of those who haven't. But not necessarally so. All dentists who graduate are capable of this stuff, but they vary individually depending on an individual's ability.
Thats helpful info thanks. Is there any register of Dentists who have undertaken these extra courses or possible way of knowing who may have the most experience for this type of procedure?
Obviously if I do go down this root I would like to get the best possible job done0 -
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