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My Implant Denture Makes My Lips Protrude

After getting Teeth in a Day, my denture sits too far forward, making my lips look protrude. Will you please tell me how many millimeters from the gumline my dentist should place my permanent denture or if the denture should follow the gumline? The look of my temporary denture is making me think it’s too late to correct it without repositioning my implants. Thank you. Sarya

 

Sarya,

It sounds like you’re referring to your denture teeth’s position with your jawbone’s ridge beneath the denture. The gumline is the edge where your teeth and gums meet. If you are missing all your teeth, or if they are extracted for dentures, you no longer have a gumline. The point where your denture teeth meet the pink acrylic replaces your natural gumline.

A dentist trained in occlusion and bite must examine your implant denture to diagnose and recommend treatment options accurately. However, we will explain how advanced cosmetic dentists achieve predictable results.

Placing Denture Teeth for Teeth-in-a-Day

Placing denture teeth for Teeth-in-a-Day requires meticulous attention to function and appearance. A cosmetic dentist will ensure you receive the best outcome for both.

Function

Teeth-in-a-Day is a system that supports denture teeth with at least four dental implants. If your teeth are 2 to 3 millimeters from the ridge, that is close enough within range for proper function. However, other considerations, including aesthetics, must also be considered when placing denture teeth.

Aesthetics

Diagram of All on 4 dental implants
Implant denture

A wax model should be made before a dentist makes your denture or has it made by a lab. You can try the model to examine how the denture looks and affects your speech and your facial appearance—including the fullness of your lips. During the try-in, your dentist will ensure your bite and vertical dimensions are accurate before processing your final denture.

It’s not too late to talk to your dentist about how dentures affect your lips. Your dentist can:

  • Determine if the impressions of your mouth are accurate or take new impressions
  • Remake the temporary denture or have the lab re-do it

If you were already wearing your permanent dentures, your dentist could remove and reset your denture teeth or have a lab revise them.

Teeth-in-a-Day should improve the function and appearance of your denture. Remind your dentist of your expectations, and don’t compromise. Your dentist should be able to get this right. But if it’s not going well after a second try, we recommend you get a second opinion. Find a dentist with experience in implantology, aesthetics, occlusion, and bite (how your upper and lower teeth fit together).

Rocky Hill, Connecticut, cosmetic dentist Dr. Thaddeus Michalski sponsors this post.

Will New Dental Crowns Help My Bleeding and Irritated Gums?

My dentist replaced my eight upper crowns this past summer because my gums were swollen and bleeding. The new crowns didn’t improve the situation, so my dentist referred me to a periodontist who advised me to wear temporary crowns for about three months until my gums healed.

Two weeks ago, I got a second opinion from a dentist who said the crowns were over-contoured and irritated my gums. She recommended new crowns. I get deep cleanings for gum disease now, and the hygienist said she removed excess cement near my gumline. I can’t afford to keep getting new crowns, so I had a virtual consultation with a US-trained dentist who practices in Mexico. Will new crowns that fit well improve my gum inflammation and bleeding? – Thanks. Jonah from Dallas, TX

Jonah,

Over-contoured crowns can cause gum inflammation, swelling, redness, and bleeding. Natural teeth have contours that dental crowns should replicate to support your gum health.

Over-contoured crowns cause the following problems:

  • Exert excessive pressure on the gums
  • Create spaces that trap food particles, increasing the risk of irritation and gum disease

A dentist must meticulously remove all excess cement after crown placement because leftover cement can contribute to gum irritation. Failure to remove excess cement is unacceptable dental practice. You probably need new dental crowns. However, consult an advanced cosmetic dentist in the US to evaluate your gum health and crowns.

Should You Get New Dental Crowns in Mexico?

Before getting new dental crowns in Mexico, consider these factors:

  • Potential for recurring issues: Given your experience with subpar dental care, seeking treatment in Mexico may increase the risk of encountering similar problems.
  • Standard of dental care in other countries: Quality and care standards differ among countries. The American Dental Association advises you to consider how a country’s sterilization technique and quality standards will affect the outcome of your denture procedure.
  • Finding a qualified dentist is crucial: It is crucial to prioritize finding a highly competent and reputable dentist, regardless of location.

 

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologists, sponsors this post. Read why his patients think he is the best dentist in Rocky Hill.