Will I Need Another Full-Mouth Reconstruction?

I paid $42k for a full-mouth reconstruction in 2023. My mouth is raw, chewing, hurts, and I have lost several crowns and veneers. I’m afraid that two of the dental implants are failing. How can I start over again? I’m sure I don’t have a choice. Thanks. Kofi from TX

Kofi,

We are sorry that you’re experiencing multiple problems with your full-mouth reconstruction. We know it’s frustrating.

The first step is to find a highly qualified dentist when faced with the need for dental implants and addressing previous cosmetic dental issues. Some dental practices may offer lower costs by taking shortcuts, but this can compromise your treatment. While you don’t have to choose the most expensive dentist, beware of unusually low fees because you may not get comprehensive care, which is essential for full-mouth reconstruction.

Finding a clinician with demonstrable skills in implant procedures and advanced cosmetic dentistry is essential. To identify a dentist who can meet these demanding needs, consider the following factors:

• Verification of Implantology Credentials: Look for dentists with advanced training and earned credentials from reputable implant organizations. A strong indicator of expertise is attaining fellowship or diplomate status from the International Congress of Oral Implantologists or the American Board of Oral Implantology (associated with the American Academy of Implant Dentistry). Training from American university implant programs or the Misch Implant Institute is also a higher level of qualification.
• Commitment to Careful Diagnosis: Pay attention to the thoroughness of the diagnostic process. For example, a dentist planning multiple implant placements should use a 3D CT scan to ensure precise implant placement.
• Assessment of Online Reviews: Check online patient reviews, especially on Google and Yelp, for mentions of clinical issues or positive experiences. Weigh individual reviews carefully because some dentists with limitations might still have enthusiastic supporters. Still, reviews are critical in choosing a dentist for full-mouth reconstruction.

Finding a Dentist Who Produces Cosmetic Excellence

The success of your treatment requires functional implants and beautifully crafted and durable crowns or porcelain veneers. Beyond the technical aspects of implant placement, your dental history requires an advanced cosmetic dentist who can correct your full-mouth rehabilitation and help you smile comfortably and confidently.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologists, sponsors this post. Read how he strives to provide some of the best dental care in Rocky Hill.

 

I Hate My Smile Because My Emax Crowns Are Too Thick

My new emax crowns are too thick. I hate my smile now. My dentist said they are thicker than usual because my gums are thick. I don’t like bulky teeth. They feel bulky, too. I complained about it, so now my dentist recommends trimming my gums. Why now instead of before? I’m nervous. Does her recommendation sound weird, or am I overreacting? – Thanks. Bristol from IN

 

Bristol,

You are not overreacting. Your concerns are valid.

When dental crowns are too thick, particularly where they meet the natural tooth, they can create an environment detrimental to gum health. The excess bulk allows harmful bacteria to flourish. Microscopic food particles become trapped, and thorough cleaning is often impossible, resulting in gum inflammation and disease.

It’s a misconception that thicker gums require thicker crowns. However, this is not a recognized aesthetic or clinical principle. Instead, a dentist must achieve a natural emergence angle for the crown, ensuring a smooth, straight contour from the tooth’s root onto the crown itself. There should be no bulges when a dental instrument is traced along this path.

Addressing e.max Crowns and Ensuring Quality Outcomes

Removing e.max crowns made from lithium disilicate, grinding them off with a series of diamond burs. A dentist familiar with this process can remove the crowns without damaging your existing teeth.

Furthermore, a key aspect of quality cosmetic dentistry involves ensuring patient satisfaction before final treatment decisions. Experienced cosmetic dentists provide a preview. This might be through a temporary plastic mock-up of the new smile or by temporarily cementing the crowns, allowing you to evaluate and approve the new look before permanent bonding.

We recommend looking for cosmetic dentists with extensive post-graduate training and credentials. Schedule consultations with two cosmetic dentists to discuss your treatment options.

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