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Invisalign

Fixing a large gap

I have a gap between my two front teeth that his about 10 mm. I’ve already been told I am not a candidate for Snap-on Smile, so my next route is to get Lumineers. I know I should probably get braces, but I’m 42 and would just feel silly wearing them. Am I going to have the same candidate problem with Lumieers that I did with snap-on smile?

Jerry R.- Utah

Jerry,

You didn’t say why you were not a candidate for Snap-on Smile, so I don’t know how to comment on whether you’d have the same problem with the Lumineers. However, I do want to recommend you NOT get Lumineers to solve this problem. 10 mm is a huge gap. That is big enough to put another tooth in. I think you’d be unhappy with the results of the Lumineers.

I know you said you didn’t want to wear braces, but have you considered Invisalign? They truly are invisible so none of your friends would know you were wearing them. As an added bonus they straighten your teeth a lot faster than traditional braces do. This could close your gap, without you having to try to manipulate covering the space of an extra tooth.

Hope I’ve helped.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

CEREC crowns

Crown keeps falling off

I had an all porcelain crown placed about five years ago. Since then it has fallen out at least three times, that I can recall. My dentist has always re-cemented them for free. However, this last time, I didn’t realize it had fallen out while I was eating. I bit down again and shattered most of it.  Because he has to make a new crown now, he wants to charge me an additional $1400.00. Is it common for crowns to fall out this much? I wondered if it was because I got a CEREC porcelain crown.

Susan- Lehi, Utah

Susan,

No, it is not normal for CEREC crowns to fall out. In fact, if they’re done correctly, they will never fall out. You said your dentist keeps cementing the crown. If he did an all porcelain CEREC crown, then he should have bonded the crown instead of cemented it. Maybe that is what you meant and you didn’t know there was a difference.

One of the things that holds crowns is the parallelism of the way the tooth is prepared. The more parallel the tooth is prepared, the stronger the retention. However, it doesn’t take much retention in their design if they are bonded in properly.

My suspicion is your dentist doesn’t have sufficient training in the bonding procedure and that is why your crown keeps falling out.

This blog is brought to you by Gilbert dentist Dr. Matt Roper.