Can't decide


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Hi all,

New here and just hoping to have a few questions answered really n help me make my mind up.

My teeth are healthy in that I have never smoked, and don't feel they are stained. I also have only ever had one filling at the back at the age of 29. My issue is my teeth have an overjet and an overbite plus my front tooth crosses over the over. Now you'd think why didn't I get braces when younger as many do. I remember going to see the dentist for this and having xrays done. Now what I can't remember was the exact reason given. It was along the lines though, that I couldn't have a brace as I didn't have adult teeth to replace certain teeth. Pretty sure it was at the back of my mouth though. I don't think my mum really pushed it any further and I'm guessing they wouldn't give dental implants to replace those teeth on the nhs.

I am older now and in the position where I could afford to pay to have them fixed. Being older though I some what don't fancy wearing braces for a couple years. Not just because of the idea of metal being worn, I know there are options to hide the braces better. I actually think people with veneers type Hollywood smiles look better. I know some can look too big for the persons mouth. I just prefer that white look and every tooth perfect looking. Is it possible a dentist would be able to use technology to scan my mouth. Then give me an image of how they'd look after wearing braces?

I am some what leaning more towards the idea of just having teeth removed. Then replacing them with dental implants. I don't like the all on 4 option and wouldn't get that. Simply as the small gap with the fake gum attachment. I know it can't be seen but I'd know it's there and yeah know just wouldn't want it. Instead I'd prefer to have 8 individual dental implant screws both on the top and bottom for each tooth. Now online most dental implants seemed aimed at missing teeth or really unhealthy teeth. Apart from the shape of mine I don't think they are unhealthy. Which does make you think well just get braces but it's a case of wanting the Hollywood look for me.

With dental implants is it better to have individual implants for each tooth? It seems to be the all on options are put forward as more cost effective. I am not bothered about price though to a certain degree. Also do dental implants really last for life? Far as I've read the implant screws themselves should last for life. It will be the crowns which will need replacing in years to come. Does that sound about right? Thinking if fused to the jaw bone that should be the case.

Many thanks
 
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honestdoc

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Without images and x-rays, I'm only guessing the extent of work you need. If you are seeking the Hollywood smile, you may consider cosmetics, full mouth reconstruction, and or ortho. I'm not sure how and why you thought of taking all of your healthy teeth out and sticking implants in. Do you understand how traumatic and unnecessary that is? I've seen too many implants fail (that shouldn't be a deterrent for choosing implants on missing areas). The worst is how lazy and uneducated people get suckered into getting permanent non-removable implant dentures. How do you clean under a permanent implant denture? You can't and it will accumulate contamination until it fails. When implants fail, your bone get destroyed and it's almost impossible to place a new implant.
 
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Hi,

Thanks for the reply. After my post I thought I wonder if there is anyway I can just see how my teeth would look after braces. Invisalign have a page where you can take a selfie and it shows how your teeth would look after. I did wonder are they just going to grab a photo of teeth and shove it in my mouth lol . It does seem though that it looks like it actually did use my own teeth.

I suppose it just shows though how they'd look if straight. Doesn't entirely get rid of the overjet or overbite. That's to be expected though with an app rather than actual proper xrays. The good news I guess is after seeing the image. I actually feel I would be happy with that result and so actually it has made think to forget the dental implant route.

For braces to be installed I would need some teeth removed correct? I was told I didn't have any to replace the teeth that would need removing. Wondering could a dental implant be a solution for that? Or would a dentist possible be able to look at other options? I know I will have to go see a dentist but at the moment only have just under 10 thousand saved. I will probably wait till around just after Christmas and hope to have a bit more. Just so I know I will have the cost covered. Has there ever been a case where it's just impossible for someone to be able to get braces?

If my teeth can look like in the photo and fix the overjet and overbite. Then I would be over the moon. Seeing that photo on invisalign has completely changed my mind about the whole idea of implants. Honestly thought the teeth looked decent enough for me that I wouldn't even bother with veneers chasing the Hollywood smile. I'd simply be happy to pay to have them whittened.
 

honestdoc

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As stated above, there are options to possibly achieve the results you are looking for. Each option has their pros and cons. I would go for the least traumatic and the most predictable option. I would stay away from any denture at all costs (if you still have healthy teeth). There may be some results that may not be realistic. If you have severe gum disease and bone damage, you cannot have braces because it will damage the bone more. If that is the case, then implant dentures may be an option if esthetics is the goal. I would stay away from nonremovable dentures. They should be banned. Anything in the mouth requires cleaning and maintenance. Keep in mind that having dentures will severely decrease functionality compared to healthy teeth.
 
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As stated above, there are options to possibly achieve the results you are looking for. Each option has their pros and cons. I would go for the least traumatic and the most predictable option. I would stay away from any denture at all costs (if you still have healthy teeth). There may be some results that may not be realistic. If you have severe gum disease and bone damage, you cannot have braces because it will damage the bone more. If that is the case, then implant dentures may be an option if esthetics is the goal. I would stay away from nonremovable dentures. They should be banned. Anything in the mouth requires cleaning and maintenance. Keep in mind that having dentures will severely decrease functionality compared to healthy teeth.
Honestly apart from the shape of my teeth what with the overjet and overbite. I feel my teeth and gums are healthy. Never had any real issues with my teeth like I say had one filling in 29 years. They look great compare to some I've seen online. I'd be happy to get braces and keep my teeth. After seeing how they'd look straight. That would be good enough for me. So the only reason some people may be unable to get braces is bone or gum issues? Only asking as I'm certain when I was a teenager I was told I couldn't due to not having certain teeth to replace baby teeth that I have?

Start of the year I'm going to book to see a dentist. Should I go to see a cosmetic dentist who has a good reputation online? Fact dental implants don't last for life. I wouldn't really want them tbh given I feel my teeth are healthy. When you read online can life a lifetime they don't seem like a bad option. I thought just the abutment and crown would need replacing in years to come. Plus if get them screwed in rather than using cement it'll be easier for the dentist to take crowns off and look to see every things fine and kept clean. As I say though just the little photo I saw with the app has made me think I'd rather braces and keep my own teeth.
 

honestdoc

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Your condition where you have retained baby teeth with no adult teeth under is not uncommon. In the US, braces can correct that by moving teeth. When you move teeth, you place a lot of stress on the bone. When you have gum disease and bone damage, braces will damage the diseased bone more. Try to hear all of your options and consider the least traumatic.
 
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Your condition where you have retained baby teeth with no adult teeth under is not uncommon. In the US, braces can correct that by moving teeth. When you move teeth, you place a lot of stress on the bone. When you have gum disease and bone damage, braces will damage the diseased bone more. Try to hear all of your options and consider the least traumatic.
Thanks, I will deffo go to see a dentist after Christmas and look to get something done right away. Of course I'd want the less traumatic. I'm confident I have no issues with my teeth. Have never smoked in all my life and always had parents who'd encourage me to brush my teeth. Hopefully there is a solution around not having adult teeth there to replace the missing teeth. Badly want to get my teeth fixed and just be able to smile without covering my mouth. I am not a shy person but feel with better teeth my confident would improve massively too. I see clips online and seems many of us go through the same thing and feel like a new us when it's fixed.

Any advice on what sort of dentist I should go too? A regular dentist or one which calls themselves a cosmetic dentist? I have seen a dentist on YouTube from the UK. Just the way he speaks and talks about things. Feel he would be a good option to go see plus feel he'd do a good job as its his name attached to the work.
 

honestdoc

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If you don't have a dentist you trust, try going to a highly recommended and experienced orthodontist first. Ask him/her who he recommends for the work you are seeking. Possible choices are prosthodontist (crown specialist) or an experienced cosmetic dentist. Unfortunately I anticipate the work to be very expensive because it is very labor (labour in your country) intensive. I would only go to experienced providers and never go cheap. There are a lot of pitfalls and complications with cosmetics and full mouth reconstruction.
 
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Joined
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If you don't have a dentist you trust, try going to a highly recommended and experienced orthodontist first. Ask him/her who he recommends for the work you are seeking. Possible choices are prosthodontist (crown specialist) or an experienced cosmetic dentist. Unfortunately I anticipate the work to be very expensive because it is very labor (labour in your country) intensive. I would only go to experienced providers and never go cheap. There are a lot of pitfalls and complications with cosmetics and full mouth reconstruction.
Think I will give the dentist I have seen on YouTube a visit. He seems a good person and has a passion plus gives honest answers. Also fact his name will be attached to the work. I am hoping all I will need is braces? I honestly don't feel my teeth are the worst after seeing some stuff online. Just a case of fixing them and sorting the overjet and bite. Fingers crossed it isn't super expensive lol know here seems more pricey than abroad. Thanks for taking the time to reply to my posts.
 

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