Do I need veneers?

Discussion in 'Patient Forum' started by jonbart, Apr 13, 2019 at 2:01 PM.

  1. jonbart

    jonbart

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    Hi,

    I require 2 x dental implants for my upper cuspid teeth as there are no adult teeth growing through to replace the existing baby teeth. I have had 3 professional opinions which are below:

    Opinion 1: file down lower cuspids to make room for 2 upper implants (cuspids).
    Opinion 2: file down lower cuspids 0.25mm > install veneers on them followed by installing the 2 upper implants.
    Opinion 3: he suggested to only install upper implants and do nothing to lower cuspids.

    Two dentists plan to alter the lower cuspids. In your opinion(s), do veneers need be placed on the filed down lower cuspids?

    My X-Ray is attached.

    Thanks,
    Jonathan
     

    Attached Files:

    Last edited: Apr 13, 2019 at 2:31 PM
    jonbart, Apr 13, 2019 at 2:01 PM
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  2. jonbart

    Busybee

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    I'm not a dentist but I would say you don't want to interfere with lower canine teeth because once you change them you cannot reverse that change. They are two of the most important teeth in your mouth. I'm assuming that they are worried that the implants may be too weak to oppose high canines. What you are having done is complicated because of the force the implanted canine teeth have to take in an normal mouth, but if you adjust the lower ones you will weaken them. Veneers on those lower teeth are not ideal. The lower canines take more force than the upper. Anyone adjusting them really has to be 100% sure of what they are doing. I have been told by a dental specialist that adjusting canines is "the wild west" of dentistry. Un-chartered territory where anything can happen next.

    Is there any reason you cannot have veneers or crowns on your upper cuspids? Are you hoping to restore functionality as well as aesthetics? Because as I said I am not a dentist but I cannot see how they could possibly make an implant that's stand alone as strong as a natural canine root. I would personally avoid having those teeth out unless you really and truly have no other option. You cannot put them back and nature cannot be replicated easily for these particular teeth.
     
    Busybee, Apr 13, 2019 at 2:19 PM
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  3. jonbart

    jonbart

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    The upper cuspids (where the implants will be fitted) are baby teeth and both are ready to come out (one is decaying). The natural replacement adult teeth are missing (nothing is growing through to fill the gaps), implants are the only option.
     
    Last edited: Apr 13, 2019 at 2:36 PM
    jonbart, Apr 13, 2019 at 2:28 PM
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  4. jonbart

    Busybee

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    That's a shame because it's a very complex area. Make sure you see someone with a great deal of experience and good outcomes. If I was having this done I'd avoid touching the lower canines unless the implants when placed make it absolutely necessary. I think they should make the implant crown such that it does not change the bite so that you have the aesthetics without the risk to the rest of your dental equilibrium.

    I'd be really interested to see a dentist here explain how they manage to make canine implants strong enough to support the function they are intended for. Hopefully a dentist will be along soon to give you an expert opinion.
     
    Busybee, Apr 13, 2019 at 2:37 PM
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  5. jonbart

    jonbart

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    Thanks for your advice =] I have visited three dentists but I want to be sure it's absolutely necessary to file the lower teeth and if yes, are veneers necessary (or is that dentist just looking make more money haha).
     
    jonbart, Apr 13, 2019 at 2:43 PM
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  6. jonbart

    Busybee

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    They would have to file down a lot of your healthy tooth to place veneers. I really don't understand that option at all. Do you have a photo of your teeth?
     
    Busybee, Apr 13, 2019 at 2:45 PM
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  7. jonbart

    jonbart

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    I'm taking some this afternoon and will upload this evening =]
     
    jonbart, Apr 13, 2019 at 2:47 PM
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  8. jonbart

    MattKW Verified Dentist

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    You may well have to file down the height of the lower canines (0.25mm is not significant) because the lower canines have slightly overgrown to compensate for the short baby canines. I don't see the need for veneers though. Canines are incredibly tough teeth and i don't understand how veneers will help them.
    If they mean to shave back the lower canines inwards, then that is more tricky. It all comes down to how the proposed implant crowns will fit in with the existing teeth. Sometimes braces are required to move teeth fractionally before placing permanent implants. I would still be avoiding veneers for those lower canines.
     
    MattKW, Apr 16, 2019 at 7:27 AM
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