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Medical Forum / General / Dentistry / July 2008

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Cosmetic dentistry options

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tyio - 28 Jul 2008 15:24 GMT
My front teeth are a little asymmetrical and I think it's time
to fix them.

One of them is a little longer than the other, which I
understand is pretty easy to fix. But it also sticks out more
than the other tooth, about a millimetre (maybe that's why it's
longer, it didn't wear that much from contact with the lower
teeth). They don't overlap though.

To put the stray tooth back in place, is my only option braces?
Mark & Steven Bornfeld - 28 Jul 2008 15:52 GMT
> My front teeth are a little asymmetrical and I think it's time
> to fix them.
[quoted text clipped - 6 lines]
>
> To put the stray tooth back in place, is my only option braces?

It's best to see them, in a photo if not in person.  Sometimes you can
do a quick fix by putting a porcelain laminate veneer on the central
incisor that is displaced inward, to build out the contour.  This helps
if you can get a good color match.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

tyio - 28 Jul 2008 16:19 GMT
> It's best to see them, in a photo if not in person.
> Sometimes you can do a quick fix by putting a porcelain
> laminate veneer on the central incisor that is displaced
> inward, to build out the contour.  This helps if you can
> get a good color match.

I'm sorry but a photo is not available... But the problem is
with the incisor that is pointed outwards, not with the other
one.
Mark & Steven Bornfeld - 28 Jul 2008 17:45 GMT
>> It's best to see them, in a photo if not in person.
>> Sometimes you can do a quick fix by putting a porcelain
[quoted text clipped - 5 lines]
> with the incisor that is pointed outwards, not with the other
> one.

    Unless you're willing to devitalize the tooth, do a root canal and
crown the tooth, I can't think of anything.  And the result may not look
as good as an orthodontic result.  It may be an option, but it may give
suboptimal results.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie@bix.nex - 29 Jul 2008 01:06 GMT
>> It's best to see them, in a photo if not in person.
>> Sometimes you can do a quick fix by putting a porcelain
[quoted text clipped - 5 lines]
>with the incisor that is pointed outwards, not with the other
>one.

To even them out you usually have to do both.
Newbie@bix.nex - 29 Jul 2008 01:05 GMT
>> My front teeth are a little asymmetrical and I think it's time
>> to fix them.
[quoted text clipped - 13 lines]
>
>Steve

That's why I usually do both centrals at the same time.
Newbie@bix.nex - 29 Jul 2008 01:03 GMT
>My front teeth are a little asymmetrical and I think it's time
>to fix them.
[quoted text clipped - 6 lines]
>
>To put the stray tooth back in place, is my only option braces?

Nope, a couple of porcelain veneers might do the trick.

Hard to go any further than that without some pictures.
tyio - 29 Jul 2008 12:43 GMT
Newbie@bix.nex wrote in news:dgns841tcnkaot2e8tvp8itibgfpq1tfsv@
4ax.com:

> Nope, a couple of porcelain veneers might do the trick.

I'm reluctant to put porcelain in my mouth... I was hoping that
both problems I mentioned in the original post could be
corrected by shaping the tooth.
Dartos - 29 Jul 2008 14:17 GMT
Then you better find someone who does invisilign.

D

> Newbie@bix.nex wrote in news:dgns841tcnkaot2e8tvp8itibgfpq1tfsv@
> 4ax.com:
[quoted text clipped - 4 lines]
> both problems I mentioned in the original post could be
> corrected by shaping the tooth.
Newbie@bix.nex - 30 Jul 2008 01:02 GMT
>Newbie@bix.nex wrote in news:dgns841tcnkaot2e8tvp8itibgfpq1tfsv@
>4ax.com:
[quoted text clipped - 4 lines]
>both problems I mentioned in the original post could be
>corrected by shaping the tooth.

You said the tooth was about a millemeter forward of the other.
Some dentin is likely to be exposed and will require coverage.

Otherwise it's orthodontic treatment.

Just because you 'hope' doesn't make it possible.

Post a picture already !
tyio - 30 Jul 2008 22:48 GMT
> You said the tooth was about a millemeter forward of the
> other. Some dentin is likely to be exposed and will require
> coverage.

Speaking of front teeth, how deep under the enamel is dentin
located?
Mark & Steven Bornfeld - 31 Jul 2008 00:28 GMT
>> You said the tooth was about a millemeter forward of the
>> other. Some dentin is likely to be exposed and will require
>> coverage.
>
> Speaking of front teeth, how deep under the enamel is dentin
> located?

    On the front surface of the upper incisors, the max. depth of enamel
might be 1 1/2 mm., tapering to zero at the gumline (more accurately the
dentinoenamel junction.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie@bix.nex - 31 Jul 2008 07:05 GMT
>> You said the tooth was about a millemeter forward of the
>> other. Some dentin is likely to be exposed and will require
>> coverage.
>
>Speaking of front teeth, how deep under the enamel is dentin
>located?

Dependant on the individual. and the individual tooth,
*and* the specific location of the specific tooth in question.

However we may make some generalizations, based
on newly erupted teeth, about the thickness of enamel
of human upper central incisors. <#'s 8 and 9>

Remember this is without any wear, restorations, or
abnormal development.

Thicker on the incisal edge than the middle of the
facial surface. Generally thicker at the gingivo-lingual
than the middle or incisal -lingual. Mesial and distal
at the contact area generally and approximately comparable
to thicknes at the middle third both facially and palatally.

OK, that was no help at all, was it ?

See if you can find some pictures of actual sectioned teeth on the web

.
"Dental Anatomy" by Wheeler is considered the premier text
on this subject.
Lifestyes - 29 Jul 2008 17:46 GMT
> My front teeth are a little asymmetrical and I think it's time
> to fix them.
[quoted text clipped - 6 lines]
>
> To put the stray tooth back in place, is my only option braces?

You may want to visit www.anestheticnews I am a pharmacist and lecture
exclusive to U's and dental clubs. They are many changes especially
with pain associated with the needle.

Auhyn Darlington M.Sc. PharmD. CCPE
Newbie@bix.nex - 30 Jul 2008 01:10 GMT
>> My front teeth are a little asymmetrical and I think it's time
>> to fix them.
[quoted text clipped - 12 lines]
>
>Auhyn Darlington M.Sc. PharmD. CCPE

Note that's anesthetic not aesthetic...

A clever spam, but spam nonetheless.
 
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