OK. Fawks. Either my teeth look like total sh.t or you think I'm being too
picky. The picture doesn't show it well, the flash blends it in. My question
was can a porcelain veneer be slightly reshaped / added to? If I have to pay
for another one because I am too picky, so be it. I don't plan on taking
advantage of the poor cosmetic dentist who made $20k. That crown was
originally done by my regular dentist who had to do RCT on that tooth. I was
never happy with the crown. The damn thing always looked like a chicklette
tooth. When they took impressions for the new crown, the feature was carried
over to the new crown. It *really* looks worse from a different angle. It
looks horrible.
> > Why I don't advertise as a cosmetic dentist.
>
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> > >
> > > Rich
> OK. Fawks. Either my teeth look like total sh.t or you think I'm being too
> picky. The picture doesn't show it well, the flash blends it in. My question
[quoted text clipped - 6 lines]
> over to the new crown. It *really* looks worse from a different angle. It
> looks horrible.
Let me try to give you an answer. It is difficult to see just what is
going on because of the poor focus of the photo. There seems to be a
small space (black triangle) which is not filled totally by the gingival
papilla. This may well be trivial, as most of my patients will show a
space of this size and location little if at all. But in a patient with
a space such as this between upper teeth and with a naturally high "lip
line" it could well be unacceptable.
Sometimes these papillae can be re-shaped to fill the space by
judicious countouring of the surfaces of the two adjacent teeth. This
usually requires ADDITIONAL, rather than less contour.
In your case (again, I'm a bit unsure based on the photo) the crowns
already look somewhat bulky to me. So increasing the contour to
compress of fill the space may give you bulky, un-natural looking
crowns. Some patients may find this preferable to the space. Most
dentists however, familiar with some of the problems secondary to
over-contoured crowns, would rather leave you with a bit of a space.
Your concerns should be discussed with your dentist. It may be that a
small plastic procedure by a periodontist would give you a better result
without needing to resort to overcontoured crowns.
Steve
>>>Why I don't advertise as a cosmetic dentist.
>>
[quoted text clipped - 35 lines]
>>>>
>>>>Rich

Signature
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Rich - 04 Aug 2005 00:29 GMT
> > OK. Fawks. Either my teeth look like total sh.t or you think I'm being too
> > picky. The picture doesn't show it well, the flash blends it in. My question
[quoted text clipped - 28 lines]
>
> Steve
Thanks for the info. I didn't want to say anything to my dentist yet.. . I'm
going to wait a few days. The more I look at it, its kind of like my gumline
is all bloody and whatnot, maybe it will look better in a few days, maybe
not. Thanks again.
Rich
> >>>Why I don't advertise as a cosmetic dentist.
> >>
[quoted text clipped - 35 lines]
> >>>>
> >>>>Rich
Then again.....for $20K per patient, I might be willing
to listen to a little whining and complaining.
Sometimes you get what you pay for, sometimes you get less.
;-)
Fawks
I don't plan on taking
> advantage of the poor cosmetic dentist who made $20k.