I have a missing lateral incisor. It’s been missing my entire life. My dentist did braces and I now have a dental flipper where that space was. I want to find something more permanent to replace it with. I also have the other incisor that is there but a bit deformed. It is smaller and further back than the rest of the teeth. Ideally, I would like to fix both of these issues. Do you have any recommendations?
Holly
Dear Holly,
For the congenitally missing tooth, I recommend you replace it with a dental implant as long as the adjacent teeth are healthy. You didn’t say that they aren’t so I’m going on that assumption. A dental implant is the closest thing to having a healthy, natural tooth because it provides a prosthetic tooth root. Because of that, it will be completely secure and prevent any loss of bone structure.
On the off chance the adjacent teeth are in need of work as well, then you might consider a dental bridge. This suspends a false tooth between two dental crowns.
As for the deformed tooth, there are three options. Which you use will really depend on the size and shape of the tooth.
- A Porcelain Veneer
- A Porcelain Crown
- Dental Bonding
I would consult a skilled cosmetic dentist and have them give their recommendation. You do not have to go to the same dentist for the dental implant as you do for the cosmetic restoration. Every dentist has their skill set. While doing a dental crown is a standard skill for any dentist, the dental implant, porcelain veneer, and dental bonding will all take a dentist who has invested in post-doctoral training. These are all advanced procedures which are not adequately taught in dental school.
This blog is brought to you by Baton Rouge Dentist Dr. Steven Collins.