DR.Oogle Dentist Help: Improving smile line with edge-to-edge bite. Braces, Veneers? Pics too!

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Improving smile line with edge-to-edge bite. Braces, Veneers? Pics too!

Improving smile line with edge-to-edge bite. Braces, Veneers? Pics too!
Added: February 09, 2009 - 1:55 PM
By: adgjmx@hotmail.com, San Diego, CA

Need Dentist / Specialist: Yes
Provide Cost Estimate: No
X-rays Available: Yes

Case Summary

Teeth:
Last Full Mouth X-Ray: 2/1/2008
Last Cleaning: 2/1/2008

Case Description

Hello,

I am interested in improving my smile line (make smile more gummy since my anterior incisors only show half of the teeth) AND fix my edge-to-edge bite (if necessary.) Since my front teeth are higher than the back teeth, it looks like I have fangs (my cuspids are longer.)

Here are some pics:

http://img19.imageshack.us/my.php?image=img5580gw9.jpg http://img16.imageshack.us/my.php?image=img5570xd7.jpg

Normally, one would get veneers or crowns to obtain a more gummy smile, but I have a minor malocclusion (type III, edge to edge) - So my bite needs to get fixed before I obtain veneers/crowns on the anterior incisors, otherwise they will get chipped by hitting the bottom teeth. Maybe, I won't even need veneers/crowns once my edge to edge bite is fixed- I don't know.

So here are my questions:

1. Can/should I get braces for only my top teeth to fix the edge-to-edge bite and extend anterior incisors so that they overlap my bottom teeth? I have an implant on my lower 2nd bicuspid and a crown on my 2nd molar, so I am a bit hesitant to get braces on my lower teeth.

2. Will invisalign work to fix an edge to edge bite?

3. Any way to 'fix' my cuspids or will they get fixed once I correct my edge to edge bite?

I'm interested in getting work done soon, so please reply if you can help.

Thank you!

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Reply: Improving smile line with edge-to-edge bite. Braces, Veneers? Pics too!
added: February 09, 2009 - 2:31 PM

Your case is one we see often in our office. Your pictures did not show when we tried to open them but your description was very good. We have treated many cases with Invisalign, as we are a premier provider having completed over a hundred cases, and we have done many veneer or full mouth rehab cases. It really depends on each case. If you would like please visit our website for a new patient special to begin taking x-rays, photos and impressions to understand your particular case completely and to give you your options. Our doctor has been voted one of the best dentists in San Diego for three years straight by his peers in San Diego Magazine.

Our website is www.smilesbydrsam.com and our number is 619-427-0810. Give us a call as I am sure we will be able to help you get a great smile and bite.

Reply: Improving smile line with edge-to-edge bite. Braces, Veneers? Pics too!
added: February 09, 2009 - 3:31 PM

Great question.

Answer to question one: Yes. Correcting the alignment of your teeth and looking at the big pictures is the best way to proceed. The best thing to do is some cosmetic imaging to "see" what your teeth will look like when you are finished.

Answer to question two: Yes. But the teeth should be placed where the teeth want to be. Forcing the teeth in an uncomfortable position usually does not work long-term.

Answer to quesion three: Yes. Cuspids can be fixed before hand, during, or after. Proper diagnosis and planning is key from the start.

I''''d be happy to help. Your case sounds very interesting. (particularly because I had the same condition).

Dr. Marvin

http://naturaldentistry.us

Reply: Improving smile line with edge-to-edge bite. Braces, Veneers? Pics too!
added: May 14, 2009 - 8:28 AM

If there is a bite concern, this should be evaluated first by a provider that is a neuromuscular dentist, as this can be complex. Trying to fix a bite after permanent changes to the mouth have been made is rarely successful and often those changes are made to keep a bite corrected the rest of your life.

Oo·gle (u'gol, угол) - a corner meeting place where people gather around to talk.

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