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It was a year-long, expensive process and she's very unhappy with the final result. She could see the metal somewhat when she had the fakey tooth (like a retainer), but it seems worse now that they added the tooth itself. It's the tooth next to her front tooth, so it's visible in her smile. It is not just an issue of the gumline, but through half the gum the metal shows darkly. She's concerned that it is an issue of the placement of the post and there will be nothing she can do to resolve it. She had the tooth itself put on a couple weeks ago and has an appt. scheduled in a couple more weeks. Is this a natural step, like the gum will bulk up over time? Does anyone have any ideas about what her options are/will be? Thank you!

2006-08-03 05:24:21 · 3 answers · asked by sthenx0r 1 in Health Dental

3 answers

No the gum will not "bulk up" My daughter has to have gum grafts and we were told that sometimes the color of the grafts are not exact as the surrounding tissue either. The alternatives to implants are partials, bridges or dentures. An implant is the best replacement we have at this time. Her gum tissue might be thin in that area. Gums have a tendency to receed as we age anyway. She could get a gingival mask which is totally cosmetic if nothing can be done to correct the darkness by the tooth itself.


http://www.dr-schulte.ch/images/mukovingivale-chirurgie.jpg
http://www.dr-schulte.ch/images/chirurgie-mukovingival.jpg

Left: This patient, after a recovery from periodontal disease, has
severe gingival defects in the visible front teeth area. She feels
uncomfortable with her compromised appearance. Right: By placing a gingival mask, we have reached an aesthetic reconstruction that satisfies the patient.

2006-08-03 23:42:30 · answer #1 · answered by Skeeter 6 · 0 0

The gingiva will not likely bulk up in an esthetic way. She may need a grafting surgery to place tissue that isn't as thin and will not allow the metal to show through. Ideally, the implant itself is embedded in bone and what might be showing is the abutment that screws into the implant. It is now possible to get tooth colored abutments to help with esthetic issues, though in her case, someone would have to cover the cost of the new abutment and crown. Good luck.

2006-08-03 06:18:56 · answer #2 · answered by ponyboy 81 5 · 0 0

I like ponyboy's info. The problem would be that the crown would also have to be made over. I think the patient and dentist might be able to "come to an understanding" about a significant fee adjustment.

With any LUCK, it might be that the temporary crown is a bit short of covering all the metal and the real crown will in fact cover everything. You did not actually say if she is still in a temp or not, but I'm just hoping that she is.

2006-08-03 06:25:47 · answer #3 · answered by Picture Taker 7 · 0 0

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