In June 2019, I had all my lower teeth redone with crowns and veneers as part 1 of my full-mouth reconstruction. My cosmetic dentist recommended a full smile makeover because my teeth are worn from clenching and grinding, my molars were sensitive, and my bite collapsed.
So far, only my lower teeth are completed, and it’s been an emotional battle. I miss some of the imperfections from my old smile. My teeth are a little too white, and I have inflammation in my gums, which is unusual. My dentist suggested that I use baking soda and peroxide rinses for the inflammation.
My dentist is ready to finish the reconstruction, but I think that I want to stop. My bottom teeth are worn and dark, but I’m hesitant. I had Zoom whitening in the past, and my teeth are too worn to bleach them. They would be super sensitive. I’m not in pain anymore, and I am not sure that I want the perfect smile she envisions. – Thanks. Camille from TX
Dr. Finley can’t give any definite answers without examining your teeth and dental records.
Your question seems to be if you should complete your full-mouth reconstruction. We aren’t in favor of half-mouth reconstruction.
Your original issue was excessive wear on your teeth. Your upper and lower teeth were likely worn. If that’s the case, your problem is only half solved.
On the other hand, crowns and veneers are an aggressive transformation. If you’re not convinced of the benefits, it might be best to suspend treatment until you’re sure that you want to complete it.
A masterful cosmetic dentist will include some of the imperfections in your smile that you loved. If you have an advanced cosmetic dentist and talk to her about your concerns, it won’t be an issue. Your dentist, along with a ceramist, can give you an imperfect smile and make it look natural.
You also mentioned discoloration in your teeth. Again, your dentist can determine if Zoom whitening will awaken sensitivity in your teeth. There are other options to whiten your teeth gently. But an advanced cosmetic knows how to minimize sensitivity with any teeth bleaching. If your dentist extensively uses Zoom, she can anticipate sensitivity in your teeth and minimize or avoid it.
Inflammation Around Dental Crowns
Inflammation around your crowns could be due to sensitivity or something else. Your dentist should try to identify the cause before continuing with treatment on your lower teeth. Porcelain onlays don’t meet the gumline, so the chances of inflammation are minimized.
A smile makeover is an emotional event. Many patients are hesitant about it, but it’s a positive life-changing experience when they see the results. Talk with your cosmetic dentist about your concerns and ask questions to calm your worries. If your smile isn’t exactly as you want it, doing a half-mouth reconstruction won’t be satisfying.
David Finley, DDS, an accredited fellow of cosmetic dentistry in Monroe, LA, sponsors this post.