There is a large gap between the front teeth?
Dear Dr.
Wu,
Hello! I have a decayed front tooth with a large gap.
I originally wanted to get a dental crown, but my dentist said he wouldn't do it because I have periodontal disease.
He mentioned that getting the crown could cause my teeth to be pulled down.
I have always stuck with one dentist and am afraid to go to another because I'm worried they will laugh at my decayed teeth.
What should I do? Thank you for your help!
sakula, 20~29 year old female. Ask Date: 2001/11/13
Dr. Wu Jinjun reply Dentistry
Dear Sakula: You are correct; teeth with periodontal disease are not suitable for crowns.
Therefore, I recommend that you first consult a periodontist for an evaluation to determine if the periodontal disease can be treated.
If treatment is possible, we can reassess how to design the prosthesis after the treatment is completed.
Reply Date: 2001/11/13
More Info
Dealing with gaps in your front teeth, especially when compounded by dental issues like periodontal disease, can be a challenging situation. It’s understandable to feel apprehensive about seeking treatment, especially if you have concerns about how other dentists might perceive your dental health. However, it’s crucial to prioritize your oral health and seek the best possible care.
First and foremost, it’s important to address the underlying periodontal disease. Periodontal disease can lead to gum recession and tooth mobility, which can exacerbate the gaps between your teeth. If your current dentist is hesitant to proceed with cosmetic treatments like crowns or veneers due to your periodontal condition, it may be wise to follow their advice. Treating the periodontal disease should be the first step. This may involve deep cleaning (scaling and root planing), improved oral hygiene practices, and possibly even surgical interventions if the disease is advanced.
Once your periodontal health is stabilized, you can explore options for addressing the gaps in your front teeth. Here are some potential solutions:
1. Orthodontic Treatment: If the gaps are significant and your teeth are misaligned, orthodontic treatment (braces or clear aligners) might be a viable option. This can help reposition your teeth and close the gaps without compromising your dental health.
2. Dental Crowns or Veneers: Once your periodontal health is under control, your dentist may recommend crowns or veneers to improve the appearance of your front teeth. Crowns cover the entire tooth, while veneers are thin shells that cover the front surface. Both options can enhance aesthetics and provide a more uniform appearance.
3. Bonding: Dental bonding is a less invasive option where a tooth-colored resin is applied to the teeth to fill in gaps. This can be a quick and cost-effective solution, especially for minor gaps.
4. Implants or Bridges: If there are missing teeth contributing to the gaps, dental implants or bridges may be considered. These options can restore function and aesthetics, but they require a healthy foundation of bone and gum tissue.
5. Regular Dental Visits: Regardless of the treatment you choose, maintaining regular dental visits is crucial. Your dentist can monitor your periodontal health and make adjustments to your treatment plan as necessary.
Regarding your concern about visiting another dentist, it’s important to remember that dental professionals are trained to help patients without judgment. Seeking a second opinion can provide you with more options and perspectives on your treatment. Many dentists understand that patients may have complex dental histories and will approach your case with empathy and professionalism.
In conclusion, while it may feel daunting to address gaps in your front teeth, especially with existing periodontal issues, taking a step-by-step approach can lead to significant improvements. Focus on treating the underlying periodontal disease first, and then explore cosmetic options with your dentist. Remember, your oral health is paramount, and there are many professionals willing to help you achieve a healthier and more confident smile. Don’t hesitate to seek the care you deserve.
Similar Q&A
Addressing Gaps in Front Teeth: Options and Considerations
Hello, doctor. I've had a large gap in my front teeth since childhood, about 1-2mm. When I talk, I'm really afraid of accidentally spitting saliva. This gap is a significant concern for me, so I want to resolve it. I've even considered others' suggestions abou...
Dr. Yuan Ziming reply Dentistry
If there is a gap in the center of the upper front teeth and there is a functional need, there are several solutions available: 1. Resin filling 2. Porcelain crowns (2-3 teeth) 3. Temporary dentures to cover the gap 4. Orthodontics: to close the gap. As for surgery, it involves u...[Read More] Addressing Gaps in Front Teeth: Options and Considerations
Exploring Alternatives to Tooth Extraction for Gap Closure in Front Teeth
Hello, I have a gap of about 0.3 cm in the middle of my lower front teeth, and my front teeth are smaller than the adjacent ones. I would like to close the gap, but the dentist informed me that I am missing two teeth and suggested extracting my existing front tooth and one adjace...
Dr. Liu Tiancai reply Dentistry
Hello: The simplest method to fill dental gaps is to use composite resin, widening the adjacent teeth slightly. The downside is that biting hard objects or sunflower seeds may dislodge the restoration. Additionally, one could consider orthodontics to reposition the teeth appropri...[Read More] Exploring Alternatives to Tooth Extraction for Gap Closure in Front Teeth
Can Orthodontics Fix a Missing Front Tooth?
If one of the front teeth is broken and the central incisor and lateral incisor are similar, can orthodontic treatment be used to close the gap?
Dr. Chen Yingfang reply Dentistry
Hello! It is possible to open up space using orthodontic methods and then place a prosthetic tooth for the front tooth. However, it is best to consult with a dentist for treatment. Thank you![Read More] Can Orthodontics Fix a Missing Front Tooth?
Choosing the Right Orthodontic Treatment for Gaps in Your Front Teeth
Due to genetics, I have a gap between my two front teeth, approximately 0.1 cm wide, and the adjacent teeth on either side are quite small, resembling baby teeth (there are gaps between all four front teeth). However, the rest of my teeth are quite beautiful and aligned. I would ...
Dr. Zeng Yiren reply Dentistry
Dear cym user, I apologize for the delay in my response. There are many methods for orthodontic treatment, and the costs can vary significantly depending on the materials used. I recommend that you find a reputable medical facility and discuss your options in detail with your d...[Read More] Choosing the Right Orthodontic Treatment for Gaps in Your Front Teeth
Related FAQ
(Dentistry)
Tooth Alignment(Dentistry)
Malocclusion(Dentistry)
Missing Teeth(Dentistry)
Incisors(Dentistry)
Retainer(Dentistry)
Fixed Denture(Dentistry)
Occlusal Splint(Dentistry)
Dental Filling(Dentistry)
Gingivitis(Dentistry)