u/Interesting-Tap246

▲ 2 r/PeriodontalDisease+1 crossposts

Crowned lateral incisor next to implant seems to be rotating

47/f, healthy, don't smoke and rarely drink. I do have extensive dental work, receding gums, and 2 implants. Just wondering how common it is for a tooth to "migrate" and how quickly that can happen. My lateral incisor had a root canal 30 years ago and subsequent crown. The latter was replaced 3 years ago and the tooth itself has slight mobility. My endodontist at the time, who placed the implant on the adjacent central incisor, suggested we wait on that tooth and replaced the crown. Since the implant placement, I have noticed my gums receded and look flat on both teeth. Now the crownded incisor seems to have rotated a bit and shifted back. It had been placed to prevent occlusion with the bottom tooth but those are making contact again. Nobody I've seen in recent years has indicated bone loss but I will get it double checked. In the meantime, just wondering how rapidly this can happen since I can feel a difference in my bite that seems to have developed in recent weeks. Thans in advance for any insight and advice!

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u/Interesting-Tap246 — 10 days ago

Looking for advice since I'm getting conflicting feedback. I have moderate to severe recession on many teeth. I've been told it's due to thin gums that are prone to receding and might also be the result from orthodontics in childhood as well as clenching in my sleep. Nobody has told me I have PD or bone loss. I'm supposed to get gum grafting on my bottom six teeth, canine to canine. Only one of them has recession at 3mm, the rest 1-2mm. I obviously do need grafting at some point but was told this is urgent. I have other areas of my mouth that have worse recession, especially around 2 implants. I'm hesitant to rush this for many reasons. I'm uninsured and the quotes I've gotten range between 6k to 30k. I will have dental insurance in 6 months but expect it will cap at $1500 for the year. Does anyone know of supplemental plans that can help cover these costs? And can multiple areas be grafted at the same time? I work a lot and cannot afford to take time off so am hoping to get one procedure rther than several to mitigate missed income. Any feedback is appreciated!

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u/Interesting-Tap246 — 22 days ago

My teeth have been compromised since childhood and my family has a hisoty of dental issues so I'm sure there's a genetic component. Dental hygiene wasn't the best and finances were bad so my braces were left on too long and no retainer was used. They were finally removed when I had an injury to the face that resulted in an infection, which caused my first root canal and crown at the age of 16 on a lateral inciser. The dentist at that time truly traumatized me. He would not accept my mom's check and made me ride my bike to the bank to get cash. The crown fell out the same day he placed it and when I went back to have it recemented, he blamed me and was very rough. He actually ripped off some my gums on either side of that tooth with floss when he was removing the excess cement. I left his office bleeding and crying, and didn't go to another dentist for years.

Fast forward 30 years - I've been getting corrective work over the last couple decades to improve health and appearance but it's been a patchwork from a myriad of dentists based on my changing location and who would accept my insurance situation (sometimes medicaid, sometimes private, usually none). The majority of my teeth are crowned at this point and I have 2 implants (1 canine and one central inciser). My gums are thin and have been receding along most of the crowns for years, especially the PFM ones. Now they are receding along my front teeth, especially by the implants, and even on the bottom where there had not been any crowns but a lot of bonding. I recently got tired of how bad they appeared (they were cracking and trapping food) so decided to get those crowned as well. I still have the temps on since I was concerned about the length of the crowns presented to me. They don't cover the roots entirely and the gap between the bottom of the crown and receded gum line is not insignificant. I've attached photos of the temps that indicate the margins as well as the crowns that I feel are too short. This new dentist has been wonderful and said it's to protect my teeth. I had expected the crowns to cover that gap so am now looking into gum grafting and pinhole surgery consults. I was quoted yesterday 3k per tooth for gum repositioning, which I cannot afford. All of this is extremely expensive/time consuming and I'm already going into serious debt trying to achieve the nice smile I've never had. I need advice and guidance to avoid making additional mistakes.

For what it's worth, I'm 47 and healthy (active, don't smoke, drink socially/rarely). I looked into getting full mouth implants but was told I'm not a candidate yet and was discouraged from pulling healthy teeth. I have not yet been told about bone loss but have another perio appointment today so will ask about everything.

Photos and some Xrays in this link: https://drive.google.com/drive/folders/1MPK5N2FSx6ux26yRlMa13XrnlCxL3P-8?usp=sharing

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u/Interesting-Tap246 — 24 days ago

So let me start by stating that I'm not a dentist and apologize if I'm posting in error. I'm just close to giving up and need help.

My teeth have been compromised since childhood and my family has a hisoty of dental issues so I'm sure there's a genetic component. Dental hygiene wasn't the best and finances were bad so my braces were left on too long and no retainer was used. They were finally removed when I had an injury to the face that resulted in an infection, which caused my first root canal and crown at the age of 16 on a lateral inciser. The dentist at that time truly traumatized me. He would not accept my mom's check and made me ride my bike to the bank to get cash. The crown fell out the same day he placed it and when I went back to have it recemented, he blamed me and was very rough. He actually ripped off some my gums on either side of that tooth with floss when he was removing the excess cement. I left his office bleeding and crying, and didn't go to another dentist for years.

Fast forward 30 years - I've been getting corrective work over the last couple decades to improve health and appearance but it's been a patchwork from a myriad of dentists based on who would accept my changing location and insurance situation (sometimes medicaid, sometimes private). The majority of my teeth are crowned at this point and I have 2 implants (1 canine and one central inciser). My gums are thin and have been receding along most of the crowns for years, especially the PFM ones. Now they are receding along my front teeth, especially by the implants, and even on the bottom where there had not been any crowns but a lot of bonding. I recently got tired of how bad they appeared (they were cracking and trapping food) so decided to get those crowned as well. I still have the temps on since I was concerned about the length of the crowns presented to me. They don't cover the roots entirely and the gap between the bottom of the crown and receded gum line is not insignificant. I've attached photos of the temps that indicate the margins as well as the crowns that I feel are too short. This new dentist has been wonderful and said it's to protect my teeth. I had expected the crowns to cover that gap so am now looking into gum grafting and pinhole surgery consults. I was quoted yesterday 3k per tooth for gum repositioning, which I cannot afford. All of this is extremely expensive/time consuming and I'm already going into debt trying to achieve the nice smile I've never had. I need advice and guidance to avoid making additional mistakes.

For what it's worth, I'm 47 and healthy. I looked into getting full mouth implants but was told I'm not a candidate yet and was discouraged from pulling healthy teeth. I have not yet been told about bone loss but have another perio appointment today so will ask about everything.

Photos and some Xrays in this link: https://drive.google.com/drive/folders/1MPK5N2FSx6ux26yRlMa13XrnlCxL3P-8?usp=sharing

reddit.com
u/Interesting-Tap246 — 24 days ago

So let me start by stating that my teeth have been compromised since childhood. My family has a hisoty of dental issues so I'm sure there;s a genetic component. Dental hygiene wasn't the best and finances were bad so my braces were left on too long and no retainer was used. They were finally removed when I had trauma to the face that resulted in an infection, which caused my first root canal and crown at the age of 16 on a lateral inciser. The dentist at that time truly traumatized me. He would not accept my mom's check and made me ride my bike to the bank to get cash. The crown fell out the same day he placed it and when I went back to have it recemented, he blamed me and was very rough. He actually removed some of the gums on either side of that tooth with floss when he was removing the excess cement. I left his office bleeding and crying, and didn't go to another dentist for years.

Fast forward 30 years - I've been getting corrective work over the last couple decades to improve health and appearance but it's been a patchwork from a myriad of dentists based on who would accept my changing insurance situation (sometimes medicaid, sometimes private). The majority of my teeth are crowned at this point and I have 2 implants (1 canine and one central inciser). My gums are thin and have been receding along most of the crowns for years, especially the PFM ones. Now they are receding along my front teeth, especially by the implants, and even on the bottom where there had not been any crowns but a lot of bonding. I recently got tired of how bad they appeared (they were cracking and trapping food) so decided to get those crowned as well. I still have the temps on since I was concerned about the length of the crowns presented to me. They don't cover the roots entirely and the gap between the bottom of the crown and receded gum line is not insignificant. I've attached photos of the temps that indicate the margins as well as the crowns that I feel are too short. This new dentist has been wonderful and said it's to protect my teeth. I had expected the crowns to cover that gap so am now looking into gum grafting and pinhole surgery consults. I was quoted yesterday 3k per tooth for gum repositioning, which I cannot afford. All of this is extremely expensive/time consuming and I'm already going into debt trying to achieve the nice smile I've never had. I need advice and guidance to avoid making additional mistakes.

For what it's worth, I'm 47 and healthy. I looked into getting full mouth implants but was told I'm not a candidate yet and was discouraged from pulling healthy teeth. I have not yet been told about bone loss but have another perio appointment today so will ask about everything.

The crown lengths that concern me

The temps that show the margins and gumline

reddit.com
u/Interesting-Tap246 — 24 days ago