Replace 16 natural crowns at once
Hi, I have had grinding issues since I was a kid and now I'm 33. My front teeth have got an "angle" now when looking from the front, and don't look terrific, plus another day I finally lost completely my top right incisor and have had an implant - now waiting for 4 months before I get the crown there.
But my overbite is also extremely deep - my top teeth practically reach the gums of my lower teeth. So this is also coming from massive grinding molars have been exposed to day&night since I was a kid. I lost 3 molars already, I forgot to say that. Most of my still healthy teeth have fillings and some of them nerves extracted.
Anyway that's my current state.
So another day I was talking to my dentist, and proposed to have almost ALL of my molars - say 16 - cut down the crowns and replace them with porcelain, but also to make them bigger so my overbite gets better/higher.
This would protect my front teeth from further deterioration and enhance esthetics as well as my face and smile has already slightly shrunk due to shortening made to molars by grinding.
At the same time we would make bridges at the places of my three lost molars - three bridges. At least this is the idea and my dentist thinks it's good. He thinks we can have everything happen within 7-10 days if we go real fast, i.e. have my molars ground for 2 days for a dozen hours or whatever etc. I feel this is too harsh, but he thinks that's necessary if were going for all of them.
He even thinks I should do it to my front teeth, but maybe not at the same time, which I don't like as most of them are still mine, although quite shortened.
Also, what's the feeling like when none of your molars are natural? Is it too solid and non-elastic? Too weird? Should I count that I need to keep replacing all my crowns every 10-15 years from now on? Do all the tv-stars go through this?
So many questions.
Hi Marko, It's no surprise that you have so many questions. I have a few as well.
First your questions:
It is not unheard of to crown 16 teeth at once but it is considered major reconstructive treatment so you should explore all options and make an informed decision.
I would want to know how many times your dentist has treated cases like yours and what was the outcome? You could ask for references so you can learn first hand what to expect.
Crowns most often feel very natural and not stiff at all, but with a major change in the way your teeth fit together it may take some getting used to.
Crowns can last a lifetime but don't always. How long they last depends on how well they were made and how well you care for them. You can still get a cavity if you have a crown and you can still get a tooth abscess or gum disease.
Many of the TV stars have veneers put on their teeth. Veneers change the color, shape or size of teeth and only cover the front of the tooth. Veneers may be an option for your front teeth vs full crowns.
Now my questions:
I don't know how much of your molars you have worn away but I wonder if you are a candidate for orthodontic braces? At age 33 you are not too old. If you are a candidate, realigning your teeth to correct your overbite may be a better solution. It would depend on how much molar tooth structure you have left.
Ideally, for treatment this major, you should get more opinions, from orthodontists and/or general dentists.
Lastly, have you addressed your tooth-grinding issue? If not you should have a guard made to protect your teeth from further wear. Even if your teeth are all crowned a night-guard is recommended to protect your teeth, gums and jaw joint. If you are having new crowns made or orthodontic treatment you should have a guard made after your treatment is complete.
Thanks for writing,