Q: I was born missing my two upper incisors to the left and right of the center two teeth. I want to replace them, but the bone is so thin I need expensive bone grafts; a year of healing followed by more costs for the dental implants and the two crowns. I need to do something because I want veneers on my top 8 remaining teeth to improve my smile. Do you have any suggestions?
A: Every once in a while after doing the “tooth- thing” for 30 years, I stand back and look at a case and say: “Wow, my team and I really out did ourselves.” (Occasionally this is said in reference to my staff’s outfits at our annual holiday party. Who knew someone had mole shaped like West Virginia.)
On a patient with your exact problem, we literally defied the laws physics by using some truly novel technology in my office and at Keith K.’s lab, Distinctive Dental Designs, the East Coasts premier porcelain dental lab. You can see the case on our website on the veneer gallery page, or drop me an email to request the before and after photos.
- Models of the patient were digitally scanned allowing a 3-D printer to produce a model with a new smile, including replacement of her two lateral incisors.
- We prepared the teeth for ten veneers, took no-goop digital impressions and placed temporary veneers attached to two replacement teeth in the empty spaces.
- The finished work contained eight veneers with two specially attached “floating”, permanent replacements of the missing teeth.
No bridgework was done which would have involved cutting down the adjacent teeth for crowns; and no surgery was performed. Boom.
Dr. Mitchell Josephs practices Implant, Cosmetic and General Dentistry with an emphasis on implants, porcelain veneers, and complex crown and bridgetreatment. He is on staff at JFK Medical Center and is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry. He completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.