Thursday, April 16, 2009

My 10-year-old broke his two adult front teeth. Veneers, bonding or caps... what is the best choice?

He has about half a tooth left on one tooth and about 1/4 tooth left on the other. There is no nerve damage.Three different dentist have recommended three different things.

My 10-year-old broke his two adult front teeth. Veneers, bonding or caps... what is the best choice?
I%26#039;m a dentist.





First off, don%26#039;t be concerned by the fact that you%26#039;ve gotten three different suggestions. Each one probably would work, although some are more appropriate than others.





For a ten year old, crowns and veneers are not a good idea for a number of reasons.





Beyond that, at this point the important thing to address is the health of the teeth. The reality is that you don%26#039;t know that there is no nerve damage. Hence, vitality tests (to determine if the pulps inside the teeth are still alive) should be performed bi-weekly for a couple of months, and radiographs should be taken ever month to check for signs of internal or external resorption of the roots (where the pulp inside the tooth or the bone surrounding the tooth, respectively, begins to attack the tooth as a foreign body. If this happens, root canal therapy is indicated).





In the meantime, for cosmetic purposes, composite restorations (i.e. %26quot;dental bonding%26quot;) will have to do.





Once the long-term health of the tooth has been established as well as possible (we never know for sure what will happen 10 years down the road!), other forms of restorations can be considered--although, for a ten year old, crowns and veneers are not really appropriate because his gumline will change as he gets older, possibly making the crown or veneer unaesthetic.
Reply:Whatever is in your price range.
Reply:Crowns would be the best also if it%26#039;s broken as much as you say it is there is probably going to be a need for Root Canal therapy.
Reply:I have veneers. They have lasted more than six years, and still are OK. A punk busted my tooth with a bottle.
Reply:Crowns are the stronger and more permanent solution. I broke one of my front teeth when I was 8 yrs old. I have had a porcelain crown for the last 28 yrs with no problems or issues.
Reply:veneers, bonding, and caps have their own indications. but since your child is 10 years old, whose teeth development hasn%26#039;t perfect yet, it%26#039;s better to choose bonding or caps with pulpotomy, because i think your child%26#039;s pulp chambers are already open, and the age of 17, change it into crown. bonding has a better aesthetic than caps though. u can%26#039;t use veneers, because the lost of tooth structure is too much. good luck.
Reply:Go with Veneers or crowns or try another dentist. I went to 5 to find the right thing for my teeth.





From what I was told by a dentist bonding only lasts around 5 years and anything that could bleach teeth (whitening tooth pastes, ect.) will turn the bond yellow.



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