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Dr. Crapo

Q: I try to avoid the dental profession as much as possible. Despite that, I do have my share of crowns, root canals, etc. About fifteen years ago I had two veneers done on my two lower front teeth because of severe chipping. They lasted about twelve years before they began to chip away and my upper front teeth started to wear badly, so the veneers were replaced. In the past year my upper front teeth chipped beyond minor filling repair, so I had to go in for that. The dentist said I had several problems – ones that he did not know how to fix. He said there was little room to do veneers or crowns because my teeth were so thin, and he also said my teeth were getting loose. I asked how loose – like falling out loose? He said no, but it could go that way. I’m very upset! I know I’ve not been the keenest to follow every development in my mouth, because – well I’ve had a great set of teeth and a good looking smile. What can be done? Am I going to lose my teeth? Please suggest something. I’m ready to do whatever it takes.



A: The shortest answer to your dental condition is that you are biologically overpowering your teeth and their support system. If you are not eating or drinking things which are caustic and erosive in nature, then proper mechanics may be all you need. While the process is straight forward it is not necessarily easy. Determining the forces in your mouth will require the restoring dentist to examine which teeth are loose and which teeth are breaking. He’ll have to take into account the thinness of your teeth to see the best way to return them to their original shape and size. This must be worked out in the laboratory before anything happens in your mouth. You must know “going in” that even the best dental insurance may not cover much of the costs of this diagnostic work-up and may even say that the scope of your needs is beyond the contract you have with them. I cannot say what you need, but it occurs to me that your entire mouth (all your teeth), may have to be remade in order to redistribute the forces correctly, stop the chipping and breaking, and also correct the forces that are causing your teeth to become mobile. Mobility is probably the most serious of your problems and it is imperative that it be corrected. Looseness of teeth caught early and treated can often return them to their original tightness. Act now and there’s a good possibility that these destructive forces can be eliminated and your beautiful smile made pristine.


If we can help, we’d like to. Call 778-410-2080 for a consultation or visit us today.

Based on actual patient cases

© Calvin Ross Crapo

Victoria Implant Centre 778-410-2080


Dr. Crapo

Q: A year and a half ago, I had to have my right upper front tooth pulled. I had previously, some years before, had my molars pulled, so after the front tooth was pulled, I have nine upper teeth left. The dentist decided to give me a partial denture to replace the front tooth and the molars. It didn’t feel quite right when he put it in so he adjusted it the best he could and told me I’d get used to it. My problem is that after a year and a half I can’t eat with it. I have to take it out to eat. Another problem is that one of my back teeth, the one just in front of the molars (that I don’t have) is loose and the dentist said it would have to come out one of these days. When I told him I couldn’t eat with the partial in, he didn’t have anything to say other than I could get an implant for my front tooth. He doesn’t do them, so I saw someone else who said I didn’t have enough bone and I’d need bone added before I could get it done. I’ve paid for a partial, it doesn’t work and I’ve got a loose tooth that might have to be pulled. I feel like I’m up a creek. Can you offer some suggestions? Oh one last thing, the dentist said I couldn’t do a bridge in the front because one of the roots wasn’t strong enough to hold the bridge.



A: If you are a non-smoker and have no debilitating disease, three ideas come to mind. The least expensive idea is to make a bridge and include more teeth. Instead of anchoring the bridge with one tooth on either side, use two; almost always this produces a very stable bridge. Your loose tooth may be loose because of pressure from your partial. Adjust the loose tooth when you put in the new bridge. This will allow it to firm up. Though not ideal, many people operate without molars at all. In a more comprehensive light and only if the x-rays reveal adequate bone around each tooth, temporary bridge work can be put in place to splint together all your upper teeth. After six months an evaluation is made to ensure every tooth is solid, ready for the permanent bridge work. A final idea that is more expensive but is faster, easier for you and instantly fixes your problem, is the “teeth-in-a-day” route. This is a wonderful solution when teeth are loose but you have adequate bone for implants. You go home that day with beautiful teeth fixed in your mouth.



If we can help, we’d like to. Call 778-410-2080 for a consultation or visit us today.

Based on actual patient cases

© Calvin Ross Crapo

Victoria Implant Centre 778-410-2080

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