Patient Stories

Why Her Front Tooth Kept Chipping: Fixing a Worn Bite with 9 Crowns

Her front tooth chipped again and again, and her bonding kept getting redone. The real cause was her worn-down bite. Opening her bite with 9 new crowns fixed it, and she kept her 3 good crowns.

After 9 new upper crowns that improved the color, shape and bite of this smile
Before 9 new upper crowns that improved the color, shape and bite of this smile
BeforeAfter

Gabriella’s* front tooth had chipped several times. Each time, her previous dentist recommended redoing the bonding on her front tooth.

Finding Out Why It Kept Chipping

When she came to see me, I explained why her front teeth kept chipping. She had ground down her bite, so her lower teeth kept chipping away at her upper teeth. Redoing the bonding repaired the chip, but not the cause.

A Long-Term Solution

The best way to restore her smile was to open up her bite a little, to give her teeth more room to function. She also had cavities between her teeth, so the best long-term solution was to place crowns on her upper teeth.

She already had 3 crowns. If nothing was wrong with them, she didn’t want to change them, and that made sense. We agreed to leave her good existing crowns alone, and she completed 9 new crowns to improve the color, the shape of her teeth and her bite. Her treatment took about 5 appointments.

After new upper crowns, side view
Before new upper crowns, side view
BeforeAfter

The Result

Her new crowns gave her teeth a brighter color, a better shape and more room to function, so her front teeth are no longer being chipped away.

“You changed my life. Thank you so much. I love my smile.”

Gabriella*

Have a chipped or broken tooth right now? See our same-day broken tooth repair, or see more results in our before and after gallery.

*All photos and stories are of actual patients. Patient names changed for confidentiality.

Chipped Teeth & Worn Bite Questions

Why does my front tooth keep chipping?

One common reason is your bite. When teeth are ground down over time, the lower teeth can keep chipping away at the upper front teeth. If only the chip is repaired, the tooth can keep chipping. Gabriella’s front tooth chipped several times before we found and fixed the cause.

Why does my bonding keep breaking?

If your bite is causing the damage, new bonding faces the same forces as the old bonding. Gabriella’s previous dentist kept recommending that her bonding be redone. Fixing her bite was the long-term solution.

What does it mean to open the bite?

Opening the bite means restoring some of the height your teeth have lost to wear, so they have more room to function. For Gabriella, we opened her bite a little with new crowns on her upper teeth.

Do I have to replace crowns that are still good?

No. If nothing is wrong with your existing crowns, they can often stay. Gabriella had 3 existing crowns in good condition, so we left them alone and placed 9 new crowns.

How many appointments does this take?

Gabriella’s treatment took about 5 appointments. Your number depends on how many teeth need treatment, and Dr. Nadia will walk you through every step before you begin.

Does insurance cover crowns?

Many PPO plans cover part of the cost of crowns, especially when there are cavities or damage. We accept most major PPO plans, and se habla español.

Midtown Manhattan, steps from Central Park and Columbus Circle

A short walk from the Upper West Side and Hell's Kitchen.

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