Hi Jason. Having healthy gums is the foundation to healthy teeth and it is a starting point for cosmetic dentistry. You may need hygiene work before we start working on your teeth. The loose tooth may have to come out, but this will be determined at your appointment. A broken tooth can be filled with composite, but if the tooth has several fractures it may be best to crown it. The dentist will also determine why you have so many fractured teeth. You may be grinding your teeth at night, or there may be a weakness in your enamel. These are facts that have to be considered in order to formulate a dental treatment plan. Please feel free to register online and we'll set up a consultation.