Sunday, August 2, 2009

Can you get braces on prosthetic teeth?i think this one's for a dentist or a med student?

Ok the problem is I have a pretty bad overjet and I decided recently to get braces. I started the overall treatment first, teeth caries, etc. and they did a root canal on one of my frontal teeth which has been damaged a while ago. The problem is that it didn't work and next week they'll have to do a root resection on it. Now, i read online and it said that if that doesn't work, the next option is extraction. My question is, if that would be the case, and they have to extract the tooth, will they be able to put the braces on a fake tooth? will it move along with the others or how would it work?

Can you get braces on prosthetic teeth?i think this one's for a dentist or a med student?
If you get the tooth extracted then your options for filling the space would be a denture, an implant, or a bridge. If you also want braces though, then that's a very tricky situation because the "normal" bridge won't work because you won't be able to ensure the two side teeth (that the bridge gets attached to in order to create the tooth in the middle) move together with it. Also, you might not even want to get the other teeth to move with it because it's probably in the wrong position now anyways.... so that cancels out a bridge. An implant before braces is automatically canceled out because once it's in it's not going anywhere. A denture would almost work but as your teeth shift the denture would need to be CONSTANTLY redone, which would cost a lot and not be beneficial in the end for all the time spent on it and with it getting fixed and stuff.





*edit*


In that case, I'm thinking it's probably possible to add a "semi-real-looking-tooth" to the chain of brackets if the resection doesn't work. The ortho could cement a bracket onto a fake tooth, and then just add it into the line of brackets, with the wire attached, etc, and somewhat attach it to the other teeth next to it (pretty much a somewhat-flexible type of bridge!)





Either way it'll work out... hopefully the resection will work, and if not then they won't leave you toothless for two years, there's definitely non-permanent options for now until everything gets fixed.





PS: I'm happy you decided to take care of your teeth now because once everything gets all straightened out you'll have lotsss and lots of years of nice teeth and a healthy mouth especially since you haven't caused any permanent bone loss or anything, so you should be proud of yourself for finally getting things fixed up!!
Reply:An implant can not be moved orthodontically. Only teeth can do that. So if they extract, they will place a temporary tooth there during the orthodontic treatment and then place the implant.
Reply:You need to get an orthodontist that will coordinate work with your dentist. You may find that you need to take out some teeth anyway for your orthodontic treatment, and your dentist would have to do that part. If it turns out you would have had to take out the tooth that is damaged anyway, that would be ideal for your current situation. Ask your dentist for a referral to an orthodontist. Get the photos and xrays done, and go over all your options for treatment with everyone involved.





I am doing braces and implant (also resulting from an unsuccessful root canal). My dentist, and orthodontist are in complete coordination. They are also across the street from each other. I schedule appointments back to back, which is convenient for me.





With an implant, you have to wait a while (months) after the post is in before they can put on the tooth anyway. You can start the braces in the meantime, and when they finally put a tooth in they will put in one that will fit your new bite.



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