| Subject: Re: Question for Dr Rick + more on root resorption and possible loss of tooth |
Author:
lilleth
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Date Posted: 07:09:30 08/12/04 Thu
In reply to:
drrick
's message, "Re: Question for Dr Rick + more on root resorption and possible loss of tooth" on 07:03:06 08/11/04 Wed
Thx Dr. Rick for your always patient replies.
Should I see a periodontist or oral surgeon before the braces to make sure I am a good candidate for an implant? My general dentist, ortho, and the endo I saw all seem to think an implant would work, but it seems like a big undertaking - surgery!
Also, is there a chance the tooth could come out when pressure is applied to remove bracket when braces are finished?
I read in the book "Change your Smile" that they can bond cuspids to make them look like incisors when the incisors are missing. I have extra space up top and am so mad that my childhood orthodontist had my cuspids removed!
>The calcified part is the canal itself in the center
>of the tooth. It will move jst the same as any other
>tooth.
>
>I think that is good advice do the ortho with the
>tooth in place and if you loose it do the implant. If
>it stays great, if not,at least we have options.
>
>If you have a fairly distinct curve of spee I would
>want to see some eruption of the posterior lower
>teeth. If the gum levels are a bit off(especially if
>the upper centrals are quite a bit longer that the
>laterals) I would want some intrusion of the upper
>anterior teeth. This would help reduce the gumy smile
>as well.
>
>I would place some composite buildups on the back of
>the upper anterior teeth. This will separate the
>posterior teeth and allow the lower back teeth to
>erupt thus flattening the lower curve of spee and
>gving you a net opening of the bite. Proper bracket
>placement should help intrude the upper anterior teeth.
>
>The use of reverse curve archwires would also help
>achieve both goals.
>
>Those are my thoughts from the info I have
>
>>>WHen you open 1/2 way and look at the curve from the
>>>lower front teeth to the lower back teeth is there a
>>>distinct curve or is it relativly flat?
>>
>>A fairly distinct curve.
>>>
>>>DO you have a gummy smile?
>>Yes, relatively gummy but not as gummy as some I've
>>seen.>
>>
>>>Is the gum above the central incisors higher than the
>>>lateral incisors?
>>A little, but not much.
>>
>>Today I had a very thorough evaluation by an
>>endodontist of tooth #10, lateral incisor with root
>>resorption from when I was a kid. (I am so impressed,
>>my childhood orthodontist from 33 years ago still had
>>my records and reviewed them and told me he thought
>>the resorption was caused by cuspid root pressing on
>>incisor root and had been that way a long time.)
>>Anyway, the endodontist doesn't think the tooth is
>>vital, the pulp tests indicated the tooth is not
>>vital, and with more than 50% resorption not worth
>>trying any kind of root canal. He said to maybe go
>>ahead and do the braces, watch the tooth, and if I
>>lose it I can have an implant. Sigh.
>>
>>My question for Dr. Rick is - he said it might have
>>calcified a little, and I wonder if it will be able to
>>move the tooth anyway, even if it stays in my gums.
>>
>>Thanks.
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