| Subject: Re: Question for Dr Rick + more on root resorption and possible loss of tooth |
Author:
drrick
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Date Posted: 07:20:57 08/12/04 Thu
In reply to:
lilleth
's message, "Re: Question for Dr Rick + more on root resorption and possible loss of tooth" on 07:09:30 08/12/04 Thu
Y0u can go to the periodontist or oral sx for an implant consult b4.
If the tooth is coming out, it is coming out no matter what. Extraction forces are different than bracket removal force.
>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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