| Subject: Re: Question for Dr Rick + more on root resorption and possible loss of tooth |
Author:
lilleth
|
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Date Posted: 07:45:24 08/13/04 Fri
In reply to:
drrick
's message, "Re: Question for Dr Rick + more on root resorption and possible loss of tooth" on 07:20:57 08/12/04 Thu
Do you mean - if the tooth is coming out, it's coming no matter if I have ortho or not - or that if it resorbs more with orth, the forces required for bracket removal won't make any difference?
Also, I have read that sometimes teeth stay in even with short roots. True?
>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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