| Subject: Re: Question for Dr Rick + more on root resorption and possible loss of tooth |
Author:
drrick
|
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Date Posted: 11:19:21 08/13/04 Fri
In reply to:
lilleth
's message, "Re: Question for Dr Rick + more on root resorption and possible loss of tooth" on 07:45:24 08/13/04 Fri
Pretty much yes.The other factor you are dealing with in your situation is that the tooth is non-vital. There is a good chance it will discolor over time as well.
Yes that is true.
If I were you I would plan for the implant in the future and if you get to keep the tooth for any length of time it is a great bonus.
>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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