Orthodontic-related issues?
Hello, Dr.
Yang! I am 32 years old and would like to undergo orthodontic treatment.
1.
I recently visited a dentist and had X-rays taken, which revealed that I have three wisdom teeth.
The dentist advised me to have them removed, and additionally, I need to extract two teeth from both the upper and lower jaws for the orthodontic treatment.
I would like to know if it is necessary to remove wisdom teeth that have never caused pain.
Is it safe to extract a total of seven teeth for orthodontics, and will this lead to any adverse effects or complications in the future?
2.
I previously underwent root canal treatment and had a silver filling placed (about fifteen years ago).
Now, for the orthodontic treatment, the dentist believes that the nerve was not completely cleaned out, so they plan to reopen the tooth and redo the procedure.
I read on a website that root canal treatments should be followed by a crown.
Is it still possible for me to have the tooth filled as I did before, considering that I have never experienced any discomfort with it?
3.
Where can I obtain basic knowledge about dental health? For example, what materials are used for fillings? What causes periodontal disease? How can it be prevented and treated? Since orthodontic treatment can be a significant financial and time commitment for most people, I would like to gather as much information as possible.
I have visited several hospitals and clinics, but I often feel that the dentists do not provide enough information, leaving me with many doubts and uncertainties.
I would greatly appreciate your guidance.
Thank you very much for taking the time to answer my questions.
mickey, 30~39 year old female. Ask Date: 2002/09/01
Dr. Yang Hui reply Dentistry
Hello Mickey: I apologize for the delayed response due to my vacation.
Regarding whether to extract wisdom teeth: 1.
If food easily gets trapped between the teeth (which may not necessarily be painful), it is recommended to extract them to prevent potential issues with the adjacent tooth.
2.
If the teeth are tilted, they are difficult to clean properly.
Whether a dental prosthesis is needed after tooth extraction depends on the size of the cavity.
It is generally advised to get one to prevent the risk of crown fracture leading to further extractions.
To gain knowledge about dental care, you can obtain educational materials from dental clinics or hospitals, or consult your dentist.
Dentists are usually happy to help clarify any doubts.
Wisdom tooth extraction typically does not result in any long-term complications.
As for orthodontic extractions, it may be necessary due to insufficient space, and extracting teeth can provide the extra space needed to align the remaining teeth properly.
Dental Director, Yang Hui.
Reply Date: 2002/09/01
More Info
Hello! Thank you for your questions regarding orthodontics and dental health. It's great that you're taking the initiative to seek information about your dental concerns. Let's address your questions one by one.
1. Wisdom Teeth Extraction: The decision to extract wisdom teeth, even if they are not causing pain, often depends on their position and potential impact on your orthodontic treatment. If your orthodontist recommends their removal, it is likely because they believe the teeth could cause crowding or misalignment in the future. While it may seem excessive to remove seven teeth for orthodontic purposes, this is sometimes necessary to create enough space for proper alignment. However, it's important to discuss any concerns about potential long-term effects with your orthodontist. They can provide you with a comprehensive understanding of how this will affect your dental health in the future.
2. Root Canal Treatment and Crowns: Regarding your previous root canal treatment, if your dentist believes that the nerve was not adequately treated, it is crucial to address this issue properly. While it may be tempting to simply fill the tooth as it was done before, a root canal that is not properly sealed can lead to further complications, including infection. A crown is often recommended after a root canal to provide structural support to the tooth, especially if it has been significantly compromised. It’s best to follow your dentist's advice on this matter to ensure the longevity of your tooth.
3. Basic Dental Knowledge: To gain a better understanding of dental health, there are several resources you can explore. Websites from reputable dental associations, such as the American Dental Association (ADA), provide a wealth of information on various topics, including dental materials, periodontal disease, and preventive care. Additionally, books on dental health can be helpful, and many local libraries or bookstores carry titles that cover these subjects in detail. You might also consider attending community health workshops or seminars that focus on oral health.
4. Orthodontic Treatment Considerations: Orthodontic treatment can indeed be a significant investment in terms of time and finances. It's essential to have open communication with your orthodontist about your treatment plan, including the reasons for tooth extractions, the materials used in fillings, and the prevention and treatment of periodontal disease. If you feel that your questions are not being adequately addressed, don't hesitate to seek a second opinion or consult with another orthodontist who may provide a different perspective.
5. Emotional and Psychological Impact: It's understandable to feel anxious about dental procedures and their implications for your health. Dental anxiety is common, and it can be helpful to discuss these feelings with your dentist or orthodontist. They can provide reassurance and help you understand the steps involved in your treatment, which may alleviate some of your concerns.
In summary, while the process of orthodontic treatment may seem daunting, having a clear understanding of the reasons behind each step can help you feel more confident in your decisions. Always feel empowered to ask questions and seek clarity from your dental professionals. Your oral health is important, and being informed is a key part of maintaining it. Best of luck with your orthodontic journey!
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