Dental Braces and Implants After Facial Trauma - Dentistry

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Braces/Dental Implants


Hello, I am a 27-year-old young adult.
Recently, I was involved in a car accident that affected my face.
I broke a total of 12 teeth: six upper front teeth (three on each side) and six corresponding lower teeth.
Two of these teeth had to be extracted because they could not be fitted with crowns.
After seeing a doctor, I have been fitted with braces on both the upper and lower teeth.
The estimated treatment duration is about 10 years, and I will need dental implants afterward.
However, my insurance does not cover the future implants.
What is the typical lifespan of completed dental crowns (ceramic/full arch)? Additionally, what kind of assistance can I request from my dentist in this situation?

A Lun, 20~29 year old female. Ask Date: 2021/01/15

Dr. Lin Jiayong reply Dentistry


Hello: The typical lifespan of dentures is estimated to be around 5 to 10 years.
If you take good care of them, they can last even longer, so it mainly depends on your future usage habits.
Regarding insurance, please confirm the details of your policy with your agent, as issues arising after 10 years are usually not fully attributable to this accident.
For more detailed information, please check with your insurance provider! Thank you.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/01/15

More Info


I'm sorry to hear about your recent accident and the challenges you're facing with your dental health. It's understandable to have concerns about the long-term implications of such trauma, especially when it involves multiple teeth and the potential need for implants and braces.

First, let's address the longevity of dental crowns and braces. Typically, dental crowns, especially those made from ceramic materials, can last anywhere from 10 to 15 years, depending on various factors such as oral hygiene, the location of the crown, and the patient's overall dental health. Regular dental check-ups and good oral hygiene practices, including brushing and flossing, can significantly extend the life of these restorations.
As for braces, the duration of treatment can vary widely based on individual circumstances, but in your case, it sounds like your orthodontist has estimated a treatment period of about 10 years. This extended time frame may be necessary due to the complexity of your case, particularly since you have experienced significant trauma to your teeth and jaw. The goal of braces is not only to straighten your teeth but also to ensure that your bite is properly aligned, which is crucial for long-term oral health.

Regarding the need for dental implants, it's common for individuals who have lost teeth due to trauma to consider this option. Dental implants are designed to be a long-term solution, often lasting 10 years or more, and they can provide a stable foundation for replacement teeth. However, as you've noted, insurance coverage for implants can be a significant hurdle. It's advisable to discuss this with your dentist or oral surgeon, as they may have experience navigating insurance claims or could suggest alternative financing options.

In terms of what assistance your dentist can provide, they should be your primary resource for developing a comprehensive treatment plan tailored to your specific needs. This plan may include:
1. Regular Monitoring: Frequent check-ups to monitor the healing process of your gums and the stability of your braces and crowns.

2. Orthodontic Adjustments: Regular adjustments to your braces to ensure they are effectively moving your teeth into the desired positions.

3. Implant Consultation: A referral to an oral surgeon or periodontist for an evaluation of your candidacy for dental implants once your mouth has healed sufficiently.

4. Pain Management: If you're experiencing discomfort, your dentist can recommend pain management strategies, including over-the-counter medications or prescription options.

5. Oral Hygiene Education: Given the complexity of your dental situation, your dentist can provide guidance on maintaining optimal oral hygiene, which is crucial for the success of both braces and any future implants.

6. Insurance Guidance: While they may not be able to change your insurance coverage, your dentist's office may have staff who can assist you in understanding your benefits and exploring any potential avenues for coverage.

In conclusion, while the road to recovery may seem daunting, with the right support from your dental care team, you can navigate this process effectively. It's essential to maintain open communication with your dentist about your concerns and treatment options, as they are best equipped to guide you through your recovery and help you achieve a healthy, functional smile.

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