Impact of Wisdom Teeth and Root Removal on Orthodontic Treatment - Dentistry

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Dentures and orthodontics?


Hello, doctor.
I have three teeth with remaining roots.
Originally, I was supposed to get a dental bridge, but because the gaps have been there for too long, the adjacent teeth have tilted.
The doctor advised me to get braces first.
Since all four of my wisdom teeth have also erupted, will removing the wisdom teeth and the remaining roots before getting braces have any impact?

Ms. Li, 20~29 year old female. Ask Date: 2022/10/04

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to address any problematic areas before getting dentures, including extracting any remaining roots or impacted wisdom teeth that need to be removed.
If orthodontic treatment is necessary, it should be completed first, and only then should fixed dentures be made! Otherwise, the dentures are more likely to encounter issues in the future!

Reply Date: 2022/10/04

More Info


When considering the impact of wisdom teeth and residual roots on orthodontic treatment, it's essential to understand the interplay between these factors and how they can affect the overall dental health and alignment of your teeth.
Firstly, wisdom teeth, or third molars, often emerge in late adolescence or early adulthood. They can cause various issues, particularly if there is insufficient space in the jaw. When wisdom teeth are impacted or misaligned, they can exert pressure on adjacent teeth, leading to crowding or shifting. This can complicate orthodontic treatment, as the alignment of the teeth may be affected by the presence of these molars. If your orthodontist recommends removing the wisdom teeth before starting braces, it is likely to prevent these complications and allow for a more effective treatment plan.

Regarding the residual roots from previously extracted teeth, their presence can also influence orthodontic treatment. If these roots are still present, they can create obstacles for the movement of adjacent teeth. Orthodontic treatment aims to achieve optimal alignment and occlusion, and any remnants of roots can hinder this process. Therefore, it is generally advisable to remove any residual roots before beginning orthodontic treatment. This will not only facilitate the movement of teeth but also reduce the risk of complications such as infection or inflammation in the surrounding tissues.

In your specific case, since you have three residual roots and four wisdom teeth that have emerged, it would be prudent to discuss the removal of both the wisdom teeth and the residual roots with your orthodontist. Removing these teeth can create a more favorable environment for orthodontic treatment, allowing for better alignment of the remaining teeth and preventing potential complications.

Moreover, the timing of these extractions is crucial. If the wisdom teeth and residual roots are removed before starting orthodontic treatment, it allows for a clearer path for the orthodontic appliances to work effectively. This can lead to a more efficient treatment process and potentially shorter treatment time.

It's also important to consider the healing process after tooth extractions. The body needs time to heal, and this healing period should be factored into your orthodontic treatment timeline. Typically, orthodontists will wait for a few weeks to a couple of months after extractions to ensure that the extraction sites have healed adequately before placing braces.

In conclusion, removing wisdom teeth and residual roots before starting orthodontic treatment is generally beneficial. It can prevent complications, facilitate better tooth movement, and ultimately lead to a more successful orthodontic outcome. Always consult with your orthodontist and oral surgeon to discuss your specific situation, as they can provide personalized recommendations based on your dental health and treatment goals.

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